Introduction
In the past, healthcare was a necessity that the society identified as critical to the sustenance of communities. Today; however, there are challenges that face all the parties involved in health care provision. Whereas the people had various ways of meeting the requirements for treatment, currently, many people are not able to meet the bills of medical care. In different countries, governments have tried to come up with various solutions. In America, the recent ACA bill attempted to minimize this gap. However, only a small number can see the benefits. This study reviews policy issues related to access, cost and quality of care. These issues will be discussed with reference to hospital administrators, physician, patient, taxpayer
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Normally, taxpayers pay a particular figure for their regular health insurance premiums. Nonetheless, despite the fact that they still pay taxes, they are charged numerous bills to cater for their health needs (Davies, 2000). Moreover, the insurance companies take advantage of the situation to demand more premiums to cover the unforeseen patient problems adequately. However, there ought to be policies that prevent the exploitation of the patients by the insurance companies. In addition, the taxpayers should have they tax cover for particular parts of the medical bills as they contribute to the maintenance of health facilities.
Staff
The staff members are also instrumental in ensuring quality services. Quality care does not only require the restoration of patients to health but also involves patient's safety (Davies, 2000). As such, the guards and janitors play an instrumental role in maintaining this state. Clean corridors and operating rooms facilitate the proper running of the hospital duties. The recuperating process of a patient demands that the environment promotes healthy recovery. As such, the health policy should be formulated along lines that see that the staff members are cared for.
Cost of
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In cases where they have to carry out complex operations, they may have to request the assistance of other doctors. They may also need to purchase expensive equipment. There are risks that accompany carrying out these procedures (Boyer& Lutfey, 2010). Thus, the health costs not only lie with the patients, but also with the workers. Proper making of policy can see that this issue is minimized. Furthermore, the policies created have to be similar to those of most hospitals so as to prevent any form of inconvenience in other health facilities.
Patient
Patients also understand that the services offered in a hospital have to come at a price. More importantly, the person who demands quality care has to part with vast sums of money (Woolhandler, Campbell & Himmelstein, 2003). In addition, as mentioned earlier, patients have to pay regular premiums for their health insurance. The incorporation of the ACA guidelines has ensured that this is implemented. Other policies, specific to particular hospitals, can see that the patients are taken care of properly.
For example, hospitals can ensure that all written policies for assisting low-income patients are applied consistently. In addition, hospitals can review their current charge structures and ensure that they are reasonably related to both the cost of the service and to meeting all of the community’s health care needs. Finally, hospitals could also implement written policies about when and under whose authority patient debt is advanced for collection. The Financial Impact of MACRA
Health and safety policy Healthy and safety in a general practice surgery aims to keeping patients safe in the surgery. The responsibility of keeping service users safe should be on all the employees. The Health and Safety at Work Act imposes duties on employers and employees to protect individuals. To enable these duties to be carried out (Deepingspractice.co.uk, 2015) GP surgeries have a sharps bin, which is for the disposal of sharp instruments, such as needles. This bin should be kept open and not filled to a certain level because the lives of the patients may be at risk.
“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional
Each year, Canada spends over $300 billion on Canadian Medicare, our taxes cover 70 % of essential medical services and private insurance covers the other 30% considered the private sector (Norris, 2020). Dentistry and vision coverage, massage therapy, prescription drugs and ambulance trips are the services not covered by the public health care system (Health Canada, 2023). Therefore, private health care is available to a limited extent, the problem that exists is that, for Canadians, the billing and paying out-of-pocket for medical services covered by Medicare is prohibited. Various countries such as Germany, the Netherlands, and Australia employ a two-tiered system and preform very well, “[i]n comparison… Canada ha[s] the highest proportion of patients with long wait times for specialist appointments and elective surgery” (Moir et al., 2020, para.10). Similarly to Canada, in Australia, public insurance that is tax funded provides residents with free universal health care.
In addition to the dismay of many healthcare professionals, patients, and citizens who are uninsured, several flaws about the current healthcare system show the necessity for reform. The three flaws that exacerbate the current healthcare crisis are: the tax code and tax breaks, the lack of preventable care and adequate care of chronic diseases, and administrative costs. A single payer, universal healthcare system can resolve the major flaws of the
This Act proposes several mandates and provisions to reduce the cost of healthcare for both the federal government and individuals, increase the availability of health insurance for all Americans, and to eliminate discrimination of very ill or potentially ill individuals in need of health insurance. The Act was introduced as a means to shrink the exponentially increasing costs of healthcare in the United States. As promising as it is, there will be many more reforms after to ensure the target goal of reducing healthcare spending is achieved. As with any reform this large, patience and constant upkeep will be needed. Due to the largely political nature of the Affordable HealthCare Act, it will be important to note how upcoming elections will affect healthcare in the United
The real debate is how can we accomplish the goal of universal healthcare in the most affordable and sustainable way. The United States is evaluated as a wealthy country, yet there are more penurious countries who provide health maintenance, paid through higher taxes. “In the United Kingdom and other European countries, payroll taxes average 37% - much higher than the 15.3% payroll taxes paid by the average US worker” (Gregory). With this data, the only reform would be to end the private health insurance companies of dominant health services, and incorporate a single payer system. Conversely, it is factual that taxes will rise, but the implementation of universal healthcare will better the health of American citizens.
Health Care in the US is arguably available to all who seek it but not everybody has had the same experience and treatment when walking through the doors of a healthcare facility. In many cases, people are discriminated against due to their gender, race/ethnicity, age, and income and are often provided with minimal service. Differences between groups in health coverage, access to care, and quality of care is majorly affected through these disparities. Income is a major factor and can cause groups of people to experience higher burden of illness, injury, disability, or mortality relative to another group.
Finally in the 1960’s, there was a passage of Medicare and Medicaid voluntary insurance. (Patel 94) In order to make sure more Americans are covered, there must be some kind of reformation of the health care system here in the states. The United States health care system, compared to other countries, is considered immoral to many people. In debates, it has been said that if there were to be medical coverage for everybody, it would lead to “rationing” of health care, but in all reality, the United States already rations health care.
SAFETY IN THE NURSING PROFESSION It is the belief of many medical professionals that proper safety protocols in the medical environment is paramount. There is nothing more important in a hospital setting than overall safety. This goes for both patient safety as well as the safety of the hospital staff. Both patient and staff have their own precautions that must be taken and steps that must be followed to ensure there are no mishaps.
Health care should not be considered a political argument in America; it is a matter of basic human rights. Something that many people seem to forget is that the US is the only industrialized western nation that lacks a universal health care system. The National Health Care Disparities Report, as well as author and health care worker Nicholas Conley and Physicians for a National Health Program (PNHP), strongly suggest that the US needs a universal health care system. The most secure solution for many problems in America, such as wasted spending on a flawed non-universal health care system and 46.8 million Americans being uninsured, is to organize a national health care program in the US that covers all citizens for medical necessities.
1. To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week 2. To record the care that has been given to the patient/client 3. To make sure there is an accurate record to be used as ‘evidence’ when there is a complaint from a patient/client about the
For both the uninsured group and those who are eligible for government assistance because of their low economic position, access to health is limited by the number of private providers willing to treat them. In many cases private providers are linked to particular private health insurance companies and won 't accept patients outside their network. These people must then rely on the overburdened public health system for care, and as such usually only seek treatment in emergencies. The public health system, while filled with competent staff, is nevertheless restricted by its funding and can therefore not always provide all these patients with the best quality of care. The inequality in health care access is a continuing issue in America and as such it is important for future consumers and workers on the Foothill College campus to have a thorough understanding of the issue so they can move to improve the problem in the
Public health insurance assures that, since it decreases the gap between social levels as there is no discrimination between rich and poor. According to article (12) in the library of human rights session number (22) “it's the right for every citizen to enjoy the luxury health and receive the highest medication”. Public hospitals provide that by making its number one aim to treat the patient and make sure that the patient has received proper medication without caring about what payments will be paid and what luxuries will be provided according to the paid amount. “The right of each citizen to have an appropriate acces to health care should be based on their needs and not on their ability to pay costs for such care” confirmed by the paper of health and population provided in the eighth national
These health care insurance companies make it more complicated for their clients to process their claims by making the procedure difficult for ordinary people to comprehend. Moreover, if it happens that a client of them is successful in processing his claim, these insurance providers try to pay as less amount as