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The real reason why healthcare costs are on the rise
Medicaid expansion under the Affordable Care Act
Cost are rising for all kinds of medical care
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The cost of health care can often have people scratching their head wondering how it has gotten so expensive. With every surpassing year, health care cost has been increasingly getting higher and more complicated. The increasing cost is also affecting the American citizen’s access to medical care. Consequently, the rising medical expenses are contributing to the quality of the health care provided. The quality of care can be evaluated by analyzing the past and future rising medical cost, effects on accessing care, and how these issues may affect the future quality of medical care. Health care has been experiencing an increase in medical cost every year and is a hot topic for the American people today. The beginning of the rise in health …show more content…
One of the factors is the rapid growth of medical science and technology advancement because patients assume that new technology is always better, and physician and hospital feel the need to outdo their competition. The cost to purchase and have a new medical technology available for patients’ increases the health care facility’s overhead leading to higher medical cost for the patients (chap. 10). Also, there is a decrease in primary physicians and an increase in specialty physicians, and the problem with this is that specialty physicians charge more for their services (chap.3). The elderly populations are growing rapidly with the new advances in medical technology, however, with an increase in life expectancy also increases cost for health care because of the additional elderly citizens on Medicare. Also, there is currently a multiplayer complex health care system in the United States (U.S.); unfortunately, the complexity of a system has a high possibility of mistakes occurring within the steps in the system which contributes to increasing in costs (chap. 12). Medicaid expansion is improving the quality of care for low-income citizens. However, there has been an increase in Medicaid new patient diagnosis of chronic health conditions that increase …show more content…
Access to care for American citizens ten years ago was significantly worse than it is today; however, there is still flaws within the system that are contributed to cost. Ten years ago, there were no restrictions on operating or opening physician-owned hospitals which are an ethical issue and can have an adverse effect on medical cost and access to care. Now there are restrictions on expanding physician-owned hospitals, and no more physician-owned hospitals can be opened (chap. 8). Also, the Medicaid and Medicare programs were less complex, and the U.S. citizens that were eligible could gain access to care. There used to be only Medicaid for children, and the children that that did not meet the requirements did not have health coverage. Ow children that do not meet the Medicate requirements can apply for Children’s Health Insurance Program (chap. 10). Today Medicaid helps a lot more people gain access to health care because of the expansion. However, there is still 30% out of 27.2 million people that do not meet all the requirements to get Medicaid, or they are unable to because they are immigrants (Rowland & Lyons, 2016). Physicians can refuse care to anyone and can refuse certain payment methods. However, acceptable payment methods are usually already established, and patients are usually notified when trying to access care from the physician. Although, many physicians believe it is their duty to
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.
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
What exactly is Medicaid? Medicaid is the largest health insurance in the United States, and it services many low-income families. This government health program is state regulated and varies among states due to having their own guidelines. Medicaid was signed into law on July the 30th, 1965. Medicaid’s guidelines come from the old Welfare law. “Medicaid has never matched that of food stamps, for which eligibility standards are linked to financial need alone. As Smith and Moore explains, the federal government, using its extraordinary demonstration powers under section 1115 of the Social Security Act, has allowed states to experiment with “decategorization” over the years, but Medicaid’s statutory bar against coverage of poor adults remains perhaps its most obvious failure” (Rosenbaum). Regardless of the many faults of this programs design, Medicaid helps close to 60 million low-income families in the United States. The people it helps would include: pregnant women, young children and their parents, the disabled, and the elderly, and other members of society that have low income. Medicaid is involved in many pregnancies and newborn care from a financial standpoint. It allows parents to have medical care for the child while in a low-income household. Medicaid has a huge impact on each states health systems and is used in a wide variety of ways.
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
Implemented (along with Medicare) as a part of the Social Security Amendments of 1965, Medicaid’s original purpose was to improve the health of the working poor who might otherwise go without medical care for themselves and their families. Medicaid also assisted low income seniors with cautionary provisions that paid for the costs of nursing facility care and other medical expenses such as premiums and copayments that were not covered through Medicare. Eligibility for Medicaid is usually based on the family’s or individual’s income and assets. When the ACA came into effect in 2010, it began to work with the states to develop a plan to better coordinate the two ...
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
Health care is one of the most debated issues in the United States today and it 's necessary to understand the basics of this problem. Approximately 50 million people living in the United
According to Harry A. Sultz and Kristina M. Young, the authors of our textbook Health Care USA, medical care in the United States is a $2.5 Trillion industry (xvii). This industry is so large that “the U.S. health care system is the world’s eighth
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either
Thus, there is evidence in health care of a vicious cycle of high costs, leading to poor access, which in turn leads to undesirable outcomes. While the Patient Protection and Affordable Care Act is estimated to help about 28 million Americans gain new health insurance coverage by 2016 (McGlynn, Cordova, Wasserman, and Girosi, 2010), the impact of the health reform legislation on costs and quality is less certain. Reasons for high cost are Third-party payment, Imperfect market, Growth of technology, Increase in the elderly population, Medical model of health care delivery, Multi-payer system and administrative costs, Defensive medicine, Waste and abuse, Practice variations. Management leader Peter Drucker: “If you cannot measure something you cannot control it. And if you cannot control it you cannot manage
Medicaid is like Medicare in that they both are a federally sponsored program which were created in 1965 in an effort to care for our country’s most vulnerable populations, the young and the old. Medicaid differs from Medicare as it is managed by each individual state and a recipient must qualify financially or physically to receive benefits. The program was initiated as a supplement to fill the gaps in Medicare plan benefits and ensure that children were afforded the possibility of a healthy childhood (Nickitas, Middaugh & Aries, 2016). From inception, Medicaid’s control was given to each state with the belief that they were better equipped to identify who and what service should be covered. General guidance for mandatory and optional services have always been provide by the federal program, however implementation is at the discretion of the state (KFF. 2011).
The cost of US health care has been steadily increasing for many years causing many Americans to face difficult choices between health care and other priorities in their lives. Health economists are bringing to light the tradeoffs which must be considered in every healthcare decision (Getzen, 2013, p. 427). Therefore, efforts must be made to incite change which constrains the cost of health care without creating adverse health consequences. As the medical field becomes more business oriented, there will be more of a shift in focus toward the costs and benefits, which will make medicine more like the rest of the economy (Getzen, 2013, p. 439).