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The causes of inequality in health care
Inequity in the health care system
Healthcare inequality in america
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I had to fake some of my information in order to get somewhere with this system. I entered an amount of 15,000$ even though that is pretty unrealistic for me. With this number I was eligible for Medicaid because I was in the 127% of the poverty line. This surprised me because I thought I wouldn’t be so low but because of where I live (a poor neighborhood), they added that into the factor. I would be left with a silver plan if not given Medicaid. With financial help I would have been paying only around 25/30 dollars a month. However, without the help it would have cost me closer to 300 dollars a month. I did not enjoy this calculator, it bothered me to see that basically no matter how hard I work I will continue to struggle. Thankfully I have
full coverage from my parents but I know it will not last forever. I am not looking forward to the day I have to pay my own insurance. I have many medical bills as it is. In fact, I generally do not go to my follow up appointments or cancel them for a month because I do not have the funds. There was nothing satisfying about this for me, it honestly created more stress. After reading all of this information I am already planning on how not to get sick, what to avoid, and what to save. I realize some insurance is better than none but it still frightens me. Currently I cannot even get insurance through any of my jobs because they are all “under the table” payments. I am a caregiver for many different people and I choose to do this because I am not taxed and get a lot of cash up front. I do not plan on changing this till I graduate.
Eligibility for Medicaid programs in Michigan is based on either income only or income and assets. In addition, many of the programs available have age restrictions and/or require applicants to have certain health conditions (e.g. pregnancy). Eligibility requirements for Medicaid in Indiana are similar to those of Michigan. The two programs, however, do contrast in three substantial ways. Two out of three of these ways indicates that Indiana has the better program.
When it validated the constitutionality of The Patient Protection and Affordable Care Act in 2012, the United States Supreme Court also ruled that states could decide for themselves whether or not to expand their Medicaid programs (Sonfield, 2012). Predictably, South Carolina said no. The Palmetto State’s decision not to expand Medicaid in concert with the Affordable Care Act was wrong, and it is time to correct that mistake.
Crowley, Ryan A., and William Golden. "Health Policy Basics: Medicaid Expansion." Annals Of Internal Medicine 160.6 (2014): 423-426. Academic Search Complete. Web. 18 Apr. 2014.
Medicare is a social policy many of our seniors look to for their stability when they reach 65
According to the article “Medicare Made Clear” published by United Health, “the Medicare program helps 43 million Americans get the health care they need.” The large number of Americans being helped by Medicare shows that it is important and very much needed. Being knowledgeable on the topic of Medicare and Medicaid and knowing the different aspects of the programs will be useful for many Americans.
According to the most recent numbers posted by the Census Bureau, an estimated 47 million Americans are uninsured. But let us examine these numbers closer. Of this 47 million, roughly 7 million are illegal immigrants, 9 million are on Medicade, 3.5 million are eligible for healthcare but do not pursue these available health services, and approximately 20 million families have incomes above the poverty level ($41,300 for a family of four) and can afford regular healthcare services with more coverage. Government tries to add all these factors together to make the numbers higher, in an attempt to gai...
Luckily under the new health care reform law, most people will receive help paying for their healthcare premiums and cost-sharing expenses that people with insurance have to pay out of pocket for doctor visits, and prescription medicine. Families and individuals will be able to receive this assistance with incomes between one hundred and four hundred percent of the federal poverty line. One hundred to four hundred percent makes up at about $23,000 to $94,000 a year assume this is for a family of four.
The author identifies some of the federal and state legislators that are also opposed to the Medicaid expansion in the writer’s district. US Senator John Cornyn says that the Obamacare Medicaid expansion program is formed to be wasteful, fraudulent, and abusive to the nation (Cornyn, 2010). According to US Senator Cornyn, “The $3.4 trillion federal taxpayers spend on the Medicaid program is a target for waste, fraud, and abuse. Instead of fixing these problems, the President’s new health care overhaul includes the largest expansion of the broken Medicaid program since its creation in 1965: it’s only going to get worse from here” (John Cornyn, 2010).
Medicare is the nation’s largest health insurance program. Generally, you are eligible for Medicare if you or your spouse worked for at least ten years in Medicare-covered employment and you are 65 years old and a citizen or permanent resident of the United States. Medicare-covered services include hospital insurance, inpatient hospital care, skilled nursing facility care, home health care, hospice care, and medical insurance (Medicare U.S.) With such an encompassing effect on the health insurance field, Medicare provides a haven for older individuals, and end-stage renal disease (ESRD) patients who require the best medical care for whatever possible reason. The only problem with this scenario is that doctors are turning many older patients away because they have Medicare. Why do doctors turn away Medicare patients? Is there a reason why certain doctors turn away certain patients?
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
Although health insurance can be beneficial because providers get paid for the services they provide to the patient the insurance premiums and deductibles are in many instances way more than many families across the United States can afford. With these extremely high costs for insurance statics show that over 40 million families’ can’t afford or have access to needed health care systems. “It shows that one-fifth of Americans couldn 't afford one or more of these services: medical care, prescription medicines, mental health care, dental care, or eyeglasses (R...
Federal government matching funds are provided to the states based on their per captia income. The majority of medicaid beneficiaries are children. One in four children in the United States is covered under Medicaid. The remaining recipients that are involved of more than eighty million noneldery (54 years and under) adults with children at home.
Health reform and health policy has taken over in the United States in recent years. Medicaid is one of the top policies being implemented throughout our nation today. To understand how Medicaid and federalism cross paths with each other one must understand the basic definitions and concepts each one brings. Federalism is “system of government in which the same territory is controlled by two levels of government. Generally, an overarching national government governs issues that affect the entire country, and smaller subdivisions govern issues of local concern.” In short, federalism is a government system that has an overseeing central government over state government. While, “Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities.” Medicaid is a test based welfare program for United States Citizens. Now the question is how does Medicaid intersect with federalism? These two intersect because Medicaid is a need-based program that is funded by the federal government and the state government and administered at the state level. The issue with Medicaid is that if it expands then a crowding-out effect may occur. Meaning, that the more the government spends on Medicaid then less they would be able to spend on other programs such as: education, transportation, or other state priorities. Medicaid is supposed to provide access to health insurance for approximately half of our nations uninsured citizens. Without Medicaid a vast amount of low-income citizens will go without having a healthcare insurance plan.
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 ...
and even though I’ve made a progress. I still believe I have not fully succeed on