The document discusses social justice issues related to uninsured immigrants and healthcare access in the United States. It notes that the uninsured immigrant population faces barriers like unfamiliarity with the healthcare system, language barriers, and difficulty obtaining health insurance or paying costs out of pocket. As a result, uninsured immigrants are less likely to receive timely and effective care, more likely to delay needed care, and have worse health outcomes. This violates principles of beneficence, non-maleficence, and justice. Improving healthcare access and education for immigrants could help address these issues.
This document discusses health disparities faced by the African American community. It notes that health disparities have existed for over two centuries and little progress has been made to eliminate them. Some reasons for continued disparities include social and economic factors like poverty, lack of access to healthcare, and cultural beliefs around health. The document also provides examples of how certain language or behaviors considered respectful within one culture may be viewed differently in others and presents health data showing African Americans have higher rates of conditions like diabetes and hypertension than white people.
The document discusses how health information technology (HIT) can help decrease healthcare disparities. It provides an overview of HIT, including electronic health records and personal health records. It also discusses barriers to HIT adoption among minority groups. The Affordable Care Act aims to alleviate disparities through expanding access to insurance coverage, especially for minorities. HIT and telemedicine can increase access to care and education for underserved populations by facilitating remote monitoring and management of chronic conditions. Overall, the document examines how implementing HIT and utilizing telemedicine and self-management tools can help address gaps in healthcare faced by racial, ethnic, socioeconomic and other minority groups.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
The document discusses the creation of a new elective course at Yale School of Medicine aimed at exposing health professional students to domestic health inequities in the United States. The course was founded by two second-year medical students who recognized a lack of instruction on social determinants of health and their impact on health outcomes and healthcare delivery. The 10-session course brings in faculty, administrators, community leaders and organizations to discuss topics like implicit bias, social determinants of health, food insecurity, and advocacy. The goal is to better equip future healthcare providers with an understanding of how social factors influence health and patient interactions. The course has received strong interest and support from the medical school and community.
The document discusses the roles and responsibilities of local health departments in providing public health services. It describes how the nearly 3,000 local health departments in the US vary in size and services depending on the community needs. The core services identified by the National Public Health Performance Standards Program include monitoring health status, diagnosing and investigating diseases, informing and educating the public, developing health policies and plans, and enforcing regulations. Employees of local health departments are responsible for assessing community health needs, investigating disease outbreaks, providing health education, and ensuring access to healthcare. The Washington County Health Department in Tennessee was used as an example, outlining its mission and services such as WIC, immunizations, and health promotion programs.
The document discusses alternatives to nursing home care as the population of younger patients in nursing homes is growing. It notes that many younger patients could be cared for at home or in assisted living facilities instead of nursing homes. However, budget cuts have led states to prioritize short-term nursing home care over long-term home care. While home care is more cost-effective long-term, it is more expensive initially as caregivers need training. The document advocates that with legal advocacy, many younger patients have alternatives to nursing home care like independent living facilities or at-home care.
The document summarizes Fort Meade's efforts to establish a Community Health Promotion Team (CHPT) led by Nicole Lowry as part of the Army's Ready and Resilient Campaign. The campaign aims to build resilience in service members, families, and civilians. Lowry will coordinate prevention and public health programs. Fort Meade previously had a Community Health Promotion Council led by Kenneth Jones and Lt. Col. Nancy Demetrician. The council established the Army Wellness Center. Lowry receives guidance from Taleeta Jackson, the new Military District of Washington health promotion officer, as she structures the CHPT.
This document discusses health disparities faced by the African American community. It notes that health disparities have existed for over two centuries and little progress has been made to eliminate them. Some reasons for continued disparities include social and economic factors like poverty, lack of access to healthcare, and cultural beliefs around health. The document also provides examples of how certain language or behaviors considered respectful within one culture may be viewed differently in others and presents health data showing African Americans have higher rates of conditions like diabetes and hypertension than white people.
The document discusses how health information technology (HIT) can help decrease healthcare disparities. It provides an overview of HIT, including electronic health records and personal health records. It also discusses barriers to HIT adoption among minority groups. The Affordable Care Act aims to alleviate disparities through expanding access to insurance coverage, especially for minorities. HIT and telemedicine can increase access to care and education for underserved populations by facilitating remote monitoring and management of chronic conditions. Overall, the document examines how implementing HIT and utilizing telemedicine and self-management tools can help address gaps in healthcare faced by racial, ethnic, socioeconomic and other minority groups.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
The document discusses the creation of a new elective course at Yale School of Medicine aimed at exposing health professional students to domestic health inequities in the United States. The course was founded by two second-year medical students who recognized a lack of instruction on social determinants of health and their impact on health outcomes and healthcare delivery. The 10-session course brings in faculty, administrators, community leaders and organizations to discuss topics like implicit bias, social determinants of health, food insecurity, and advocacy. The goal is to better equip future healthcare providers with an understanding of how social factors influence health and patient interactions. The course has received strong interest and support from the medical school and community.
The document discusses the roles and responsibilities of local health departments in providing public health services. It describes how the nearly 3,000 local health departments in the US vary in size and services depending on the community needs. The core services identified by the National Public Health Performance Standards Program include monitoring health status, diagnosing and investigating diseases, informing and educating the public, developing health policies and plans, and enforcing regulations. Employees of local health departments are responsible for assessing community health needs, investigating disease outbreaks, providing health education, and ensuring access to healthcare. The Washington County Health Department in Tennessee was used as an example, outlining its mission and services such as WIC, immunizations, and health promotion programs.
The document discusses alternatives to nursing home care as the population of younger patients in nursing homes is growing. It notes that many younger patients could be cared for at home or in assisted living facilities instead of nursing homes. However, budget cuts have led states to prioritize short-term nursing home care over long-term home care. While home care is more cost-effective long-term, it is more expensive initially as caregivers need training. The document advocates that with legal advocacy, many younger patients have alternatives to nursing home care like independent living facilities or at-home care.
The document summarizes Fort Meade's efforts to establish a Community Health Promotion Team (CHPT) led by Nicole Lowry as part of the Army's Ready and Resilient Campaign. The campaign aims to build resilience in service members, families, and civilians. Lowry will coordinate prevention and public health programs. Fort Meade previously had a Community Health Promotion Council led by Kenneth Jones and Lt. Col. Nancy Demetrician. The council established the Army Wellness Center. Lowry receives guidance from Taleeta Jackson, the new Military District of Washington health promotion officer, as she structures the CHPT.
This document discusses the challenges that the elderly face in accessing affordable and adequate healthcare. As the elderly population increases in size, more will require long-term care which is very expensive. Many elderly live on fixed incomes from social security and have to choose between basic needs like food and medication due to rising healthcare costs. The limited coverage of Medicare often leaves elderly shouldering thousands of dollars in medical bills. Improving preventative care and increasing the number of geriatricians could help alleviate costs and ensure the needs of the growing elderly population are met in the future.
This document discusses barriers to Latina access to infertility services in the United States. It notes that Latinas experience infertility at higher rates than non-Hispanic whites but seek treatment at much lower rates. Key barriers include lack of health insurance (30.5% of Latinos are uninsured), low income, low education levels, cultural beliefs, language barriers, and fear of stigma. The document recommends policies like increasing community education to destigmatize infertility, improving provider cultural competence, expanding state insurance mandates to cover infertility services, and amending the Affordable Care Act to include infertility coverage.
The document summarizes Community Health of South Florida Inc.'s (CHI) celebration of National Health Center Week through a series of events including health fairs and forums. It discusses the importance of preventative healthcare and enrolling in the Affordable Care Act. While the Ebola virus poses little risk in the US due to standard precautions, people are still encouraged to see a doctor if experiencing symptoms and wash their hands regularly to help prevent the spread of disease.
The History of Nurse Practitioners in the United Statescarlydell
National Nurse Practitioner Week 2014 - The History of Nurse Practitioners in the United States.
Celebrating the impact nurse practitioners have on patients throughout the United States every day.
The document discusses disparities in global healthcare and the high costs of healthcare in America. It compares the U.S. healthcare system to national healthcare insurance systems in other countries. The U.S. system is very expensive and many cannot afford basic medical care, while countries with nationalized healthcare are able to provide universal coverage through taxes or premiums. The document explores options to make healthcare more affordable and preventable in the U.S. through policies that help the poor and reforms that reduce waste.
This document summarizes a presentation given by Dr. Efrain Talamantes on culture and resilience in Latino health, past, present, and future. The presentation discusses how cultural strengths can be leveraged to improve health equity for Latinos. It outlines five strategies for making health equity a priority in healthcare organizations: making it a leader-driven priority, developing supportive structures and processes, taking actions to address social determinants of health, confronting institutional racism, and partnering with community organizations. The presentation then explores how personal experiences with language barriers, low income, and lack of resources can build qualities needed in healthcare providers today, like being bilingual and culturally competent.
Presentation Fam Med Masters Seminar Apr 25 07briefJanet2007
The document discusses the impact of poverty on health. It provides background on poverty and health indicators in Canada, showing that those in poverty experience higher rates of chronic disease, infant mortality, lower life expectancy, and worse mental and physical health overall. It suggests that poverty, through factors like inadequate income for nutrition and housing, is the main determinant of these health inequities. The document proposes ways for health providers to help address poverty, such as by expanding assessments of social/economic barriers patients face and connecting them to resources to improve their situations.
This document discusses research on the prevalence of elder abuse and neglect. It finds that elder abuse is underreported, with only 1 in 14 cases reported to authorities. Research estimates that between 0.2-9% of community-dwelling elders experience emotional, physical, or financial abuse. Low social support is the strongest risk factor for abuse. While caregivers sometimes unintentionally abuse elders, many witnesses do not report abuse due to lack of training in identifying and handling elder mistreatment. The document calls for greater education of professionals and the public to improve abuse detection and response.
Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity” or “equity in health” implies that ideally, everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
Social Entrepreneur Tackling Health Problems Lkw Wayne
Health Problems in third world countries are on the rise as social Entrepreneurs and organizations such as Health Leads step out to help them out of the situation.
HCS 400 Systems and Policies Minorities Receive lower-quality healthcareMaria Jimenez
The literature review examines research showing that minority patients receive lower quality healthcare than white patients. Several studies found that issues like language barriers, lack of insurance or inadequate insurance, bias among doctors, and too few minority physicians contribute to minorities receiving fewer medical tests and inferior treatment. The report also found disparities persisted even when controlling for insurance, income, age, and medical history. While the Affordable Care Act aims to improve access to healthcare, the literature recommends increasing minority physician representation, improving interpreter access, strengthening doctor-patient relationships, and bolstering enforcement of equity laws.
The document summarizes research on underinsurance in Kansas. It defines underinsurance and describes methods used, including surveys and interviews. Key findings include:
- Many underinsured individuals did not realize their coverage was inadequate until facing medical bills. While some considered their plans good, the reality was different.
- Underinsurance disproportionately affected those with high health needs or low incomes. Monthly out-of-pocket costs ranged from $420-1,500 on average.
- Consequences of underinsurance included financial strain, medical debt, bankruptcy, deferred or forgone care, and difficulties paying for basic needs.
This document summarizes a presentation about structural inequities and their disproportionate impact on children. It discusses key concepts like disparities versus inequities, equality versus equity, and race versus racism. It also examines how COVID-19 disproportionately affected minority groups. The presentation identifies gaps in current approaches, such as an overemphasis on personal responsibility. It outlines future directions, like how to better track disparities, close the research-to-practice gap, and make equity a priority from the beginning. Barriers to achieving equity are discussed, along with parting words of wisdom for community members.
This document proposes expanding Medicaid eligibility in Missouri to increase access to healthcare. It argues that expansion would directly help the estimated 300,000 uninsured Missourians below 138% of the federal poverty level. It would also indirectly benefit all state residents by improving health outcomes, creating jobs, boosting the economy, and preventing rising insurance costs and hospital closures due to uncompensated care. The proposal recommends expanding eligibility as originally intended by the ACA to increase access, improve health, and provide strong economic benefits to Missouri.
Creating adaptable communities summary from Empowering Adaptable Communities ...Innovations2Solutions
Sodexo was honored to be a featured presenter at the 2nd Annual Atlantic Center for Population Health Sciences Empowering Adaptable Communities Summit. The Summit was held on October 21 and 22, 2015, in Morristown, New Jersey, at the College of Saint Elizabeth. The event was devoted to providing new insights, information, inspiration, and personal connections in our united efforts to empower communities to be more adaptable.
The document discusses research on health care access disparities among Latino populations and their families. It notes that Latinos are more likely than other groups to have uninsured family members. Research shows socioeconomic factors play a role, but people of color experience different health care even with similar insurance and conditions. The document then outlines several research implications and opportunities for systemic interventions to address barriers Latinos face in accessing health care.
The document summarizes a church service that included songs of praise, a discussion on the relationship between science and theology, and how scientific discoveries have shown that God, rather than becoming less likely, is supported by modern understandings of the universe. It encourages growing in faith through prayer, Bible study, and serving others.
This document discusses the challenges that the elderly face in accessing affordable and adequate healthcare. As the elderly population increases in size, more will require long-term care which is very expensive. Many elderly live on fixed incomes from social security and have to choose between basic needs like food and medication due to rising healthcare costs. The limited coverage of Medicare often leaves elderly shouldering thousands of dollars in medical bills. Improving preventative care and increasing the number of geriatricians could help alleviate costs and ensure the needs of the growing elderly population are met in the future.
This document discusses barriers to Latina access to infertility services in the United States. It notes that Latinas experience infertility at higher rates than non-Hispanic whites but seek treatment at much lower rates. Key barriers include lack of health insurance (30.5% of Latinos are uninsured), low income, low education levels, cultural beliefs, language barriers, and fear of stigma. The document recommends policies like increasing community education to destigmatize infertility, improving provider cultural competence, expanding state insurance mandates to cover infertility services, and amending the Affordable Care Act to include infertility coverage.
The document summarizes Community Health of South Florida Inc.'s (CHI) celebration of National Health Center Week through a series of events including health fairs and forums. It discusses the importance of preventative healthcare and enrolling in the Affordable Care Act. While the Ebola virus poses little risk in the US due to standard precautions, people are still encouraged to see a doctor if experiencing symptoms and wash their hands regularly to help prevent the spread of disease.
The History of Nurse Practitioners in the United Statescarlydell
National Nurse Practitioner Week 2014 - The History of Nurse Practitioners in the United States.
Celebrating the impact nurse practitioners have on patients throughout the United States every day.
The document discusses disparities in global healthcare and the high costs of healthcare in America. It compares the U.S. healthcare system to national healthcare insurance systems in other countries. The U.S. system is very expensive and many cannot afford basic medical care, while countries with nationalized healthcare are able to provide universal coverage through taxes or premiums. The document explores options to make healthcare more affordable and preventable in the U.S. through policies that help the poor and reforms that reduce waste.
This document summarizes a presentation given by Dr. Efrain Talamantes on culture and resilience in Latino health, past, present, and future. The presentation discusses how cultural strengths can be leveraged to improve health equity for Latinos. It outlines five strategies for making health equity a priority in healthcare organizations: making it a leader-driven priority, developing supportive structures and processes, taking actions to address social determinants of health, confronting institutional racism, and partnering with community organizations. The presentation then explores how personal experiences with language barriers, low income, and lack of resources can build qualities needed in healthcare providers today, like being bilingual and culturally competent.
Presentation Fam Med Masters Seminar Apr 25 07briefJanet2007
The document discusses the impact of poverty on health. It provides background on poverty and health indicators in Canada, showing that those in poverty experience higher rates of chronic disease, infant mortality, lower life expectancy, and worse mental and physical health overall. It suggests that poverty, through factors like inadequate income for nutrition and housing, is the main determinant of these health inequities. The document proposes ways for health providers to help address poverty, such as by expanding assessments of social/economic barriers patients face and connecting them to resources to improve their situations.
This document discusses research on the prevalence of elder abuse and neglect. It finds that elder abuse is underreported, with only 1 in 14 cases reported to authorities. Research estimates that between 0.2-9% of community-dwelling elders experience emotional, physical, or financial abuse. Low social support is the strongest risk factor for abuse. While caregivers sometimes unintentionally abuse elders, many witnesses do not report abuse due to lack of training in identifying and handling elder mistreatment. The document calls for greater education of professionals and the public to improve abuse detection and response.
Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity” or “equity in health” implies that ideally, everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
Social Entrepreneur Tackling Health Problems Lkw Wayne
Health Problems in third world countries are on the rise as social Entrepreneurs and organizations such as Health Leads step out to help them out of the situation.
HCS 400 Systems and Policies Minorities Receive lower-quality healthcareMaria Jimenez
The literature review examines research showing that minority patients receive lower quality healthcare than white patients. Several studies found that issues like language barriers, lack of insurance or inadequate insurance, bias among doctors, and too few minority physicians contribute to minorities receiving fewer medical tests and inferior treatment. The report also found disparities persisted even when controlling for insurance, income, age, and medical history. While the Affordable Care Act aims to improve access to healthcare, the literature recommends increasing minority physician representation, improving interpreter access, strengthening doctor-patient relationships, and bolstering enforcement of equity laws.
The document summarizes research on underinsurance in Kansas. It defines underinsurance and describes methods used, including surveys and interviews. Key findings include:
- Many underinsured individuals did not realize their coverage was inadequate until facing medical bills. While some considered their plans good, the reality was different.
- Underinsurance disproportionately affected those with high health needs or low incomes. Monthly out-of-pocket costs ranged from $420-1,500 on average.
- Consequences of underinsurance included financial strain, medical debt, bankruptcy, deferred or forgone care, and difficulties paying for basic needs.
This document summarizes a presentation about structural inequities and their disproportionate impact on children. It discusses key concepts like disparities versus inequities, equality versus equity, and race versus racism. It also examines how COVID-19 disproportionately affected minority groups. The presentation identifies gaps in current approaches, such as an overemphasis on personal responsibility. It outlines future directions, like how to better track disparities, close the research-to-practice gap, and make equity a priority from the beginning. Barriers to achieving equity are discussed, along with parting words of wisdom for community members.
This document proposes expanding Medicaid eligibility in Missouri to increase access to healthcare. It argues that expansion would directly help the estimated 300,000 uninsured Missourians below 138% of the federal poverty level. It would also indirectly benefit all state residents by improving health outcomes, creating jobs, boosting the economy, and preventing rising insurance costs and hospital closures due to uncompensated care. The proposal recommends expanding eligibility as originally intended by the ACA to increase access, improve health, and provide strong economic benefits to Missouri.
Creating adaptable communities summary from Empowering Adaptable Communities ...Innovations2Solutions
Sodexo was honored to be a featured presenter at the 2nd Annual Atlantic Center for Population Health Sciences Empowering Adaptable Communities Summit. The Summit was held on October 21 and 22, 2015, in Morristown, New Jersey, at the College of Saint Elizabeth. The event was devoted to providing new insights, information, inspiration, and personal connections in our united efforts to empower communities to be more adaptable.
The document discusses research on health care access disparities among Latino populations and their families. It notes that Latinos are more likely than other groups to have uninsured family members. Research shows socioeconomic factors play a role, but people of color experience different health care even with similar insurance and conditions. The document then outlines several research implications and opportunities for systemic interventions to address barriers Latinos face in accessing health care.
The document summarizes a church service that included songs of praise, a discussion on the relationship between science and theology, and how scientific discoveries have shown that God, rather than becoming less likely, is supported by modern understandings of the universe. It encourages growing in faith through prayer, Bible study, and serving others.
The document is a song about being redeemed and saved by the blood of Jesus Christ. It discusses how the singer has been filled with the Holy Spirit, their sins washed away, and they've been redeemed. The song celebrates their new close relationship with God and salvation, while also mentioning that Satan has lost control over them. It concludes praising God for redemption despite anything others may say.
The main beliefs of Jehovah's Witnesses are:
1) They have a strict hierarchy with sole authority given to the Governing Body who are responsible for interpreting the Bible.
2) They use their own translation of the Bible called the New World Translation and believe only their organization can properly interpret scripture.
3) They believe in one God named Jehovah but do not believe Jesus is God and reject the Trinity, seeing Jesus as a created being.
4) They do not believe in hell and think death is a state of unconsciousness until resurrection for judgment at the end of times.
The document discusses health disparities in the United States. It states that disparities exist between racial, ethnic, and socioeconomic groups in terms of health status, access to healthcare, and treatment within the healthcare system. Discrimination has led to poor health and even death for many minorities and disadvantaged groups. While laws like the Civil Rights Act prohibited discrimination, disparities have still negatively impacted healthcare for many Americans. The causes of disparities are complex with many social and economic factors contributing.
XYZ Healthcare Organization aims to provide continuum long-term care services to patients with dignity, respect, and confidentiality. However, this requires adequate funding, which is necessary to motivate staff and ensure services can be continuously provided. The stakeholders of the organization should be the major contributors to funding long-term care services. If financial challenges arise, the government should assist in funding to ensure important services continue without interruption.
1
Healthcare
Student’s Name
Institutional Affiliation
Course Details
Instructor’s Name
Date
Healthcare
Health inequity is a serious healthcare problem that negatively affects everyone. This problem worsens the health outcomes of the population it directly impacts and those with resources and power. For instance, health disparity makes it hard to control, contain and treat infections illnesses, like the Covid-19, therefore putting everyone at risk of contracting the disease regardless of their socioeconomic class. Culture plays a critical role in patient care and health outcomes and affects our perception of others, health behaviors, and expectations during care delivery. This paper discusses health inequalities, advocacy for families, patients, and community, and cultural competencies. Comment by lola siyanbola: Can you explain how?
Health inequalities involve differences in health resources' distribution of health between different population groups resulting from social conditions in which members of the population are born, live, grow, work and age. The inequalities are basically the systematic differences in the status of health between population groups (Marmot, 2017). The inequalities have substantial economic and social costs to both persons and communities. Social factors including employment status, education level, gender, ethnicity, and level of income affect an individual's health status, therefore creating health disparities among populations due to variations of the social factors (Malbon, 2019). Lower socioeconomic status is associated with poor health outcomes. The appropriate combination of government policies can address these health disparities. Comment by lola siyanbola: This is a fact can you rephrase or cite Comment by lola siyanbola: This is too vague, can you elaborate a little?
I would advocate for patients by connecting them with resources outside and inside the hospital to support their wellbeing and double-check for errors to identify, stop, and correct errors to ensure their safety (Doucette et al., 2018). I would educate the patients on the best way to manage their health conditions and improve their quality of life. Protecting patients' rights and giving them a voice, particularly when vulnerable, is key to safe and quality patient care. I would advocate for families by utilizing my expertise to persuade the hospital authorities about the economic position of the family, their educational level, and their cultural values about patient care. I would advocate for the community by working to ensure community members are adequately and fairly treated in all matters of health.
The first Implicit Association Tests (IAT) reveals that I hold a moderate automatic preference for Arab Muslims with 26% over Other People. This means that I am likely to respond moderately respond faster to the care needs of patients from the Arap Muslim compared to other patients. ...
Health disparities refer to differences in health outcomes and access to healthcare across different racial, ethnic and socioeconomic groups. Many socioeconomic factors contribute to health disparities, including access to healthcare, insurance status, income level, provider and patient knowledge. These disparities are seen in vaccination rates among children. Lack of access to healthcare and health insurance are major socioeconomic barriers that lead to health disparities for some groups. Efforts are needed to address disparities through improving access to care, education on health issues, and reducing socioeconomic barriers.
Overview - Health Care IssuesHealth Care IssuesOpposing .docxgerardkortney
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.
This document discusses gender differences in leadership styles and their relevance to the military. It notes that research has found men and women tend to lead in different ways, with women's styles focusing more on vision, collaboration, communication and empowering subordinates. These styles align with modern leadership theories emphasizing qualities often associated with female leaders. While the military has traditionally emphasized strict command, future challenges will require key leadership skills like vision and building consensus. As such, many female leadership styles could effectively complement military leadership by incorporating both sides of thinking and flexible structures.
Similar to Immigrants and healthcare in the united states (6)
Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
low birth weight presentation. Low birth weight (LBW) infant is defined as the one whose birth weight is less than 2500g irrespective of their gestational age. Premature birth and low birth weight(LBW) is still a serious problem in newborn. Causing high morbidity and mortality rate worldwide. The nursing care provide to low birth weight babies is crucial in promoting their overall health and development. Through careful assessment, diagnosis,, planning, and evaluation plays a vital role in ensuring these vulnerable infants receive the specialize care they need. In India every third of the infant weight less than 2500g.
Birth period, socioeconomical status, nutritional and intrauterine environment are the factors influencing low birth weight
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Immigrants and healthcare in the united states
1. Amponsah 1
Uninsured Immigrants and Healthcare in the United States
SDSU COLLEGE OF NURSING
N495: DIRECTED STUDIES IN NURSING
SOCIAL JUSTICE PAPER
BY: JENNIFER AMPONSAH
February 27th, 2012
2. Amponsah 2
Uninsured Immigrants and Healthcare in the United States
Introduction
Imagine walking into a healthcare setting or facility and receiving no care because you
have no health insurance and the healthcare facility cannot afford to treat without any cost.
United States as one of the major immigrant-accepting countries, has observed a rapid increase
in its foreign-born population. There are several barriers that affect immigrants or foreign born
individuals. These barriers include but not limited to unfamiliarity with the United States health
care system, language barriers (limited English or English not as primary language). In additions
to theses barriers, foreign-born individuals face greater difficulties in obtaining the necessary
financial means to cover health care costs than do naturalized or native-born citizens. Most
importantly, non-citizen immigrants are much less likely to have employment-based private
health insurance, as many are not allowed to work in the United States and, even if they have
employment, are less likely to have jobs with benefits. This leads to uninsured among the
immigrants population. Uninsured contribute to a large portion of inadequate care, which causes
a major issue in social justice. Many healthcare settings do not have adequate funds to treat a
patient free of charge which makes it makes difficult to give patients the best care possible.
Therefore the purpose of this paper is to discuss the social justice issues that arise with
inadequate healthcare among uninsured immigrants, the consequences, possible outcomes, and
interventions to improve this problem.
Antecedents and Historical context
Immigrants are one of the fastest growing populations in the United States for the past
decade. In 2005, about 12% of the US population (36 million) consisted of foreign-born
individuals, and that figure had doubled since 1970 (Sungkyu & Sunha, 2009). The United States
3. Amponsah 3
receives an average of 104,000 foreigners a day, and about 1.2 million new immigrants each year
(Lebrun & Dubay, 2010). As the immigrant population continues to grow, the uninsured
populations also continue to increase in the United States. Forty-eight million people or one-sixth
of United States population is uninsured (Becker, 2007). Fourteen million of those uninsured are
below the poverty threshold level. These individuals are eligible for Medicaid, but they have
failed to apply for Medicaid, which might be due to lack of knowledge regarding available
resources. Eleven million of these uninsured populations have declined health insurance offered
to them by their employers because they elected not to spend the portion of their pay required to
cover the employee contribution. In addition, eighteen million of the uninsured have a household
income of more than $50,000 per year; and, interestingly, 9 million of those have a household
income of greater than $75,000 per year. Moreover, 9.7 million of the uninsured are illegal
immigrants (Sataloff, 2010). Healthcare is one of the most important needs of humans, and due
to this everyone deserves the right to equal healthcare no matter their origin, age, race, religion,
or economic status, which then creates a social justice issue.
Potential or actual consequences
“The uninsured in the United States are systematically less likely than the insured to
receive effective, safe, and timely care” (Becker, 2007). Inadequate healthcare among uninsured
immigrant violate many issues of social justice, causing many ethical dilemmas. This issue is
on the rise as healthcare cost continues to rise and the immigrant population continues to grow in
the United States. Due to this the uninsured does not receive safe and effective care. For
example, healthcare providers will spend more time providing effective care to their insured
patient so that patients will come back to them when are having any problems. Also, healthcare
4. Amponsah 4
providers are more likely to see their insured patients first during the day because this is where
their source of income comes from
The United States health system fosters a structured approach of containment toward the
uninsured, that’s not only marginalizes them but it keeps the problem of the uninsured in check
by discouraging people from using health care services(Becker, 2007). I personally, find this to
be absolutely true, because the cost of care for uninsured population in the United States is
higher than the care of insured populations. For example, the cost of colonoscopy for insured
person is around $1700 to 2000, but the cost of the same procedure for uninsured person is
around $3,000. Due to this, most immigrants fail to seek healthcare when necessary and wait till
the illness get worst because they cannot afford the cost.
The uninsured immigrants are also more likely to delay needed care (Becker, 2007). For
example, uninsured immigrants’ pregnant women will not seek prenatal care until they are far
along during their pregnancy because they cannot afford the care and might not see the
importance of prenatal care. Cost of healthcare being one of the biggest issues affecting many
people; discourages most individuals including uninsured immigrants not to seek health when
needed.
Research also proves that the uninsured are also less likely to receive timely preventive
and outpatient care and are more likely to be hospitalizing for avoidable health problems
(Rowland & Shartzer, 2008). This means uninsured immigrants are less likely to receive
preventative care such as cholesterol testing and cancer screening, Pap smear, annual breast
exams, colonoscopy, and etc. For example, one might have Pap smear all her life until she
experiences the symptoms of cervical cancer. Or one might not check their cholesterol levels
5. Amponsah 5
until he or she experience chest pain, but due to uninsured and the cost of emergency room
service, he or she might delay care until they code.
Also insured immigrants are more like to be incompliance with medication regimens.
This is because for instance, if you were not treated fairly at the healthcare facility, would you
like to follow that persons instructions? I know I wouldn’t because the person did not treat me
well, how like do they care about my wellbeing, and how beneficial will their prescribed
medication help me. Due to these consequences, uninsured immigrant has decrease in life
expectancy than insured US citizens.
Professional behaviors and Outcomes
One issue of social justice that is violated is beneficence. Beneficence is action that is
done for the benefit of others. Beneficent actions can be taken to help prevent or remove harms
or to simply improve the situation of others. Medical personnel need to refrain from causing
harm and do the best to help patients (Patronis Jones, 2007). Uninsured do not benefit patients,
and in fact, can do more harm to the patient. Patient’s cares are being denied because the patient
cannot afford the care, and hospitals or healthcare facilities cannot afford to treat patients for no
cost. A way to improve beneficence when it comes to uninsured immigrants and healthcare or
an outcome would be health promotion, and education. Community nurses or all nurses can teach
the immigrants or the community regarding importance of health insurance, and how it benefits
them. Also all healthcare facilities can provide a teaching session for nurses on how to provide
equal care to patients regardless their status, nationality, and status. Also facilities can put signs
on units regarding nurses advocating for their uninsured patient to facilitate equality in
healthcare.
6. Amponsah 6
Non-maleficence can be another ethical dilemma related to uninsured and healthcare.
Non-maleficence means to “do no harm.” Physicians and nurses must refrain from providing
ineffective treatments or acting with malice toward patients. There are many factors of insured
which violate the “do not harm” definition (Patronis Jones, 2007). This ethical dilemma is
violated when healthcare providers do not provide adequate care for their patients, or when a
nurse fails to advocate for the uninsured patients. To do no harm to patients, a physician or nurse
should equal and quality care at all times even if the patient is uninsured. A possible outcome for
this ethical dilemma would be all nursing schools should introduce their student to other cultures
or other people from different countries. For example, SDSU gives its students an opportunity to
work with the refugee population in Sioux Falls. I think this provides great opportunity for the
students to learn and understand people with other backgrounds so that if they come across such
population in their work force, they will be able to provide them with adequate care. This is
something that I personally have learned and will put this into practice.
To do justice is another ethical dilemma that is violated greatly when dealing with
uninsured. Every patient is to be treated fairly whether white or colored, citizen or immigrant,
uninsured or insured. Not only are patients who are uninsured have disadvantaged when
receiving care in the US, but also inadequate healthcare appears to be one of the social justice
issues facing many uninsured immigrants in the United States. To ensure justice in healthcare, a
possible outcome should be that, all healthcare providers must provide equal and adequate care
to all their patients, even if they are uninsured and foreign born citizens. This can be done by
providing them with a translator if language is a barrier, spend quality time with them, and treat
them like you would treat your insured U.S citizen patients. Providing equality care among
uninsured immigrant will lead to positive health outcomes, such as compliance with medication
7. Amponsah 7
regimens, lower levels of disability, decreases in health care costs, improved control of chronic
conditions, and increases in patient satisfaction with care (Sungkyu & Sunha, 2009).
Conclusion
In conclusion, inadequate healthcare appears to be one of the social justice issues facing
many Uninsured immigrants in the United States today. Providing equality care among
uninsured immigrant by all healthcare providers will lead to positive health outcomes, such as
compliance with medication regimens, lower levels of disability, decreases in health care costs,
improved control of chronic conditions, and increases in patient satisfaction with care which will
help eliminate this social justice issue.
8. Amponsah 8
References
Becker, G. (2007). The Uninsured and the Politics of Containment in U.S. Health Care. Medical
Anthropology, 26(4), 299-321. doi:10.1080/01459740701619806
Lebrun, L. A., & Dubay, L. C. (2010). Access to Primary and Preventive Care among Foreign-
Born Adults in Canada and the United States Access to Primary and Preventive Care.
Health Services Research, 45(6p1), 1693-1719. doi:10.1111/j.1475-6773.2010.01163.x
Patronis Jones, R.A. (2007). Nursing leadership and management: Theories, Processes and
Practice. Philadelphia, PA: F.A. Davis Company.
Rowland, D., & Shartzer, A. (2008). America's Uninsured: The Statistics and Back Story.
Journal Of Law, Medicine & Ethics, 36(4), 618-628. doi:10.1111/j.1748-
720X.2008.00316.x
Sataloff, R. T. (2010, February). Healthcare for the uninsured: A simpler, cheaper, faster, better
solution. ENT: Ear, Nose & Throat Journal. pp. 52-55.
Sungkyu, L., & Sunha, C. (2009). Disparities in access to health care among non-citizens in the
United States. Health Sociology Review, 18(3), 307-320