...The Affordable Care Act and Its Affect on North Carolina's Uninsured Population Wanda Mullins Walden University Nursing 6050, Section20: Policy and Advocacy for Improving Population Health April 5th, 2015 The Affordable Care Act and Its Affect on North Carolina's Uninsured Population The Affordable Care Act is an act that was created in 2010 by President Obama to ensure all Americans have health insurance coverage. This law became a federal mandate in 2014. This legislation has multiple goals: requires all United States citizens to have health insurance, insures all persons at the national poverty margin with Medicaid coverage, offers adequate health coverage to employees through the employer, and mandates private insurance companies reduce the amount of exclusions for pre-existing conditions to maintain federal compliance. Prior to the enactment of the ACA, there were approximately more than thirty million Americans without health insurance (Sparer, 2011). This legislation allows the federal government to have more control over private health insurance sectors and strives to ensure the health care of all Americans at the national level . The Impact of the Affordable Care Act on North Carolina’s Uninsured Population As of 2011, if you were a North Carolina resident, poor, homeless, unemployed and without child, you were eligible for Medicaid (Milestead, 2013 ). The ACA was implemented to help these citizens. As of June 2012, the Supreme Court ruled the...
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...within the United States. One major public policy that has been the number one topic is health insurance and whether or not we should choose to change over to a universal health care plan. The number of uninsured citizens is above 40 million; health care is becoming unaffordable and we could fix it by simply adding a few new aspects. There are many different types of health care organizations that are offered to people around the world. Some of these organizations include: the provider group, health maintenance group and in many cases a combination of ideas from both groups. The idea of a universal health care plan would make it so that every...
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...Neg. Effect | Description of how this trend might affect average industry profitability | Economic trends: | | | With the maintenance of the Patient Protection and Affordable Care Act, manufacturers will face a 2.3 percent excise tax on all devices they produce. | Neg | With the 2.3 percent tax added on many companies will see their revenue will go down with the PPACA enforcing this rule upon the industry. | Medical device volume is increasing | Pos | With the PPACA providing insurance coverage for millions of Americans, the volume of medical devices is projected to go up and will lead to less rivalry and more business for all. | Legal and political trends: | | | Food and Drug Administration (FDA) | Pos | Ensure that the medicines and medical devices patients use are safe and effective leading away from law suits and mal practice claims. So with the FDA making rules for the medical device industry liabilities can be avoided. | House Republicans tried to have the tax repealed, drafting a bill called the Protect Medical Innovation Act | Neg | With the Democratic senate party blocking the bill this builds tension between both parties and also makes the industry frustrated with total tax reaching $20 billion. | Ethical issues: | | | Beneficence: Do good for all. | Neg/Pos | With technology being a leading factor in curing and treating patients the medical devices industry is for the better good which is positive, but for those that are uninsured or underinsured...
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...According to this article, the Congressional Budget Office (CBO) released an updated federal budget outlook for the next 10 year “budget window”, during the week of February 3rd, 2015. Detailed in this report were some revisions to the previous baseline projection for the effects of the Affordable Care Act (ACA). A more defined explanation and history of ACA: Federal health reform uses an approach that starts with the health insurance system we currently have in place in the United States. Health reform builds upon our current health insurance system to provide more people with access to health insurance coverage, establish legal protections for consumers, and set up mechanisms for consumers to shop knowledgeably for insurance. On July 14, 2009, House Democratic leaders introduced a 1,000-page plan for overhauling the US health care system, which Obama wanted Congress to approve by the end of the year. After much public debate during the Congressional summer recess of 2009, Obama delivered a speech to a joint session of Congress where he addressed concerns over his administration's proposals. In March 2010, Obama gave several speeches across the country to argue for the passage of health care reform. After Obama announced an executive order reinforcing the current law against spending federal funds for elective abortion services, the House passed the version of the bill previously passed on December 24, 2009, by a 60-vote supermajority in the Senate. The bill, which includes...
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...Health Care Bill and Impact on the Community Health care in the United States is a serious issue that involves all individuals and families alike. Many individuals and families in the United States are unable to receive accessible, affordable and quality health care treatment even though they work each day. Low income levels and a volatile, unstable economy is the cause of many middle class or impoverished individuals and families not being able to receive health care benefits. For many years, politicians have discussed the reformation of the health care system in the United States and H.R. 3950 will surely help the health care system and individuals and families with health care treatment. According to Holland (2010), the Patient Protection and Affordable Care Act was created for individuals and families to ensure that all Americans have access to quality, affordable health care and will help create the transformation within the health care system that is necessary to contain cost. The Patient Protection and Affordable Care Act is suppose to provide coverage for more Americans and reduce the deficiency over the next ten years and beyond. According to Holland (2010), The Patient Protection and Affordable Care Act contains nine titles addressing essential components of reform in: • Quality, affordable health care for all Americans; • The role of public programs; • Improving the quality and efficiency of health care; • Prevention of chronic disease and improving public...
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...Business Ethics Second Paper – Deontological Analysis June 19, 2013 Direct-to-Consumer Drug Advertising: Ethical or Not? The United States and New Zealand are the only developed countries that allow direct-to-consumer advertising. Whether the practice of direct to consumer advertising is beneficial to the consumers or not is a highly debated subject with both positions presenting sound reasoning for their position. Whether the practice is beneficial or not to the consumer is not the question, but rather, is advertising prescription drugs directly to consumers ethical? To analyze this question I will use Rawls’s second principle of distributive justice for analysis. (2) use that method, developing the argument in support of your case; In utilizing direct to consumer advertising for prescription drugs is the advertising “reasonably expected to be to everyone’s advantage”? and “attached to positions and offices open to all?” (DeGeorge 78) One of the predominate claims of the pharmaceutical companies that the advertisements educate the consumer, thus giving them more information to evaluate their needs and to speak intelligently with their doctor. So, is the information provided in an ad or commercial “reasonably expected to be to everyone’s advantage?” It is reasonable to assume that everyone is exposed to the ads with the various media outlets used, such as TV, radio, newspaper, magazines and so forth, but is the education to everyone’s advantage? The drug...
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...Introduction United States has one of the highest GDP among developed nations yet it fails to deliver a widespread and affordable health care to its citizens. Will health care reform be able to deliver quality services at affordable cost with its existing workforce crisis in the healthcare system? Number of uninsured Americans has significantly increased, mainly due to aging population and income change. The prevalent issue of America’s healthcare system is insurance coverage, access to healthcare. Americans believe this issue should be prioritized, and it is the direct responsibility of federal government to ensure medical care for those citizens that lack insurance. This essay include history of United States healthcare system, its evolution and how healthcare providers can contain costs of healthcare and provide quality and access to healthcare for everyone. From the beginning of 2014 Affordable Care Act by Obama government is trying to solve the enduring issue of American healthcare system. It is a step in the right direction but this reform is facing lots of resistance from Republican Party, that this reform will put country in debt stress. Many Americans are concerned with quality and access to healthcare with the influx in number of insured entering the healthcare system which is already facing the workforce crisis. United States Health care History Healthcare in United States is enduring issue and it is very sensitive subjects for Americans. United states...
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...Uninsured Americans Currently uninsured Americans make up approximately 52 million people, these families cannot pay for the high cost of insurance; therefore, they do not get the health care essential to preserve good health. They have to live with the pain and worry of the medical problem then when they do acquire medical care, they take up huge debts and another worry of how to pay for it. The only contemporary advance country that is deprived of a health care system is the United States. The number of uninsured Americans is estimated to upsurge by at least 6.9 million by 2010 meaning 19.2 percent of non-elderly Americans would be uninsured. This is an upsurge of 2.0 percentage points from 2007. The uninsurance still remain a political debate within the government. Increasing insurance costs have partake in a drift in which lesser employers are offering health insurance, and many employers are supervision costs by necessitating higher employee contributions. Many of the uninsured are the working poor or are unemployed, others are healthy and choose to go without it. Some have been excluded by insurance companies and are view as "uninsurable". Some are without health insurance only temporarily; some choose faith-based alternatives to health insurance. The current economic recession because lethargic growing in personal income for American workers is a key influence driving the outcome. Though, because this is build on extrapolating from uninsurance rates among workers,...
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...Sin Taxes for Rising Health Care Costs Shante Dennard Eng. 122 Composition II Instructor: Jessica Harnish April 1, 2013 Over the years many states have failed to adjust tax rate inflation which has resulted in a loss of billions of dollars in potential revenue. That revenue could have help funded essential health and human needs programs or reduce the deficit. Revenue from alcohol and tobacco continues to be of more importance these days as our economy tries to overcome budget deficits. A 2008 report of the Congressional Budget Office estimated that increasing and reforming federal alcohol taxes could generate more than $28 billion in new revenue over five years. Alcohol and tobacco imposes enormous cost on society an according to the latest government estimates some $185 billion per year. Alcohol and tobacco should be taxed because health care imposes an enormous cost on society. This is associated with the underage use of alcohol and tobacco, traffic crash fatalities, certain crimes and alcohol related health problems. The author (Green, R. (2011) uses a public health nursing model, the Public Health Code of Ethics (Public Health Leadership Society, 2002), the American Nurses' Association (ANA) Code of Ethics (2001), and other relevant ethical theory to weigh and balance the arguments for and against the use of sin taxes. Some say that an increase in “sin taxes” will increase health care costs, but the government will take a greater role in regulating health...
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...risk to the company. The company has high insurance cost this is due to the poor driving records of the drivers. The death claims and third party claims due to having employees’ careless drivers. The old trucks that are being used in the fleet you have a higher chance of something going wrong. The drivers have no certifications for employees as drivers and warehouse employees as well. Then the last risk problem is the company profit and loss has been very high. B. In the BCD Transportation Company there are about 55 house managers handling 200 employees. In this situation, the managers will have some sort of issue of having a stable environment. In addition, the drivers and employees do not have any rules to follow to make a safer environment in the warehouse and on the road as well. C. The lost exposures: - 2005 – Property damages - Damage to trucks was driver error. - Deaths, third party claim & physical Injuries - Death in warehouse (forklift driver) D. The five Risk management methods I have chosen above yes I believe they can be handle in our risk program. They also can be used to make sure that the company avoids any other losses as well. They can also make sure them employee drivers with a good driving record and hire employees that are responsible. The avoidance goes right through the loss to make sure you can take control before any other losses take effect. With this change, it will control the situation so there are not any more insurance...
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...all around us. From controlling air pollution to promoting car safety, our society is working efficiently thanks to public health. Our society is developing tremendous amount of programs to improve our environmental, social, and economic health. As a whole, we continue to thrive in order to help out everyone, from average to vulnerable groups of people, into reducing risks of harm of our world, rather it could be communicable diseases, high risk occupations, disabled, frail elders, the uninsured, or those with HIV/AIDs. We approach public health by different ways, such as, health care, traditional public health, and social interventions. Although it takes a lot of effort and work to change a community, there are many methods we can start initiating to enhance public health. First, I can educate myself and those around me. Educating myself to make the right choices is the initial way to progress public health. Better choices can be as simple as not texting and driving. Texting and driving can put myself and those around me at risk and disrupt car...
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...States and brought out many protestors from both sides. Some of the issues at hand are amnesty, healthcare costs, and the increasing crime that illegal immigrants bring into our country. To begin with, does amnesty encourage illegal immigration? Secondly, what does it do to our already fragile health care system? Thirdly, what kinds of crimes are being committed by some illegal immigrants? In my opinion we need to do whatever we can to secure our borders and only allow those who come in legally into our country. Amnesty, in the case of illegal immigrants, is to grant legal status to those who have entered our country illegally. It forgives the fact that they have entered the country illegally, and forgives other illegal acts such as driving and working using false documents. In 1986 under President Ronald Reagan, our country granted what was supposed to be a “one time only” amnesty for approximately 2.7 million illegal aliens. At that time, Congress also enacted a new set of laws that were aimed at eradicating illegal immigration. What were the results of those new laws? We are no longer a nation that has 2.7 illegal aliens, but we are now home to between 8 million and 12 million people who have entered the United States illegally (Eberle, 2004). Obviously this blanket amnesty did not reduce future illegal immigration into our country as originally thought. Our...
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...The Paradox in the Affordable Care Act Submitted By: Vodney Wynn vewynn@aol.com October 12, 2014 PA582_CourseProject Table of Contents Introduction…………………………………………………………………………………………………………………3 The History of Healthcare Reform……………………………………………………………………………..…4 The Problem with the ACA……………………………………………………………………………………………6 The Current Policy………………………………………………………………………………………………………..8 Policy Alternatives………………………………………………………………………………………………………10 Evaluation Criteria………………………………………………………………………………………………………10 Policy Recommendation……………………………………………………………………………………………..12 Conclusion…………………………………………………………………………………………………………………..13 References………………………………………………………………………………………………………………….14 Introduction Recent health care reform legislation, The Patient Protection and Affordable Care Act and Education Reconciliation Act, which is now being referred to simply as the Affordable Care Act (ACA), was signed into law by President Obama on March 23, 2010. Since the 20th century, several United States presidents have faced challenges in passing national health reform into law. Before the ACA was enacted, national health reform proposals under different governments in the United States faced strong opposition from various stakeholders and multiple interest groups. Therefore, the enactment of the ACA is revolutionary healthcare reform in the history of the United States. Healthcare insurance is a program that assists in paying medical expenses through privately purchased insurance...
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...Affordable Health Care for America Act or H.R. 3962, blends and updates the three versions of previous bills passed by the House committees. "(Kruger, M. 2010) This bill is expected to ease the out-of-control costs of health insurance, introduce competition into the health care marketplace that will help maintain coverage affordability, protect people’s choices of doctors and health plans, and guarantee all Americans access to quality, consistent , affordable health care. The Association of American Medical Colleges stated in a Mar. 21, 2010 article; "we have taken the first step towards truly transforming health care in this country. This historic vote by the House of Representatives sets into motion long-overdue efforts to cover 32 million uninsured Americans and to assure their access to high-quality care. The nation's medical schools and teaching hospitals have expressed their full support for this bill to President Obama, and now stand ready to work with the administration and Congress to carry out these significant changes to our health care delivery system." (AAMC, 2010) The health care reform bill creates a shared responsibility for health care among individuals, employers and the government to ensure that all Americans have affordable essential health benefits. Two of the key components, and possibly the most debated or criticized of the Affordable Health Care for America Act are the individual mandates and the health insurance exchange subsidy programs. The individual health...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of...
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