Free Access To Healthcare Case Analysis Paper

1. With Medicare spending exceeding income from payroll tax receipts since 2008, the ACA added an additional tax on individuals and couples making more than a certain income. The possible repeal of the ACA would change this dynamic. What other reasonable revisions could be made to assist the Medicare program in coming up with the needed funds to meet program spending each year?
Americans are living longer, retiring young and seeking more healthcare services. Resources rationing can minimize wastefulness and cost. Enforcing eligibility requirements and monitoring government program’s funds to prevent fraudulent activities.
2. In markets that offer free access to healthcare, decisions are left up to policy makers to help prevent spending growth.

The policy makers use three price fixing strategies: “mandated fee schedules, global budgets, and resource rationing.
Mandated fee schedule will work short-term, until physicians find a way to shift the demand curve for personal interest. The shift of the demand curve cuts into patient’s visit, it allows an increase of patients to be seen. This price control method results with mandatory negotiating and regulated fee schedules.
Global budgets are caps for price control, unfortunately entities will take drastic measures to avoid spending resources from the mandatory budget. Global budgets are used only for emergency use.
When all fails-resource rationing is when primary care physicians are on the front line and emergency care is last resort. Primary doctors must encourage preventive care and high cost technology are not allowed. Resource rationing justifies prices across the board and eliminates non-price rationing.
3. In Chapter 15, on page 455 of our text, there are four categories that list some of the core problems the U.S. is facing since ACA implementation. Please review these categories and choose one to pose a reasonable solution