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Insurance
Insurance
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People will at least once, probably more, have to deal with insurance companies. For many, this typically results in a long, and heated struggle of figuring out what is covered, and what is not. It is also usually accompanied by negotiating something to be covered, and giving justification of why it should. Almost anyone will agree that handling insurance companies is as bad as pulling teeth. This is said to be true even when the medical diagnoses are concrete in the social construct of society. Many insurances will not cover things as dyer as cancer. If this is so commonly believed, imagine how it is for the illness that are not concrete; illnesses such as bipolar disorder, post-traumatic stress disorder (PTSD), and schizophrenia. All phrases that are commonly heard in media, but widely accepted as untrue illnesses, or educated …show more content…
The act gave health insurance to anyone who needed it. Those who can afford private insurance have affordable out of pocket charges. The co-pays for mental health are then the same as physical health under the parity law. The act was aimed to benefit those who can’t afford health insurance. Even with the aim being at those who needed it the most, it is still sometimes unrealistic in what the person can pay out of pocket for the co-pays. For the people who cannot afford an insurance plan that offers them decent co-pays the process of paying for the therapy sessions that are sometimes as frequent as three-times a week to only once a month, can be hefty. This added to the medication that will be needed can drive a person to be broke. Mental health medication is among one of the highest costing medications (Cohn. J.) With majority of those living in poverty, or working class in a job that does not offer them insurance or an insurance plan they cannot afford, their only option is choose such a plan that has steep out of pocket
As part of the Affordable Care Act, beginning this year Medicaid will expand eligibility to include all uninsured individuals under the age of 65 whose incomes fall at or below 138 percent of the Federal Poverty Level, or about $32,500 for a family of four. However, the 2012 Supreme Court ruling that upheld the law also allowed states more flexibility concerning what parts of the ACA they can implement and said that those same states would not lose federal funding for their existing programs. This result would leave the decision to opt out of the law's provision into the hands of state legislators. While twenty-six states have chosen to expand healthcare coverage, twenty-one states have not and four have yet to make a decision. The state of Florida is among those not seeking to expand coverage and that decision alone could cost Florida millions of dollars a year in tax penalties. As conservative and liberal state lawmakers square off into a maelstrom of debate over whether Medicaid should cover more people, thousands of uninsured Floridians will be caught in the crossfire.
“Insurance companies often cover mental illness in a more limited fashion than physical illness” (Christensen). The lack of mental health care provided for the mentally ill has been a growing issue in the US during the previous years, and there has been some progress. For example, there has been the Mental Health Care and Parity Law of 2008 that was enacted so that the insurers would cover mental illness just as they would cover other illnesses. In addition, the Affordable Care Act was enacted to enforce that the insurers abide by the rules. Unfortunately, that hasn’t helped much, hence: the sneaky behavior of insurance companies. This sneaky behavior seems to be unnoticed by the government the majority of the time unless the patient or his family decides to file a lawsuit. Until then, insurance companies have been constantly bending rules and finding loopholes to not pay insurance for mental illness.
The Affordable Care Act first provides a Marketplace where people can look for and compare private health plans, get answers to questions about health, get a break on costs and enroll in a health plan that meets their needs. The ACA also requires insurance plans to cover mental health benefits. Health insurance plans and Medicaid alternative benefit plans must include mental health and substance use disorder services.4 These plans must meet the health and substance use parity, which means coverage for mental health and substance abuse services generally cannot be more restrictive than those for medical and surgical...
The healthcare reform debate has been politicized in the United States for many years where there have been deliberate efforts by various stakeholders to ensure that they push for the reforms that are in line with the cost-benefit aspects that they have already envisioned. In this paper, I will attempt to prove that the reforms that have been witnessed in the healthcare in the recent years have not been effective and helpful to the society as a whole. When President Obama came into office, he promised to oversee great reforms in the healthcare which is his government he face much priority in the social policy aspects. The congress managed to pass the Patient Protection and Affordable Care Act (PPACA).
Many people with terminal illnesses rely on their health insurance to help with paying for the many surgeries and treatments, but some insurance companies refuse to pay for the medical bills because the treatments weren't covered in the contract the customer signed. Well, that's what they claim. If clients started costing the insurance company too much, they decide that the client did not need to stay in the hospital anymore and they stop paying for the doctors and the bills. According to Bonnie Drew, a victim of a rare disease, the insurance companies can dictate what the doctors can and cannot do. She says Blue Cross Blue Shield insurance company sent her home from the hospital to die.
Insurance companies exist to make money. They are not concerned with your needs which include great coverage at an affordable price. Their agenda consists of offering superfluous offers, causing you as a customer to lose money on frivolous items that won’t ever benefit you.
The Affordable Care Act, more commonly known as Obamacare, is a new health policy created by the American federal government. Its purpose is to make healthcare more affordable and friendly for the people. Unfortunately in some way that does not prove to be the case. It is becoming apparent that Obama may have made some misleading statements to help get the ACA put into action. The ACA is sprinkled with many flaws that call for a reform such as people’s current plans being terminated, high costs, and at minimum some people’s hours being cut by their employers.
Some people abuse kids, some people abuse drugs, but the worst kind of people abuse welfare. The definition of welfare is the statutory procedure or social effort designed to promote the basic physical and material well being of people in need. Meaning the government gives this money to people in need for their daily basic necessities. The idea of welfare started during the great depression, then Franklin D. Roosevelt passed the social security act, which established a number of programs designed to provide aid to various segments of the population (“Welfare Information”). Welfare was made to help people in a poor, physical, and/or mental state because they cannot work. Although the economy and country improved, people got used to being unemployed.
In the United States, healthcare reform has been a highly prioritized issue by progressive politicians. As early as the 1940s, employer provided health insurance created a shift that would alter healthcare in the United States in a way that is still recognizable today. Presently, healthcare in the United States operates as a free market system that profits from both private and governmental health coverage. Because of this, the cost of healthcare far exceeds that of other industrialized countries that have any variation of universal healthcare. The most recent progressive policy change to healthcare in the U.S. is the passage of the Affordable Care Act. This act has successfully insured over 10 million Americans, and kept millions of young
Universal health care is medical insurance provided to all the residents of a country by their government. Out of all the major industrial countries, The United States is the only country without a universal health care system. In 2010, President Barack Obama signed a health care reform law making it illegal to be uninsured in America, which is a major step towards it. Universal Health Care should be mandatory in America because it gives everyone an opportunity to receive more equal care, the overall health of the population would increase and current insurance plans are unaffordable for many Americans.
Why then is this area of healthcare both so expensive and common? One reason could be in the professionals in the field themselves. Mental health care professionals may request higher pay or more vacation time because “they deal with dangerous patients-although they have publicly proclaimed that mental illness is a disease like any other” (Sartorius). These professionals are supposed to advocate for their patients in society because of the stigmas surrounding them, yet these stigmas in turn allow them to ask for higher pay because society stereotypes their work as being extremely taxing. These facilities sometimes take advantage of the stereotypes of their work in the quality of care their patients receive as well. For example, the World Health Organization’s Mental Health Policy Coordinator, Michelle Funk, commented on the quality of care people with mental health disabilities receive. She says, “people in mental health facilities often are exposed to high levels of abuse and violence...Their living conditions are inhumane and the treatment they receive is degrading… people can be over medicated to keep them docile and easy to manage”
Most of the time there are many people out there who can afford to attain health insurance or have insurance but their insurance doesn't cover mental health. The poor are the one's who gets hit hard the most. The American Health Care Act doesn't want to expand anymore money towards mental health. Mental health treatment services need to be maintained but also expaned in order to keep the country's mental health needs. Melissa Warnke explains, "The House and Senate verisons of Trumpcare would both phase out funding for that expansion and cut Medicaid spending by almost a trillion dollars over a decade." (Warnke,1) By decreasing Americans access to treatment will just make them suffer even longer. Warnke says, "between 70% and 90% of individuals who have access to medication and/or counseling treatments for mental health issues see a significant reduction in symptoms." (2) If Trumpcare goes into effect, your only option are to be rich or maintain physical and mental health throughout your life. Treatment should not just be for the wealthy. This will just lead to suicide because there will be no help. Advocates for people with mental illnesses have urged the government
The NSDUH reports that individuals with a mental illness is more like to also have a chronic health condition and are more likely to use hospitalization and emergency room treatment (NSDUH, 2014). According to SAMSHA (n.d.), 50% of Medicaid enrollees have a diagnosable mental health condition. Individuals with a diagnosed mental health condition have health care cost that is 75% higher than those without a mental health diagnosis (SAMSHA, n.d.). For an individual with a co-occurring disorder the cast is nearly three times higher than what the average Medicaid
Having a healthy lifestyle is a treasure in one’s life. Being healthy means taking care of the brain, body and know what to do and what to eat. Many people think that eating diet food makes them be healthy and fitness but it is not true. Diets usually mean eating special kinds of food or a little amount of it to lose weight. This way of depriving self of eating diverse types of food and focus on specific types that have low calories to avoid gaining extra weight is not healthy. Although losing weight can be considered a way to be healthy, but this is not the main idea. There are three important ways to stay healthy, such eating healthy food, doing physical activity, and getting enough sleep.
The Affordable Care Act was created to provide mental health coverage for those who cannot afford it but actions are being taken to get rid of what is benefiting