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Topics on Health Care Crisis in America
Occupational Safety and Health Act overview
Occupational Safety and Health Act overview
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Review Questions for 132 Final
1. What did Lillian Wald do that was so effective in saving lives?
Lillian Wald invented the term 'public health nurse,' which she used to describe her new form of nursing associated with helping the poor. She was the originator of the Visiting Nurse Service in New York City. It’s important to note that her idea of the 'public health nurse” were used by the New York Board of Health to develop the first public nursing system in the world. She also played a major role in pushing for social reform and public health, and she campaigned for human rights and abolition of child labor. These initiatives saved the lives of the poor and children across the globe.
2. What does saving babies in the world have to do with
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population of the planet? Infant mortality rate is an indicator of the of world’s population health, and saving babies in the world can go a long way in ensuring the planet’s population sustainability. Additionally, it allows for the comparison of health systems and programs worldwide and hence help identify the populations in need of particular attention from health service 3. What was the Sheppard –Towner Act and why was it important? The Sheppard –Towner Act is a legislation passed by the Congress in 1921, and it’s often considered to be the first social welfare program to be funded by the federal government. It’s also known as the Promotion of the Welfare and Hygiene of Maternity and Infancy Act. Sheppard –Towner Act was important because it helped reduce the alarming rates of maternal and infant mortality by providing support for prenatal and infant health care. 4. Who was in charge of the Division of Child Hygiene? Sara Josephine Baker 5. What was the purpose of the Children’s Bureau? The Children’s Bureau was established as the first federal agency within the United States Government with the primary purpose of enhancing the reporting of all issues related to the welfare of children and child life regardless of one’s class. 6. What was the SS Act of 1935? The Social Security Act of 1935 was signed into law by President Franklin D. Roosevelt in order to establish a system of Federal old-age benefits, for instance, by improving the states’ abilities to aid numerous groups of Americans, such as blind persons, dependent and crippled children, and aged persons. Additionally, it expedited the improvement of maternal and child welfare. 7. What was the Hill-Burton Act? Why was it passed? This was a United States federal law passed in 1946 by the Congress with the main aim of improving the country’s health care system through the provision of federal grants and guaranteed loans to nursing homes, hospitals, and other health facilities for construction and modernization of the health care system.
The Hill-Burton Act was sponsored by Senator Lister Hill of Alabama and Senator Harold Burton of Ohio.
8. Why were Medicare and Medicaid passed? For whom?
The Medicare and Medicaid programs were passed and signed into law in July 1965 by President Lyndon B. Johnson to help assure health care coverage for virtually all citizens at the age of 65. It helped increase access to health insurance by the elderly.
9. What do these acts have to do with the health care crisis?
Various acts that have been passed into law throughout the history of the US healthcare system played a major role in the health care crisis, particularly by increasing government’s expenditure in the health care system.
10. What is the health care crisis? Causes of the crisis?
Health care crisis basically refers to a difficult situation that makes the health care system complex, or rather its ability to deliver high quality care in an equitable manner. Causes of the crisis include poor policy implementation, disparity of quality care and instability in hospital
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costs. 11. Examples of solutions to the health care crisis? The best solutions to the health care crisis include increasing transparency in the health care system, proper policy implementation, setting standards for quality care and insurance coverage, identification of the trade-offs on services as well as the combination of private and public funding. 12. What are primary versus secondary preventions? Primary prevention involves protecting people from experiencing an injury or developing a disease through education or legislation, immunization, and control of potential hazards. On the other hand, secondary prevention comprises of interventions taken after illness, or after diagnosis to slow the progress of disease or injury. Secondary prevention interventions include recommending regular medical examinations and provision of the most suitable modified work for injured workers, 13. Why will preventing premature deaths not solve the health care crisis? The prevention of premature deaths will not solve the health care crisis because it’s not the primary cause of health care crisis. Addressing issues associated with funding and equitable distribution of care should be addressed. Additionally, children are not the only affected population. 14. Examples of “Ecology” legislation? “Toxics” legislation? “Global” Legislation? The best examples of “Ecology” legislation include the State Environmental Policy Act (SEPA), Resource Conservation and Recovery Act, Water Pollution Control Act and the Endangered Species Act. The best examples of “Toxics” legislation comprise of the Toxic Substances Control Act and Clean Water Act. “Global” legislation examples include the Montreal Protocol, Kyoto Protocol and the United Nations sponsored Convention on Contracts for the International Sale of Goods and the Treaty of Rome 15. Potential global environmental health problems? Potential global environmental health problems include skin cancer, carbon monoxide poisoning, intestinal illness, Malaria, cholera and typhoid. 16.
What led to the creation of federal OSHA? What do the letters OSHA represent? What is the California occupational health agency?
OSHA was created to promote workplace safety by reducing incidences of injury, illnesses and death in the workplace. OSHA stands for the Occupational Safety and Health Act. The California occupational health agency is an agency designed to protect employees from health and safety hazards in their places of work in California
17. What is MSDS? Why does it exist?
MSDS stands for Material Safety Data Sheet. It’s a document that highlights key information or data related to potential hazards ranging from health hazards to environmental hazards, as well as how to work safely with chemical products. It is useful as it guides use, storage, handling and emergency procedures associated with the hazards of the materials for complete health and safety program.
18. What did Bhopal India have to do with US health and safety?
The lesson learned from the Bhopal in India have greatly impacted on the US health and safety in terms of legal response and the health effects related to the exposure to disasters. Additionally, Bhopal India facilitated the development and implementation of frameworks for dealing with industrial hazards and toxic
contamination. 19. What are the top three causes of the top reported US deaths? i) Heart disease ii) Cancer iii) Chronic lower respiratory disease 20. How can they be prevented? These causes of death can be prevented by characterizing and monitoring the trends related to their causes, identifying the individuals at risk, the provision reliable surveillance data for program and policy decisions in health care. 21. What is the Health Promotion Agenda (in detail)? The Health Promotion Agenda basically refers to a health promotion foundation that seeks to explore new ways for dealing with major health issues that are facing us nowadays. It focuses on outlining what will be done to improve the quality of health care in the United States and other parts of the world. Additionally, it highlights the vision for the coming years by creating an health system that can be enjoyed by everyone for better health. 22. What is meant by “opportunity costs”? Opportunity cost refers to the cost of an alternative forgone, or rather the benefits linked to the pursuance of an alternative action. 23. What are some “externalities” associated with burning coal for electricity? i) Air pollution (coal dust) ii) Global warming (climate change) iii) Thermal pollution 24. What is meant by “ecological footprint”? Ecological footprint ascribes to the impact of an individual or a community on the environment, and is often expressed as the quantity of land required to sustain their use of natural resources. 25. Is reform possible? Healthcare reform is possible, but it requires proper implementation health care policies that seek to improve the ability of the health care system to deliver high quality and equitable care.
Lillian Wald: A Biography is the gripping and inspiring story of an American who left her mark on the history of the United States. Wald dedicated herself to bettering the lives of those around her. She was the founder of The Henry Street Settlement along with the Visiting Nurse Service of New York. She worked with politics around the world and tried to bring healthcare and reform to people around the world. Using the lessons she learned in her childhood she worked closely with people from all backgrounds to fight for “universal brotherhood”. Wald was a progressive reformer, a social worker, a nurse, a teacher, and an author. Notably Lillian Wald, unlike many of the other women involved in the progressive movement such as Jane Adams, never received the same acknowledgement in the academic world.
According to Medicare’s WebPage Medicare is a Health Insurance Program for people 65 years of age and older, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant). Medicare has two parts, Part A which is for basically hospital insurance. Most people do not have to pay for Part A. In addition it has a Part B, which is basically medical insurance. Most people pay a small monthly fee for Part B. Medicare first went into effect in 1966 and was originally administered by the Social Security Administration. In 1977 the control of it was switched over to the newly formed Health Care Financing Administration. Beginning in July 1973 Medicare was extended to persons under the age of 65 with certain disabling conditions. In 1988 Congress passed legislation to expand the program to cover health care costs of catastrophic illnesses.
Many pivotal events over the last century have brought our healthcare system to where it is today. Some were indirect, such as World War II (and how it led to direct events such as medical advances that shifted focus from critical care and managing contagion to preventive medicine and health insurance as an employee benefit) and the internet (which has provided a wealth of tools and resources that were once only available to healthcare providers and has served to foster technological advancements such as Electronic Health Records and telemedicine). Others were targeted interventions, such as the Hill-Burton Act, which was enacted in 1946 and provided infrastructure dollars to healthcare facilities that agreed to provide a significant volume of free or reduced cost services to those with limited ability to pay (HRSA, 2014). Perhaps the most influential targeted event was the passage of Medicare and Medicaid programs, which was the point at which the government became the administrator for insurance programs for the poor, creating a system that would continuously grow and impact service delivery through regulatory control.
Occupational Safety and Health Administration also known as OSHA is a U.S. regulatory agency that is used to implement the safety of employees, patients and the enviro...
The bill created a Job Corps similar to the New Deal Civilian Conservation Corps; a domestic peace corps; a system for vocational training. The bill also funded community action programs and extended loans to small businessmen and farmers. This helped people to get jobs with good wages.Then came the Medicare Act of 1965 which help people to get better health coverage. “No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years” (1) In 1964 more than 44 percent senior had no health coverage or insurance. Senior citizens were dragged down to poverty as they were not able to pay the medical bills. But after the Medicare Act of 1965 which provide everyone with the medical coverage of all people age 65 and above this issue was almost solved. Along with the Medicare, the Johnson Administration established the Medicaid program to provide healthcare to the poor. Different from Medicare, this Federal-state partnership is largely determined in form and construct by each individual state. In the first three years of the program, nearly 20 million beneficiaries were enrolled
Daschle, Tom, Scott S. Greenberger, and Jeanne M. Lambrew. Critical: what we can do about the health-care crisis. New York: Thomas Dunne Books, 2008. Print.
Reese, Philip. Public Agenda Foundation. The Health Care Crisis: Containing Costs, Expanding Coverage. New York: McGraw, 2002.
2008). Started in 1965 as a portion of the Social Security Act, Medicare’s chief objective is to
The OSH Act gave OSHA the authority to come into work places and inspect facilities for health and safety risks. Due to shortages in personnel, OSHA inspects accidents and safety complaints that are filed, and those facilities that have a high volume of accident rates. If an individual state has an approved safety and health enforcement plan, then they may be exempt from yearly inspections by OSHA and have their own state personnel conduct the inspections. The Act sets a maximum penalty for safety and health violations, but OSHA has the authority to calculate fines. If an industry objects to the citation or fine, they can go before the Occupational Safety and Health Review Commission.
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.
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
Healthcare reform has been debated throughout history, and continues to be a debate today. An initial healthcare plan was supported by Theodore Roosevelt in 1910. He campaigned on the promise of national healthcare, but he was defeated. Harry Truman proposed it thirty years later but the plan was vigorously opposed by American Medical Association (AMA) as socialized medicine (Palmer, 2010). As a Family Nurse Practitioner (FNP) who has been practicing for more than a year, an advanced nurse with a Master of Science in Administration for ten years, a military nurse leader for twenty years, and a home health and ICU nurse for more than twenty – five years, I agree that we need to rethink the direction of healthcare. Without healthcare reform, the number of uninsured is predicted to increase to 54 million in 2019 according to Deutsche Bank Research trends (2010). This increase in uninsured patients will put a strain on emergency rooms (ERs) as many uninsured patients use ERs as their primary care, which increases healthcare costs and offers poor follow-up care for the patient.
United States Department of Labor (2004) Occupational Safety & Health Administration. In Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers. Retrieved from http://www.osha.gov/Publications/OSHA3148/osha3148.html
Medicaid dates back from July 30th, 1965 when Lyndon B. Johnson was in office. ...
Chemical and fire hazards in the workplace cause serious injuries that in most cases are fatal.