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Running Headhead: FEDERAL GOVERNMENT IN HEALTH CARE 1 FEDERAL GOVERNMENT IN HEALTH CARE 12 Federal Government in Health Care Alexander Ludena Saint Joseph’s University Health Care Organization HAD 553 Instructor: Dr. Charl Mattheus 12/10/2017 Abstract The federal government plays an important role in influencing all facets of health care through its different roles in the American health care sector. This paper will discuss the involvement of the federal government in the health care system through its various roles and how that contributes to health care access, affordability, and quality. This includes its role in purchasing health care services, regulation of healthcare, provider of health care services, sponsor of learning and training programs and in health care research. Through its role as purchaser, the government is involved in buying health care insurance for millions of Americans. This is accomplished through programs including Medicare and Medicaid. In its role as regulator, the government is involved in establishing safety and quality standards aimed at ensuring that patients receive appropriate care. It is also involved in reforming healthcare to ensure it’s affordable, contains value and is accessible to all. This paper will also discuss the involvement of the federal government as provider of health services. As provider, the federal government is involved in the ownership and management of various health care institutions. At this particular capacity, it’s involved in employment of healthcare professionals and as operator of health care delivery systems. This paper will discuss how the federal government is involved in providing health care to diverse population through various federal agencies such as the VHA and the HIS. The federal government has a key role in shaping research in health care through its role as sponsor of applied health care services. It’ll be further discussed government involvement as it plays an imperative role in supporting the development of knowledge and creation of tools required to augment the government in carryings its various roles. This include government sponsorship of research through various agencies including the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH). Federal Government in Health Care The provision of health care services to America’s diverse population represents one of the largest segments of the American economy. The federal government is involved in all aspects of the health care sector. Its role and mandate in the healthcare system areis defined by the constitution. It plays somea number of different roles in the American health care field, including the regulation of the medical industry, purchasing health care, health care services provision, sponsorship of education and training programs for health care professionals as well health care services research. The federal government is majorly involved in healthcare .
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Chapter 4 Where Do We Want to Be? Previous section Next section Chapter 4 Where Do We Want to Be? Even in a country that lacks an overall, cohesive health policy, it is useful to ask: How unhappy are we with our health care, and what do we want to change? Do not expect consistent responses from the American public. When the nation was debating the Clinton health plan, a number of organizations surveyed the public. Respondents reported they believed that the health care system was in trouble. At the same time, they expressed satisfaction with their own largely employer-financed health care programs. Public support for universal coverage was strong, but individuals did not want to pay higher taxes to support it (Peterson, 1995). An ABC New/Washington Post poll in October 1993 showed the following (Schick, 1995): • 51% of the public favored the Clinton health plan. • 59% thought that it was better than the existing system. • Only 19% thought that their care would get better under it, and 34% thought worse care would result. • However, 57% were against tax increases to pay for it, whereas 40% would be willing to pay. The American public also appears to be split over the Patient Protection and Affordable Care Act (ACA) as a whole. Data about opposition to the act can be misleading, with a significant portion of opposition coming from people who believe the ACA did not go far enough. They would prefer a public option, for example, or a single-payer system. Overall, the public is negative about the individual mandate and the employer mandate, but is much in favor of the insurance changes that have been implemented. People are confused about the insurance exchange provisions of the act as well. An April 2013 tracking poll found that “about half the public says they do not have enough information about the health reform law to understand how it will impact their own family, a share that rises among the uninsured and low-income households” (Kaiser Family Foundation, 2013). The same poll reported that 42% of respondents did not know that the ACA was still the law of the land. Twelve percent believed it had been repealed by Congress, 7% believed it had been overturned by the Supreme Court, and 23% didn’t know whether it was still in effect or not. Americans report being in good health more than any other OECD country. Their complaints are mostly about financial risks and to some extent access and waiting. A 2010 study of six developed countries showed that Americans were satisfied with their doctors and the availability of effective care, but were also more likely to report that the system needed to be completely rebuilt (Papanicolas, Cylus, & Smith, 2013). 4.1 Alignment with the Rest of Society Previous section Next section 4.1 ALIGNMENT WITH THE REST OF SOCIETY The democratic process is likely to generate many policy experiments as we cope with advancing technology, changing demographics, political pressures, and economic fluctuations. These exper ...
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Overview - Health Care Issues Health Care Issues Opposing Viewpoints Online Collection, 2015 In recent years, the availability and affordability of health insurance in the United States has become the subject of much debate. The United Nations’ Universal Declaration of Human Rights lists medical care among the basic human rights to which all people are entitled. In 2011, however, about 17 percent of Americans had no health insurance at all. For many people who are insured, the cost of coverage is a financial hardship. This situation has led some people to call for the government to provide health insurance for all citizens. Others, however, are skeptical of government’s ability to efficiently manage health insurance and oppose any plans that involve government. The issue is made more urgent by rapidly rising health care costs that threaten to overwhelm the country’s current system of health insurance, and the national economy in general. Health care reform has become one of the most important issues in contemporary American politics. The Basics of Health Care In most developed countries, health care systems involve government control or sponsorship. For instance, in Great Britain, Scandinavia, and the countries of the former Soviet Union, the government controls almost all aspects of health care, including access and delivery. For the most part, health services in these countries are free to everyone; the systems are financed primarily by taxes. Other countries, such as Germany and France, guarantee health insurance for almost all their citizens, but the government plays a smaller role in managing health care. Both systems are financed at least in part by taxes on wages. The US government, by contrast, does not pay for most of its citizens’ health care. Generally, Americans receive health care through employer-sponsored insurance, or they arrange to pay for insurance on their own. Like all forms of insurance, health insurance operates by pooling the resources of a group of people who face similar risks. This creates a common fund that members can draw upon when needed. Each person in the group pays a certain amount, called a premium, every month. These premiums are used to cover the medical expenses of group members who become sick or injured. Health Insurance in the United States Today, most Americans receive health insurance through their place of work. Employers typically pay for part of the premiums. Most employer-sponsored plans are administered through payroll contributions. People who are self-employed and those whose employers do not provide health insurance must purchase individual health insurance. Individual plans are generally more expensive than group plans. Certain low-income individuals and families may be eligible for Medicaid, a form of government-sponsored health insurance. In 1997, the US government introduced the Children’s Health Insurance Program (CHIP) to assist the children of families who do not qualify f.
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