...research paper will address the seriousness of this issue. Illegal immigration has a negative impact on the United States in many ways. Immigrants have entered our country illegally and stolen millions of jobs, crippled a struggling education system, manipulated welfare programs, and drastically raised crime rates. Without immigration reform, the crippling effects of illegal immigrants will break this country. With illegal immigrants willing to work for less pay and in poor work conditions, they negatively impact employment rates. Illegal-immigration has a negative impact on the available jobs for U.S. citizens. People often protest that the illegal immigrants do the jobs that Americans don’t want to do. However, that is not the case. They are able to work for low wages and in poor conditions, where citizens must follow minimum wage and labor laws. The more employers use illegal immigrants for cheap labor, the overall wage goes down. As Adam Davidson stated, “When wages go down, American workers are harmed. And when American workers are harmed, the poor are always the first hit.” (Davidson, 2006) Almost 350,000 immigrants sneak into the United States illegally each year and seek out employment. This causes wages and...
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...Health Care Reform for Children Valerie L. Briner HCAD 620 Professor Schutz Abstract Advancing toward universal health care has the possibility to improve access to care and better the health and wellbeing of uninsured children. This paper will discuss children and what medical coverage they may have and how healthcare reform should help get almost all children some type of healthcare. Currently, if a child is not covered under private insurance, Medicaid and CHIP can assist in covering the vulnerable groups, mostly because they are likely to be poor, belong to racial or ethnic minority groups or who have chronic health care problems. While both public and private insurance fail in meeting the needs of children, public coverage has been more persuasive than private coverage at providing managed health care to low-income children. Ideally health care reform could cause certain steps to promote the emotional, cognitive, and physical health of children, enable them to maximize their full potential. Such a focus would create application to such policy changes that could define solutions for failures in the current system and decrease discrepancy in access, quality, and outcomes. Healthcare Reform for Children The plan is set in place to overhaul the nation’s health care system. The goals of the health care reform proposals include moving the nation toward universal coverage, improving quality of care, and slowing the rate of...
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...Affordable Care Act PPA 601 Foundations of Public Administration Timothy Smith December 20, 2015 If an individual needs emergency medical care, the first place that most would seek treatment is through the emergency room at the closest hospital. Even if that individual does not have any medical insurance, they know that they can and will receive treatment if they go to the emergency room instead of going to the doctor’s office. The reason that individuals can count on this serves is because of the many women and men in Congress that have spent many hours making public policies around health care that showcase how providers will attend to their patients. Public policy is the way that the government maintains order and also how the government addresses the needs of its supporters through actions that are outlined by its constitution. That definition seems vague because public policy is not a concrete thing but rather it is a term that is used to describe a plethora of laws, mandates, or guidelines that are founded through a political process. There are many types of public policies because policies are put in place to address the needs of individuals and those policies are divided into different categories as they relate to society. For example, health policy includes not only insurance but also includes all policies that are related to the heath of a certain group. When the AIDS epidemic came about in the early 1980’s, governments from all over the world had to initiate...
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...Higher Costs PPACA has touted new benefits without measures to cut cost.1 One should know that in America there are already federal laws and programs to cover the elderly (Medicare), the poor (Medicaid), and uninsured children (CHIPs), In addition there is basically free or low cost care to anyone who needs it and it is available if one looks for it. Examples include: Shriner’s hospitals, free clinics, and providers who do pro bono work. In case that wasn’t enough, there are also laws in place that ban practices of charging more to people with pre-existing conditions in employer-based health insurance. The 60% of Americans who get their healthcare insurance from their employer may actually be hurt by PPACA. All one needs to do is make the connection that minimum standards for health insurance and broader access to subsidized healthcare will drive taxes up.4 But for those who have a hard time making the connection, the literature supports costs 3 times higher than initially stated by President Obama, and an additional $118 billion through 2023.3 In order to drive home the point of higher costs, look at an example used by Supreme Court Justice Samuel Alito. Justice Alito spoke on the hypothetical typical healthy 27 year old worker who on average consumes less than $900 annually on healthcare services. Under the PPACA that same healthy 27 year old worker will be required to spend more than 5 times that amount for a healthcare policy that gives a low deductable and pediatric...
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...1. Point-Counterpoint State Medicaid Policy and Health Reform Harold A. Pollack University of Chicago Authors: Pollack, Harold A.1 Source: Journal of Health Politics, Policy & Law; Feb2013, Vol. 38 Issue 1, p161-163, 3p The article discusses the positive and negative implications of the new ruling that the federal government could not require states that receive federal funds under the Medicaid program to participate in the Patient Protection and Affordable Care Act's (PPACA's) Medicaid expansion. Several shortcomings like limited provider payment and associated patient access barriers have been observed in Medicaid that make its adoption not a good idea. However, families below the poverty line can benefit. In July 2012, the Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (PPACA). The Court thus ended one phase in the political and legal battle over health reform. Yet in doing so, it opened a new front. In a notable departure from post–New Deal commerce clause jurisprudence, the Court ruled that the federal government could not require states that receive federal funds under the Medicaid program to participate in the PPACA’s Medicaid expansion. In effect, the Court made states’ participation in the PPACA’s Medicaid expansion voluntary — a possibility that neither the act’s supporters nor its opponents seriously entertained during the long legislative battle of 2009 and 2010. The full implications of these...
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...indigent population of Florida. They are as follows. Government services, including Medicaid, the State Children’s Health Insurance Program (SCHIP) and Accessing Community Care through Eastside Social Services (ACCESS). These programs enable eligible low-income individuals and their families to seek medical assistance reducing uncompensated care and hospital costs. The primary source of funding for uncompensated care is government dollars. The government collects taxes to fund various public services. American taxpayers have every right and should be concern about how the money is being spent. Controlling tax expenditures poses a major concern especially when considering reducing deficit as well as reducing taxes for Americans. The federal government is by far the largest funder of uncompensated care. In 2013, the federal government provided $32.8 billion (61.5 percent) to help providers cover costs associated with caring for the uninsured. State and localities are the second largest, providing another $19.8 billion; the private sector is estimated to contribute $0.7 billion (Caswell, Coughlin, Holahan, & McGrath, 2014). Medicare, Medicaid, SCHIP, and Affordable Care Act marketplace subsidies together accounted for 24 percent of the federal budget in 2014, or $836 billion. Nearly two-thirds of this amount, or $511 billion, went to Medicare. The remainder of this category funds Medicaid and CHIP, which typically on a monthly basis provide health care or long-term care to...
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...Introductory paragraphs Statement of the problem Purpose Significance of the study Research questions Chapter ll- Background or Review of Literature Literature review Definition of terms Chapter lll- Methodology Restate purpose and research questions Population and sampling Instrumentation Procedure and time frame Analysis plan Validity and reliability Assumptions Scope and limitations Chapter lV Results Chapter V – Conclusions and Recommendations Summary Discussions Recommendations References Appendix Chapter I Introduction The Department of Human Services in Arkansas offers a variety of services. Group 3 will focus on five specific services. These services include: Transitional Employment Assistance (TEA), Medicaid, Supplemental Nutrition Assistance Program (SNAP) formerly known as food stamps, Child Care Assistance (CCAP), and AR Kids First. The Department of Human Services is required by state law to: help individuals and families meet financial, medical, and social needs; assist people to become self-sufficient; and help protect children and adults from abuse, neglect and exploitation. Group 3 researched these services to investigate qualifications and use of these services. Statement of the Problem The researchers of this study discovered that residents in Arkansas are becoming more dependent on government assistance. Because of the continuous growth in dependency, tax payers are paying more for the programs and increased government spending on...
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...Immigration and Healthcare Cost Angela Mporampora Metropolitan State College of Denver Healthcare Finance HCM 4030 Professor kelvin D. Zeller March 25, 2012 Immigration and healthcare cost Abstract. The rise in healthcare cost has been one of the most troubling economic events in recent years. Healthcare cost rises about 7.5 percent every year. The United States is known to be the nation with the highest amount spent on healthcare. Some research links immigrants to the fast paste in healthcare cost increase. Immigration became a top issue after the event of September 11th. Many believes immigration is the root cause of most of the economic problems taking place in the country today, they linked immigration to increase in healthcare cost, increase in crime rate, reason for low productivity, reason for loss of job opportunity for native- born and many more. But on the other hand, are these groups of individuals who believe immigrants are being used as “scapegoats” just because they don’t have a voice or stand in the society. They stressed the believe that even before immigration became a hot topic, the economy already had this problem in place, they denoted most research findings stating data were manipulated to support their mission; for immigrant do not visit medical establishment as often as indigenes and wonder how researchers came to the conclusion that immigrants spiked up healthcare cost. This subject is distinctly two sides and it’s difficult to find...
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...Place matters in the United States. Access to affordable high-quality healthcare depends upon where you live. Throughout rural America, nearly 50 million people face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the healthcare disparities and access concerns that are already elevated in rural communities. High poverty rates and job loss in the current economic recession highlight the challenges of accessing health care and rising health care costs in rural areas. Rates of poverty are higher, with fifteen percent of people in rural areas living below the poverty level compared to twelve percent of people in urban areas. The rural economy is dominated by small businesses, which are struggling as the cost of healthcare continues to skyrocket. In the current recession, the rural economy is losing jobs at a faster rate than the rest of the nation, and loss of jobs can lead to loss of healthcare coverage. In particular, rural communities dependent on manufacturing have lost nearly five percent of their jobs since the recession began. Many rural residents work part-time, seasonally, or for themselves, making them less likely to have private, employer-sponsored health care benefits. Research shows that ninety percent of farmers have insurance coverage;...
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...improvements to the U.S. health care system — lower costs, higher quality, greater efficiency, and better access to care. The patient, Rodney Rogers, is a 44-year-old man from the small town of Woodbury, Tennessee. He has several chronic illnesses, including diabetes, hypercholesterolemia, and hypertension. He is overweight. He quit smoking about eight years ago. His father died in his early 50s from a massive myocardial infarction. In 2005, Rodney chose a health savings account in combination with a high-deductible insurance policy for health coverage. Rodney selected his primary medical team from a variety of providers by comparing on-line their credentials, performance rankings, and pricing. Because of the widespread availability and use of reliable information, which has generated increased provider-level competition, the cost of health care has stabilized and in some cases has actually fallen, whereas quality and efficiency have risen.1,2 Rodney periodically accesses his multidisciplinary primary medical team using e-mail, video conferencing, and home blood monitoring. He owns his privacy-protected, electronic medical record. He also chose to have a tiny, radio-frequency computer chip implanted in his abdomen that monitors his blood chemistries and blood pressure. Rodney does an excellent job with his self-care. He takes a single pill each day that is a combination of a low dose of aspirin, an angiotensin-converting–enzyme (ACE) inhibitor, a cholesterol-lowering medication...
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...determine what parts of the Affordable Care Act can apply to Puerto Rico and the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended...
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...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 states in our nation deny Medicaid coverage to nondisabled adults without dependent children. Medicaid coverage is also typically denied for nonelderly adults with incomes above the federal poverty level (FPL). The number of uninsured veterans is continuously on the rise thus warranting the attention of policy makers as well as the American people. According to an article published by the...
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...reform, the pros and cons, and much more. Keywords: Health Care utilization, Affordable Care Act Health Care Utilization Paper Recent health care reform measures have expanded access to care by allowing more Americans access to affordable health care. When President Barack Obama introduced the Affordable Care Act to us and signed it into law on March 23, 2010, he meant for it to provide affordable, quality health care for all Americans and reduce the growth in health care spending. Although Obama Care has caused tremendous growth in the healthcare reform, this plan has been in the works for decades now. One way the health care reform has expanded access to care is by making it affordable for seniors to pay for their medication. The Medicaid part d prescription drug “donut hole” coverage gap made this impossible in the past for most seniors. Also, before the reform insurance companies could deny you for pre-existing conditions or drop you when you get sick. Since 2014 you can no longer be denied coverage or treatment based on your health status. Since many bankruptcies were related to medical costs caused by medical insurance debts, now...
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...United States Government Accountability Office GAO For Release on Delivery Expected at 10:00 a.m. EDT Thursday, May 26, 2005 Testimony Before the Committee on Ways and Means, House of Representatives NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Statement of David M. Walker Comptroller General of the United States GAO-05-743T May 26, 2005 Highlights Highlights of GAO-05-743T, a testimony before the Committee on Ways and Means, House of Representatives Accountability Integrity Reliability NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Why GAO Did This Study Before 1969, IRS required hospitals to provide charity care to qualify for tax-exempt status. Since then, however, IRS has not specifically required such care, as long as the hospital provides benefits to the community in other ways. Seeking a better understanding of the benefits provided by nonprofit hospitals, this Committee requested that GAO examine whether nonprofit hospitals provide levels of uncompensated care and other community benefits that are different from other hospitals. This statement focuses on, by ownership group, hospitals’ (1) provision of uncompensated care, which consists of charity care and bad debt, and (2) reporting of other community benefits. The hospital ownership groups were (nonfederal) government, nonprofit, and for-profit. To compare the three hospital ownership groups...
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...Health Insurance Portability and Accountability Act 1 Health Insurance Portability and Accountability Act Health Insurance Portability and Accountability Act of 1996 Other short title(s) Long title Kassebaum-Kennedy Act, Kennedy-Kassebaum Act An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes. HIPAA Colloquial acronym(s) Enacted by the 104th United States Congress Citations Public Law Stat. Pub.L. 104–191 110 Stat. 1936 [1] [2] Legislative history [3] • • • • • • • • • Introduced in the House as H.R. 3103 [4] by Bill Archer (D-TX) on March 18, 1996 [5] Committee consideration by: House Ways and Means Passed the House on March 28, 1996 (267–151 Passed the Senate on April 23, 1996 (100-0 [6] ) [7] ) [8] ) and by the Senate on , in lieu of S. 1028 Reported by the joint conference committee on July 31, 1996; agreed to by the House on August 1, 1996 (421–2 [9] August 2, 1996 (98–0 ) Signed into law by President Bill Clinton on August 21, 1996 e v t [10] The Health Insurance Portability and Accountability Act of 1996 (HIPAA; Pub.L. 104–191 [1], 110 Stat. 1936 [2] , enacted...
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