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Social welfare according to social work
The Affordable Care Act (aka Obama Care) essay
The Affordable Care Act (aka Obama Care) essay
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Recommended: Social welfare according to social work
Historically (before 1880s), only few hospitals were originated in some big cities of U.S. Initially, the hospital system mainly run by religious organization and it served a primary purpose of palliation. According to Shi and Singh (2010), the function of hospitals at that time was more of “social welfare” (such as taking care of homeless people and helping those without families) than practicing medicine (p.56). Over the years, the functionality and the services offered by the hospitals has changed dramatically. However, it’s primary function to treat sick individuals has remained the same. Nowadays, hospitals also function as a research center, a medical educational institution, and is a major source of employment in the community (Sultz …show more content…
Over the last few decades, various laws have been established with the main purpose of making the system equal and more efficient for all. The U.S. hospital system has become more complex and less efficient due to significant political and monetary interference along with the passage of these laws. The most recent amongst those laws is the Affordable Care Act (ACA), which was signed into legislation by President Obama in 2010. Various provisions in the ACA includes universal health insurance coverage, significant changes in the payment for health services and changes in the health care organization delivery and workforce policy. Thus, ACA has a significant influence on the current U.S. healthcare system. Key events that have helped to shape the U.S. hospital system Hospitals were …show more content…
At the end of the World war–II, two U.S. senators, Lister Hill and Harold Burton proposed a law to allocate federal income in constructing new hospitals. This law was accepted in 1946, which became the major reason for expansion of the hospital system in the U.S. (Sultz & Young, 2014, p. 115). In 1980, Clark, Field, Koontz TL, and Koontz VL concluded that this Act helped to increase the number of hospital beds significantly. However, the physician’s growth lagged behind the growth of hospital beds. The physician movement between states was not affected by this
Regional Market: During the 1960’s, the hospital industry boomed with billions of dollars for hospital construction with additional funds for expansion and construction of medical schools. Government sought to reduce health care costs through cutbacks in subsidy programs and cost-control regulations. Innovations in health care delivery severely reduced the number of patients serviced by hospitals.
State and federal regulations, national accreditation standards, and clinical practice standards are created, and updated regularly. In addition, to these regulations, OIG publishes a compliance work plan annually that focuses on protecting the integrity of the program, and prevention of fraud and abuse. The Office of the Inspector General examines quality‐of‐care issues in nursing facilities, organizations, community‐based settings and occurrences in which the programs may have been billed for medically unnecessary services. The Office of the Inspector General’s work plan for the fiscal year 2011 highlights five areas of investigation for acute care hospitals. Reliability of hospital-reported quality measure data, hospital readmissions, hospital admissions with conditions
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
One of the policies that ACA made to improve healthcare quality is to provide free preventive screening, immunization, and wellness visit. Since this policy took place, 76 million Americans now receive free preventive care. Moreover, under this policy doctors will get paid more so they can take more proactive approach to patient care and making sure patients are healthy, rather than only treating them when they are sick. Also by making the healthcare recorders electronic that increased the quality of healthcare. Creating EHRs decreased healthcare errors, decreased the amount of time spent on documenting and increased space capacity. Moreover, by creating EHRs this gave the healthcare providers extra time to spend with their
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
The ACA expanded Medicare/ Medicaid, strengthened employer based care, and included an individual mandate. Before the ACA there were 32 million people uninsured and “approximately half, or 16 million, will gain coverage through an expansion of Medicaid” (Barr, 2011, p. 292). To improve the cost of care the ACA required employers with more the 50 employees to offer plans and individuals would have to purchase plans from the government. “ACA does not address directly the issue of disparities in access of care based on a patient’s race or ethnicity, it does impose on providers the responsibility for collecting data on the race or ethnicity, primary language, disability status, and similar demographic characteristics of patients cared for” (Barr, 2011, p. 293). The ACA strives to give health coverage to all but the power still lies in the private sector.
Due to the fact that I want to become a healthcare administrator in the future, this book is an incredible resource. The United States healthcare system is a complete and total disaster; it has become the driver of social and economic instability for most American families. Insurance companies, pharmaceutical corporations and government bureaucrats filling their pockets from America’s largest, most dysfunctional industry. In 2004, the USA spent $3 trillion on healthcare, more "than the next ten biggest spenders combined: Japan, Germany, France, China, the United Kingdom, Italy, Canada, Brazil, Spain, and Australia" (Brill, p. 4). As Brill details, the healthcare system is dysfunctional because of the influence of the pharmaceutical, hospital and medical lobbies who influence decisions made by officials in the government (Brill,
The people of the United States have been suffering from a number of serious issues, all related to health care: millions go uninsured every year, health care is too expensive, and the quality of care is poor, especially for the price. The Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act (ACA) or Obama Care, began addressing these issues. The ACA is a United States federal statute signed into law by President Barack Obama on March 23, 2010. The law was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government. Although several of the act’s promises have not come into effect yet, it has managed to extend healthcare to the repetitively uninsured. While many of the accomplishments that the act has already made, and aims to make, are no small feat, there are still issues within the policies and procedures. For example, Obama Care boasts that it is a universal healthcare system. However, it is unlike any other in the world, and is technically forced on citizens in a variety of ways. It has been debated, that for that reason, the new law may come into violation of several human rights. Another significant issue with the ACA regards a cap on citizen’s out-of-pocket expenses, and the fact that the administration decided to delay making a definitive decision, potentially costing many American’s unprecedented medical fees.
This is supported by Starr when he wrote, "…served to combat the traditional image of the institution as a house of death. Early hospitals were considered, at best, unhappy necessities" (Starr 151). Similarly, in a book titled Mending Bodies, Saving Souls the author explains, "beginning in the eighteenth century, however, intuitional crowding and cross-infection produced high death rates, creating a long-lived negative image in which hospital were categorized as "gateways to death"' (Risse 5). This shows that while hospitals were frequently used, they would only treat people who were to never leave the hospital alive. A reconstruction was necessary in order to create the hospital of modern society. What would need to change the death lingering hospital into homelike sanctuaries that would later become hubs for medical
The Affordable Care Act (ACA) is a healthcare reform passed by the 111th Congress and signed into law by former President Obama in March 2010. This healthcare reform expanded Medicaid coverage and Children Health Insurance programs to millions of low income and uninsured families in the United States. It also helped to remove denial of coverage indications due to preexisting conditions. When healthcare professionals work together to coordinate patient care practices, the results are a higher quality of care and lower cost to patients ("The Affordable Care Act: Helping Providers Help Patients," n.d.). The ACA has partnered with Centers for Medicare and Medicaid Services to obtain support and resources to achieve this goal ("The Affordable
In March 2010, the future of health care system in United States changed when The Affordable Care Act (ACA) (most popularly known as Obama Care) was approved. The law expands quality Health Care to more than ten million of previously uninsured people in United States. The Health Care law opens the door for access to care, more affordable to the cost of illness and the possibilities to get the care needed for citizens to be healthy.
It changed the healthcare industry by expanding Medicaid and Medicare and making an insurance exchange act that provides affordable insurance to low-to-middle income Americans. It also made a number of improvements to care for specific groups such as Women, Seniors and those who did not previously qualify for Medicaid. The idea behind Obama’s health care reform bill is that those who can afford to buy health insurance will be able to buy better quality insurance, while more Americans who previously struggled to get care will have greater access to it, by the way of Medicaid or subsidized insurance on the health insurance exchanges. ObamaCare includes many structures that focus on expanding quality, affordable health care coverage, helping tens of millions of Americans find coverage. The Affordable Care Act, which law helped and still helping to improve the US healthcare system. The Act enacts reforms that assist to defense the cost of insurance, increase the quality of health care and expand consumer protections and rights. The bill includes a strong attention on improving employer based health care making it available to more employees. The reforms in President Obama’s health care bill are the first step to finding a balance between a for profit health care system and a system that puts patient care before profit. Obama’s health care plan rebuild Medicare as well by adding new benefits, expanding
The economy grew between 1920 and 1929 and the national wealth nearly doubled during that time. Some important innovations and discoveries that came during the time were the first commercial radio station, the electric refrigerator, the automobile, and penicillin (“The Roaring Twenties”, 2010). The Roaring 20s also had an effect on the hospital industry. Before this time hospitals had a negative connotation. Hospitals were a place that people went to die, not a place to receive treatment. Once hospitals started marketing their facilities as a “happy” place to go to receive treatment the hospital system began to change. With this change and the growing economy it is no surprise that the prices of items and services also grew. The total cost of hospital care for families rose from 7.8% to 13.9% between the years of 1918 and 1929 (Gorman, 2006). Hospitals were now clean, they employed educated professionals, and the treatments given were effective. To address the rising cost of healthcare the American Medical Association (AMA) attempted to address this issue during the 1926 convention. At the time, even though the economy was increasing as were people’s incomes, the rising cost of medical care made it difficult for people to receive the treatment that they needed. By 1927 the AMA estimated that the national healthcare spending was at 4% of the national income (Gorman, 2006). Their solution to this problem was to increase the amount of resources going into the medical community. During the 1920s there was also an increase in the physician’s incomes and prestige was established for the physicians (“Healthcare Crisis”, n.d.). With all the innovations, discoveries, and the growing economy, the 1920s was a perfect time for the Cleveland Clinic to join the medical
Healthcare administration provides leadership and managemnt to health care systems, hospitals, and private or public health systems. There are requirements for most professions in the health industry but with the proper education and certification, most entry-level careers are attainable. Healthcare administrators are leaders so one must be able to handle the responsibility of the job. There are characteristics that can be associated with being a health care administrator. I have learned over the course of the past few weeks that this the career path that I would like to follow and have set a few goals to help promote my career growth. My research has helped me learn many aspects of this profession and what it takes