This document discusses problems with the current US healthcare system and national security strategies. For healthcare, it notes declining enrollment in the ACA and issues small businesses face with penalties for not providing insurance like hiring part-time employees. For national security, it outlines a need for the Army to change its culture through new organizational approaches and strategic planning to address issues like health, misconduct, and retention. A new culture is presented as a solution to help the Army adapt and remain competitive in attracting new recruits.

1. A CLOSER LOOK: HEALTHCARE &
NATIONAL SECURITY
By: Hunter Slivka
Professor Fischer
POLS210

2. A LOOK AHEAD..
• Todays Healthcare; Problems that Lie within
• Small Businesses in Action
• Hiring Part time
• Higher Deductibles an Co-Pays
• Healthcare Solution: Hiring Part-Time
• Todays National Security; Big Changes Ahead
• An Army Culture Change
• A New Organizational Culture
• Closer look at Tactic Planning & Strategy
• An Organizational Culture Solution
• References

3. TODAYS HEALTHCARE; PROBLEMS THAT
LIE WITHIN
Today, healthcare is often revolved around funding. Enrollments for
the 2018 year lies 400,000 less then last year (Livingston, 2017). Some
say this is because of lack of advertisement and assistance with
enrolling.
With the past year wrapped around the battle within the ACA, many
seem to forget about the Employer mandate passed in 2014. Within
the last few weeks, the IRS has sent out letters pertaining to payment
due to failed attempts of providing health insurance for their
employees(Cowley, 2017). This could potentially hurt small businesses
in particular due to having to pay higher penalties then larger
businesses because of a higher percentage of uninsured employees.
Ways they are looking to work around the high penalties are hiring
part time and giving higher deductibles.

4. SMALL BUSINESSES IN ACTION
Hiring Part-Time
• The ACA states that employees
who work less then +30 hrs don’t
need to be offered Health
Insurance through their
business(Shane, 2014).
• Working part- time could also
create a less “job lock” feeling for
a business. Businesses could
create a staff that caters job
specific needs rather then
employees who just fill positions.

5. SMALL BUSINESSES IN ACTION
Higher Deductibles and
Co-Pays
• Although this is an idea to beat a
penalty of almost $2,000 per employee
noninsured, employees would be asked
to pay a higher deductible and copays
out of their own pocket. This would
keep the businesses under the 9.5%
household income rate which creates
the need for healthcare benefits.
• The mix between higher deductibles
and HSAs (Health Savings Account)
allows employees to choose where they
want to spend extra health dollars
(Rosenberg,2017).

6. HEALTHCARE SOLUTION: HIRING PART-
TIME
Throughout the United States, health insurance for businesses is a
major benefit they. Small businesses are a growing brand, and in
the eyes of their employers, hiring part time seems like a rewarding
solution. Employees aren’t left paying more costs out of pocket
and employees are offered more flexible hours. Some businesses
who are part-time faculty have adapted a “total rewards” concepts.
This concept allows a more active participation within the staff and
easier more remote locations. This concept allows businesses to
thrive without breaking the bank.

7. TODAYS NATIONAL SECURITY; A NEW
STRATEGY
Ending the year off with a bang. Four major interests have been made clear
for our countries National Security; Protect the homeland, Promote
American prosperity, Preserve peace through strength, and Advance
American influence (National Security and Defense, 2017). Each of these
will hopefully restore America’s advantages throughout the world.
A large portion that makes up our National Security defense are our U.S.
forces. With the Army being the largest branch, concerns have risen
throughout the branch revolving a culture change. Regular battles with
health issues, misconduct, and retainability have created a hardship within
the branch(Meredith, 2017). When problems evolve, so do solutions.
Within the branch they are looking at an Organizational change or a new
outlook on strategy and planning tactics for the Army.

8. AN ARMIES CULTURE CHANGE
A new Organizational
Culture
• Often talked about as “how
business is done,” a new push
on more positive environments
could potentially create more
productive soldier (Meredith,
2017).
• Mixing innovation and
technology could create a new
learning experience for soldiers.
Allowing them to experiment
with further technology to widen
their horizons within their career
fields.

9. AN ARMIES CULTURAL CHANGE
Strategy and Planning Tactic
• A good strategy should always
include; ends, means, and ways
(Owens, 2016).
• Ends: Goals
• Means: Resources
• Ways: how Means will be used
• ”Strategy is the central component of
a defense policy” without it, unclear
communication could result in
ineffective planning.
• New strategies will be competitive and
creative to enforce a strong reliance
within the Army as a total force

10. NATIONAL SECURITY SOLUTION: A NEW
ORGANIZATIONAL CULTURE
Throughout the Army, many cultures are created around the
behavioral, emotional, and psychological well-beings of their
soldiers. Without these core concepts matched, soldiers wouldn’t
be self reliant or motivated to do their daily tasks (Holt, 2014).
More importantly they wouldn’t have the mind that creates the
adrenaline and fire in a soldier to fight for their country during a
war. This option is the better solution to the Armies overall culture
change because a new organizational culture creates new outlook
for new recruits. Today, the Army needs to become more flexible
and less hierarchical in order to keep new recruits (Goldstein,
2017). Without the reform, the Army could potentially hurt for
more years to come.

11. REFERENCE
ArmadaCare. “Rising Deductibles and Out-of-Pocket Costs.” BenefitsPro, Ultimate Health, 2017,
benefitspro.tradepub.com/free/w_arma09/prgm.cgi.
Goldstein, Phil. “The Military Might Need to Change Its Culture for Younger Cyberwarriors.” FedTech, FedTech, 13
Apr. 2017, fedtechmagazine.com/article/2017/04/military-might-need-change-its-culture-younger-
cyberwarriors.
Holt, Troy. “Why Leaders Should Care About Organizational Culture.” PA TIMES Online, American Society for Public
Affairs, 12 June 2014, patimes.org/leaders-care-organizational-culture/.
Meredith, Lisa S., et al. “Promising Approaches to Army Institutional Change.” RAND Corporation, RAND, 5 Dec.
2017, National Security and Defense. “President Donald J. Trump Announces a National Security
Strategy to Advance America's Interests.” The White House, The United States Government, 18 Dec. 2017,

12. REFERENCES
NCO Journal. “Army Training and Leader Development.” NCO Journal , U.S. Army Sergeants Major
Academy, 6 Feb. 2014,
Owens, Mackubin. “On Strategy and Strategic Planning: Repairing America's Strategic.” 2017 .Index of
U.S. Military Strength, The Heritage Foundation, 2016,
Rosenberg, Joyce M. “As Health Premiums Rise, Small Businesses Seek Alternatives.” The Denver Post,
The Denver Post, 9 Dec. 2017
Shane, Scott. “How Businesses Are Handling the Obamacare Employer Mandate.” Entrepreneur,
Entrepreneur Media, Inc., 29 Oct. 2014, 25 Nov. 2017
Wood, Ray. “Use This Strategy to Win Listings Now.” Top Agents Playbook, Top Agents Playbook, 30
Aug. 2017