Global Perspective on Health Policy
University of Phoenix
Global Perspective on Health Policy
The controversial issue of healthcare coverage for all individuals is an ethical and moral issue that Americans struggle with and as socially proactive as they are on there are many issues arising of it. Healthcare is not only about health and coverage but the major issue is about funding, what can be funded and what cannot be funded and how is going to be funded. Universal healthcare in other countries offers insight into some of the biggest issues and best alternatives for providing healthcare to all and to resolve the health care rising cost. The ethical issue of health care has led to the Accountable Care Act or Obama Care policy development and legislation. More time, data and research has to be done before the definite results of this legislation can be proven. A controversial issue
Considering the opposing views about Accountable Care Act legislation, it’s reasonable to understand why universal health care has elicit such a heated political controversy among political parties as well as throughout American people. Unlike other Western industrialized nations, the U.S. has not established a universal health care system. Since health care is a fundamental defining policy of the modern state, and since Obama’s health care reform can be seen as an expansion of the role of government, it can be analyzed in a global context (Ha, 2012). The issue of health care reform brings important ethical issues of justice to the forefront, as individuals, communities, and the legislature struggle with how to provide quality health care for the many without sacrificing the basic rights of even the few (Sorrel, 2012). Policy’s creation
The divide on health care coverage, cost and sustainability for all Americans and the increased cost of health care in United States led to legislations being brought to seek out a solution to the issue. The American Recovery and Reinvestment Act was the first of these laws, this act signed into law in 2009 by President Obama. The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act was also signed into law. Also enacted and accompanied by the Health Care and Education Reconciliation Act. Another legislation that became a law in 2010 is the Patient Protection and Affordable Care Act (Patel, 2013). Provisions in the act are designed to expand insurance coverage, control costs, and target prevention (Gable, 2011). One of the primary targets is adults aged 19-64, since their access to health care and use of health services deteriorated between 2000 and 2010, particularly among those who were uninsured (Kenney, McMorrow, Zuckerman, & Goin, 2012). The PPACA includes reforms such as prohibiting insurers from denying coverage for pre-existing conditions, expanding Medicaid eligibility, subsidizing insurance premiums, and providing incentives for businesses to provide health care benefits. Insurance companies will no longer be able to drop clients when they become ill. The act has the potential to improve health outcomes across all income and age groups at a reduced cost (Sorrel, 2012).
Steps in the state and federal policy development process
. The steps of the development process focus in the four “pillars” of health reform: improving the quality of care, making health insurance affordable, supporting personal responsibility, and developing a sustainable approach to health care financing. This platform will help focus the initiative to tackle the growing costs of health care while preserving the highest quality of care for all Americans and avoiding cost-shifting wherever possible (Bipartisan Policy Center, 2013). Many ACA provisions went into effect immediately or soon after the health reform law was enacted in 2010; others are being phased in over time. Several major reforms, including the Medicaid expansion, insurance exchanges,...
References: American Public Health Association, (2014), ACA Implementation. Retrieved August 4, 2014 from http://www.apha.org/advocacy/Health+Reform/implementation/
Bipartisan Policy Center, (2013). Managing Costs, Preserving Care: Health Care Cost Containment Report Release. Retrieved on August 4th, 2014 from http://bipartisanpolicy.org/projects/health-care-cost-containment-initiative
Patel, K. Parker, R. Villaruel, A.Wong,W (2013). Amplifying the Voice of the Underserved in the Implementation of the Affordable Care Act. Retrieved on August 4th, 2014 from http://www.iom.edu/Global/Perspectives/2013/AmplifyingTheVoice
Ha, J. (2012). Health Care Reform vs ObamaCare: Partisan framing of FOX, MSNBC, NYT snd WSJ. Retrieved on August 4th, 2014 from http://gnovisjournal.org/2012/11/30/health-care-reform-vs-obamacare-partisan-framing-of-fox-msnbc-yt-and-wsj/
Porter, M. E. (2013), The Strategy that will fix health care. Harvard Business Review, Retrieved On August 4th, 2014 from http://hbr.org/2013/10/the-strategy-that-will-fix-health-care
Sorell, M. J. (2012), Patient Protection and Affordable Care Act: Ethical Perspectives. Retrieved on August 4th, 2014 from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Columns/Ethics/Patient-Protection-and-Affordable-Care-Act-Ethical-Perspectives.html
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