With the ongoing changes on policies in healthcare, it is imperative to consider the legal and ethical issues in health disparities and access to care based on the socioeconomic status. Research have shown over the past 25 years that disparities in the quality of care are highly influenced by individual characteristics such as race, gender, ethnicity, education, income, and age. The Veterans Health Administration (VHA) recognized that providing care is not simply a “one size fits all” approach especially with the diverse population in today’s society. As healthcare professionals, we need to be alert and know how to properly intervene with such disparities so that the care provided is tailored to the individual.
Recent developments of commissioning Health Visitors to Local Authority in United Kingdom have led to a renewed interest in public health nursing services in 0-19. Dorset local Authority are also very critical of the new policy shift, paper such as written by Aart and colleague (2009), Hemingway and others (2015) showed that nursing cadres underpinned by capacity development are important for the beneficial impact to population. Although some research has been done globally, a systematic understanding of how public health nursing contributes to reducing inequalities in health of children is still lacking. The research to date has tended to focus on inequalities in health rather than public health nursing services. This study will systematically
From 1825-1850 America was a nascent nation beginning to experience an increasing demand for social progression and equal rights. Although Americans continued to discriminate against people of different races, genders and ethnicities, change came about through religious movements and improvements in the realm of children’s education. Therefore, although many people were still oppressed during this time, positive change came about by way of religious revival and reform regarding the treatment of children. In the eyes of the South, these 25 years brought on unnecessary change, most of which was spearheaded by people from the North. Growing abolitionist and gender equality movements, along with immigration posed a potential threat to the power
That sort of political influence (especially one so set on not being corrupt) caused a domino effect of political and social reform across the nation. Laws to protect public health and welfare emerged, anti-trust legislation destroyed existing monopolies and helped prevent future monopolies, big business lost power, unionization of most industries, and dissolving of political machines helped relieve the nation from oppression. Reform against social injustice, child labor laws, environmental protection laws, the 17th, 18th, and 19th amendments, and many more Women’s Suffrage ideas were other important changes made during this time. Speaking of Women’s Suffrage, another incredibly important group/movement that took place in this period of time. The Women’s Right Movement came to be due to the lack of voting rights, unfair wages, and unfair hours.
The Columbian Exchange is a mark in history that has lead to pivotal outcomes that has affected the world today as well as the past. The Exchange between the old and new world has brought advances to today’s world due to sacrifices and interactions between two distinctly different populations. Both worlds introduced one another to new diseases, and resources that overall lead to advancements in research and new resources of survival to help sustain populations in both worlds, which have carried over into present day and has allowed for the development of the human population. Sustainable populations allowed individuals to no longer concentrate solely on survival rather have time to research and expand knowledge about health practices and give attention to preventing deadly epidemics. Although the interaction of disease did give rise to deadly epidemics in the new world the advancements made in medicine changed how disease and illness were treated and further allowed a change in perspective about health and survival.
This culminated in 1975 when the Racial Discrimination Act was introduced which prevented discrimination on basis of race and ensuring equal access to the newly created universal health care program MediBank the predecessor to the current Medicare system. In today’s modern society while indigenous populations still face significant disadvantage, there are more opportunities available than what there were previously and are rapidly being addressed by successive governments by way of policy and strategies. This is by introducing programs which reinforce the culture of family and community, delivering appropriate culturally relevant educational opportunities and helping deliver services to remote communities in order to close the gap and equalize the standards of living while maintaining the cultural heritage and ties the indigenous
“The Progressive Era was a period of widespread social activism and political reform across the United States, from the 1890s to 1920s” (Wikipedia, 2016). During this time, Americans decided their political system needed to adjust to new conditions and they pushed for reforms in which they faced opposition. Because of this, they had to try different ways to achieve these reforms. During this time there was racial prejudice and elitism. Some of the reforms that were put in place at this time were the Progressive income tax and the Federal Trade Commission.
The reforms of China’s healthcare systems make this country an importance case for studying the effects of UHC reforms on equity. However, the Chinese government has noticed an increase in health inequalities based on income and geographical location of the residents. Seeing that the government has introduced a numerous measures to improve the healthcare system, including new insurance scheme as well as reforms targeting the primary sector, public hospitals, and pharmaceuticals. Notably, the new health insurance schemes covering a huge and previously uninsured population groups are major reforms in China’s UHC history. For example, in 2003 more than half of Chinese population was uninsured, but after reforms in 2011 more than 90% of the population entitled to some kind of insurance.
The topic I would like to discuss is racial equality in the health care field. Racial equality is a topic that is slowly leaving everyone’s daily life. We have to influence the health care providers to endorse upcoming professionals in the next generation to be better that the one before. These care givers need to define laws of racial equality and justice. This influence can help us eliminate racial violence, crimes, and improper care.
This is carried into what is now known as HIPPA or Health Insurance Portability and Accountability Act. Although not all of the Hippocratic oath remains the same due to different “scientific, economic, political, and social changes, a world of legalized abortion, physician-assisted suicide, and pestilences unheard of in Hippocrates' time,” it is still widely used today. Changing the oath to fit the needs of those that are found ill today is important, although some physicians say it should be left completely and
The emergence of public health challenges in the next decade will not be something new and it will not easily fixed. The institutions that are currently in place and have historically contributed to issues of health inequities and will continue to do so unless they are deconstructed and rebuilt with equity in mind. The three most important public health challenges will be the rate of uninsured people and the mistrust that this causes, the medical industrial complex and the effects of trying to deconstruct mass incarceration. The Affordable Care Act raised the rate of insured people in America across gender, age and ethnic lines (Who Gained Health Insurance). The statistics on this topic are staggering, almost every group of Americans gained coverage under the ACA, however with recent plans to repeal the ACA by the new Trump administration it seems that millions of Americans will lose coverage.
Health Care Flexibility Health care in the United States has been a troubling issue that has drawn policymakers, business leaders, and health experts to search for viable ways to reform a system that has not adequately worked for centuries. Health care costs too much and many Americans go without needed care. Every other advanced nation has a virtual universal access to adequate health care at a much lower cost than the United States. The introduction of the Affordable Care Act (ACA) has caused a ripple effect throughout the United States, the intent is to provide adequate health care for every citizen, and however states may elect to opt out on certain provisions within the reform. Health care may vary from state to state due to demographics
In the past few decades, a debate has arisen over the legalization of prostitution in America. Proponents of the cause claim that legalizing and regulating it would bring about a reduction in crime, improve public health, aid the poor, boost tax revenue, improve conditions for existing prostitutes, and allow those who willfully choose this path to do so without fear of punishment. Opponents claim the practice to be immoral and believe that permitting prostitution would escalate sexually transmitted diseases, cause increases in human trafficking, and further the oppression of