The Issue President Obama signed the Patient Protection and Affordable Care Act on March 23, of 2010 that changed United States healthcare delivery system by making access to healthcare affordable for all Americans. The PPACA requires Americans to have health insurance coverage with the exception to financial hardship, religious objections and American Indians. The health reform will also expand Medicaid and will include the Children’s Health Insurance program (CHIP), also known as (SCHIP) the State Children’s Insurance Program. In 2009, the number of children without insurance was 7.5 million (Estes, Chapman, Dodd, Hollister & Harrington, 2013).The uninsured children varied by factors such as poverty status, age, race, and the Hispanic origin. The uninsured percentages of children by race were the following: 7.0% for white children, 11.5% for black children, 10.0% for Asian children and 16.8 % for Hispanic children. These percentages show that Hispanic children are most likely to be uninsured due to the lack of knowledge about certain programs available that offer health insurance coverage. The problem is that there are still many children that go without insurance coverage due to several barriers such as the lack of access, lack of education and lack of affordable healthcare for All Americans. According to Brach (2003), SCHIP began in 1997 due to the number of children without health insurance that resulted to poor health conditions. Low income families that made too much money to qualify for Medicaid and had no access to affordable health insurance through their employers was the reason that the congress brought about this insurance program for children. States were given full autonomy in designing their own CHIP programs. ... ... middle of paper ... ...te with federal and state changes made to the policies on CHIP. I would lobby for policy changes that would improve children’s health insurance programs. I also would advocate by being an active member in the state nursing organizations to demand the reimbursements of all Nurse Practitioners as primary care providers. Nurse Practitioners are more cost effective and a way to provide more affordable healthcare. Nurse Practitioners have limitations to their scope of practice, however, this limits healthcare to the needy and vulnerable populations. Another way that I could advocate the CHIP is by educating all of my patients on the importance of preventative care. As a nurse, I could provide families with calendars that have immunization shot dates recorded to reduce missed appointments. I can also call patient’s families to give reminders about upcoming appointments.
This essay will discuss working within a system of human services areas, Some of the topics included mission goal, structure, regulation, type of human services agencies, professionals worker involve, The communities context ,fund, using available services, referral and the process to refer, building an information network, paperwork, Turf issues, encapsulation and burnout, professional development, obstacle in the field , and international focus . At the end of this essay the reader will have a clear understanding of the various services entitle human services professionals. Human services worker not only delivers, facilitate and empower our society; specially to those one who require assistance in meeting their basic human needs both emotionally,
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.
Under the Affordable Care Act one of the most important provisions is to expand health care to low income families through Medicaid. This could have an effect on over eight million people who do not have access to health care currently. However 25 states have decided against expanding Medicaid benefits, leaving 13.5 million people less likely to receive basic health care and preventative ...
There are more Hispanic children than there are Hispanic adults over the age of 65 and one in four of the total amount of Hispanics are non-citizens. They all continue to face troubles in health coverage and care. Hispanics are more likely to work in low-income positions as well as being more likely to work in agriculture and construction jobs. Most of these jobs do not offer health care coverage, and when they do, Hispanics cannot accept it due to their already low incomes. When it comes to Medicaid, they cover over half of Hispanic children and since more than half of all Hispanics are already said to be in low-income families, this means that they will be able to receive Medicaid just like their children are.
Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.
Merriam-Webster’s online dictionary defines an advocate as “one that pleads the cause of another,” or “one that supports or promotes the interest of another” (2014). Bu and Jezewski expanded on this by developing a mid-range theory of patient advocacy to implement into nursing (2007). They describe a patient as being “vulnerable and powerless” when stricken with illness and without knowledge of health care systems (Bu & Jezewski, 2007). The goal of the theory was to give the patient a voice in circumstances where they weren’t able to speak up for themselves and to maintain the patient’s integrity (Bu & Jezewski, 2007). They found three core attributes to what would make up
In 2009, President Obama signed the Patient Protection and Affordable Care Act (ObamaCare) and former ANA President Rebecca M. Patton, MSN, RN, CNOR witnessed this historical moment. American nurses celebrate with satisfaction, because their hard work paid off, enacting historical health care reform legislation that benefits not only nurses but their patient as well. Despite that the health care reform is now a reality, is important to keep working in order to make sure that the reform is implemented effectively (Routson, 2010).The ANA has been in favor of a health care reform that would provide high quality medical services for all. ANA believe that with Patient Protection and the Affordable Care Act, millions of American will be protected against the lost or denied health insurance coverage and improved access to primary and preventive care. (ANA, 2011)
How will you contribute to the mission of the National Health Service Corps in providing care to underserved communities?
The growing number of uninsured and underinsured is on the rise. In 1979, 11 million African americans were uninsured (Jaffe 10). Today, the number is 15 million and it is increasing every year (Jaffe 11). According to the Department of Health and Human Services, thirteen million blacks in America have health care and fourteen million do not (Fitzgerald 31). Also, those who are insured today may be at risk tomorrow if their employer drops coverage, or the head of the household changes or loses their job. Most blacks in the United States who are uninsured simply cannot receive health care at an affordable price because their employer does not offer it and self-insurance cost much more. The lack of adequate insurance can be devastating to families both in financial terms and in terms of timely access to needed health care (Jaffe 12). Altogether, collection agencies report every year that most blacks are in debt due to unpaid medical bills, because they are not insured or they are underinsured.
My vision for the Family Nurse Practitioner in a primary healthcare setting is to bring health care to small communities, comprised of predominately poor working class people, who are classified as underprivileged. Performing exams on the sick, providing immunizations to the young, educating all, and assisting the elderly with chronic illness and disease management, while providing preventative care and education on wellness. The Family Nurse Practitioner sees patients from young to old in need of a wide variety of care. As a Family Nurse Practitioner I will provide education and holistically meet the health care and wellness needs of my community, and others like it, by providing critical access to health care for the most vulnerable
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
In March 2010, under the Obama administration, the United States enacted major health-care reform. The Affordable Care Act (ACA) of 2010 expands coverage to the majority of uninsured Americans, through: (a) subsidies aimed at lower-income individuals and families to purchase coverage, (b) a mandate that most Americans obtain insurance or face a penalty,
America is facing a continuing issue in today’s society when it comes to the health of its citizens. As time flies, multiple types of diseases or health issues are discovered, or the rate of the issue increases. Whether, an individual or a whole family is covered by their health insurance for any medical issues, it can still be expensive. They may need to sign up for the offered government health insurance. As discovered, those low income families with children who can't afford health insurance are more likely to sign up with Medicaid. However, when it comes to health issues, “most children are prescribed wrong medicines or they are prescribed antipsychotic medicines” when they really don’t need it (Wilson 2009). As