HCA 675 Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system

HCA 675 Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system

HCA 675 Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system

In the United States there is still millions of people without health care insurance. There are many factors indicating why lack of health care has been persistent. According to the ACA many uninsured people are in low-income families and have at least one worker in the family (Johnson, 2019). Many adult people do not have access to health care either from Medicaid, or an employer because lack of knowledge. The most known factor is the high cost of health care still remains for those who can not afford individual coverage or family coverage.

People who does not have health coverage have the worse access to care than people who have health coverage. The more limited of public coverage in some states, adults are more likely to be uninsured than children. People of color are at higher risk of being uninsured than non-Hispanic whites. In 2018, 45% of uninsured adults states that they remained uninsured because the cost of coverage was too high, however, they face unaffordable medical bills when they seek care. Hospitals do not turn patients away for patients who seeks necessary health care (Tolbert, 2019). The hospital providers treat patient illness for the uninsured and chronic illnesses. Hospitals who see patients that are uninsured or underinsured they lose monies by the millions.

Medical ethics is based on a set of values that care providers, doctors and hospitals refer to in any case. It is ethical to provide care to the people of all economic status (Riley, 2012). Everyone has the right to medical care, but it is difficult to provide perspective without a strong financial background. It is difficult to provide care to people who would not pay for their medical needs and this is difference between a practical aspect and ethical health care.

In the future each state should continue to reach uninsured families by having more public announcements to ensure they may be covered for benefits that they are not aware. The cost of healthcare need to be decrease more in order to be more affordable for all.

Reference

Riley, E. C., & Moy, B. (2012). Ethical challenges: caring for the underinsured, geographically disadvantaged patient. Journal of oncology practice8(4), 215–218. https://doi.org/10.1200/JOP.2012.000603

Tolbert, J., Orgera, K., Singer, N., Damico, A., (2019). Key Facts about the Uninsured Population. Retrieved from https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/

Johnston, E. M., McMorrow, S., Thomas, T. W., & Kenney, G. M. (2019). Racial disparities in uninsured among new mothers following the affordable care act. Retrieved from https://www.urban.org/sites/default/files/publication/100693/racial_disparities_in_uninsurance_among_new_mothers

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You have provided an accurate and elaborative analogy on the lack of insurance among different populations in the

HCA 675 Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system
HCA 675 Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system

United States of America. It is true that there still exist a large number of people who do not have health insurance and this indeed result from lack of awareness and extreme poverty characterized by inadequate income among some population. With the large number of uninsured people both the private and public hospitals continue to lose revenues especially when it comes to admitting and treating patients in emergency situations. In most cases, individuals who are insured tend to get worse care as compared the people with insurance coverage (Mulligan & Castañeda, 2017). With lack of jobs and extreme poverty in the low income areas, people do not enroll in the healthcare insurance plan even with the option of least monthly payment.

Lack of healthcare insurance among some patients may interfere with the ethical principles in a given healthcare setting. On other words, caregivers may sometimes ignore the requirements in terms of payment with the aim of helping the patients, especially the ones who are critical conditions (Mulligan & Castañeda, 2017). Doctors, physicians and nurses may fail to consider their level of professionalism in an attempt to achieve equality in healthcare delivery.

If the trend of lack of insurance continues, the hospitals may respond through formulating new strategies in line with the government policies to introduce free medical care which is then paid by the government from taxes (Reich, 2016). On the other hand private hospitals may limit the number of patients and only allow patients with health insurance coverage to obtain treatment. However, this may lead to unethical practices where patients are denied care when they are in need of it.

 

References

Mulligan, J. M., & Castañeda, H. (Eds.). (2017). Unequal coverage: The experience of health care reform in the United States (Vol. 2). NYU Press.

Reich, A. D. (2016). Selling our souls: The commodification of hospital care in the United States. Princeton University Press.

Re: Topic 2 DQ 2

Having a large portion of the uninsured population has a bad impact on the health system. When one or more members lack health insurance it affects the whole family. Studies shows lacking health insurance cause a variety of personal health-related outcomes. It negatively affects the children’s developmental status, access to and use of health services. Use of health services become financial. Medical bill problems also disproportionately affect sicker populations. Three-fourths of adults 18-64 (76 percent) who do not have health insurance say they or a family have postponed or put off care due to costs. The most common experiences reported by the uninsured include relying on home remedies or OTC drugs (57 percent), postponing needed care (50 percent), or skipping dental care or checkups (47 percent) (Kirzinger,.Munana,& Broodie.2019). ED crowding remains a growing national problem. Having higher the proportion of uninsured people can results in states with higher needs, but less revenue to pay for services. Such conditions could lead to great revenue crunch that’s similar to the Great Recession, (Rovner,J.2017).

There are many ethical problems due large uninsured population. One such problem is how to distribute coverage or care equally? A mandate to maintain coverage will impose a substantial economic burden on some people, particularly those who purchase coverage but do not qualify for subsidies. The market-based reform grants would help only some of the most vulnerable members of society—those who are sick and those who are poor. A study by Han et al (20160 found reduced access to care due to Insurance-based bias. Once they do visit the doctor, poor, uninsured people often report racial discrimination when communicating with health care professionals.

Addressing health care costs and coverage has become the top priorities for voters .There is a tensions exist between many health policy goals,- expanding coverage versus reducing costs; targeting tax credits effectively versus incentivizing work; protecting the sickest and most expensive patients versus preserving choice among the majority of patients who may not need comprehensive coverage; and limiting the federal government’s cost liability versus minimizing cost-shifting to consumers and states. Deciding among these goals or striking a balance across them will involve political and value calculations about what the U.S. healthcare system should look like (Eibner, & Hussay .2019).

Eibner,C,.& Hussay ,P,S,.(2019) The Future of U.S. Health Care: Replace or Revise the Affordable Care Act? Retrieved from https://www.rand.org/health-

Rovner,J.(2017).Millions More Uninsured Could Impact Health Of Those With Insurance..Too.. Retrieved from .https://khn.org/news/millions-more-uninsured-c

Kirzinger,A,.Munana,C,. Broodie,M,(2019)Data Note: Americans’ Challenges with Health Care Costs. Retrieved from www.kff.org/

Han,X,. Call,K,T,. Pintor,J,K ,Alarcon-Espinoza ,G,. Simon,A,B (2016) Reports of Insurance-Based Discrimination in Health Care and Its Association With Access to Care .Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455519/