History[ edit ] The first move towards a national health insurance system was launched in Germany inwith the Sickness Insurance Law. Industrial employers were mandated to provide injury and illness insurance for their low-wage workers, and the system was funded and administered by employees and employers through "sick funds", which were drawn from deductions in workers' wages and from employers' contributions. Other countries soon began to follow suit.
International comparisons of healthcare have found that the United States spends more per-capita than other similarly developed nations but falls below similar countries in various health metrics, suggesting inefficiency and waste. In addition, the United States has significant underinsurance and significant impending unfunded liabilities from its aging demographic and its social insurance programs Medicare and Medicaid Medicaid provides free long-term care to the elderly poor.
The fiscal and human impact of these issues have motivated reform proposals. Some of the many reasons cited for the cost differential with other countries include: Health insurance coverage in the United States In addition, the number of employers who offer health insurance has declined and costs for employer-paid health insurance are rising: The underinsured were significantly more likely than those with adequate insurance to forgo health care, report financial stress because of medical bills, and experience coverage gaps for such items as prescription drugs.
A Harvard study published in the American Journal of Public Health found more than 44, excess deaths annually in the United States due to Americans lacking health insurance. Other studies, just as those examining the randomized distribution of Medicaid insurance to low-income people in Oregon infound no change in death rate.
One critique and motivation for healthcare reform has been the development of the medical—industrial complex. This relates to moral arguments for health care reform, framing healthcare as a social good, one that is fundamentally immoral to deny to people based on economic status.
In JuneGallup —Healthways Well—Being conducted a survey and found that the uninsured rate is going down. This is a decrease from the percentage at 17 percent in January and translates to roughly 10 million to 11 million individuals who gained coverage.
The survey also looked at the major demographic groups and found each is making progress towards getting health insurance. However, Hispanics, who have the highest uninsured rate of any racial or ethnic group, are lagging in their progress.
Under the new health care reform, Latinos were expected to be major beneficiaries of the new health care law. He listed five causes for the waste: Medicare fraud often takes the form of kickbacks and money-laundering. Fraud schemes often take the form of billing for medically unnecessary services or services not rendered.
Physicians for a National Health Programa pro- universal single-payer system of health care advocacy group, has claimed that a free market solution to health care provides a lower quality of care, with higher mortality rates, than publicly funded systems.
Researchers at the RAND Corporation and the Department of Veterans Affairs asked elderly patients in two different managed care plans to rate their care, then examined care in medical records, as reported in Annals of Internal Medicine.
There was no correlation. Chang, UCLAlead author. The Kaiser Family Foundation  showed a majority in favor of a form of national health insurance, often compared to Medicare, and a Quinnipiac poll in three states in found majority support for the government ensuring "that everyone in the United States has adequate health-care" among likely Democratic primary voters.
For example, people respond more favorably when they are asked if they want a system "like Medicare". Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act of After campaigning on the promise of health care reform, President Barack Obama gave a speech in March at a rally in Pennsylvania explaining the necessity of health insurance reform and calling on Congress to hold a final up or down vote on reform.
The legislation remains controversial,    with some states challenging it in federal court  and opposition from some voters. Supreme Court found major portions of the law to be constitutional.
Government officials that oppose the ACA tried to make approval of a bill to reopen the government contingent on the demise of the ACA.
This attempt met with failure and the government reopened on November 16, The most significant changes, particularly affecting the availability and terms of insurance become effective January 1, These include an expansion of Medicaid at the option of each state to those without dependent children and subsidized healthcare exchanges.
Changes which occur earlier include allowing dependents to remain on their plan until 26, limitations on rescission dropping insureds when they get sickremoval of lifetime coverage limits, mandates that insurers fully cover certain preventative services, high-risk pools for uninsureds, tax credits for businesses to provide insurance to employees, an insurance company rate review programand minimum medical loss ratios.
It also allowed the FDA to approve generic biologic drugs and specifically allows for 12 years of exclusive use for newly developed biologic drugs. In addition, the law explores some programs intended to increase incentives to provide quality and collaborative care, such as accountable care organizations.
The law is also designed to complement the HITECH Act which encourages the "meaningful use" of electronic health records; for example, the law directs the government to make use of these records for analyzing healthcare provider quality.
|Should the United States have universal health care? | vetconnexx.com||The ACA is much more than just a health insurance law. For those who earn too much to qualify for Medicaid but earn no more than four times the standard threshold that indicates poverty — e.|
|Public Opinion About Public Health United States,||But despite the high price tag, the United States is still the only wealthy, developed nation without universal health coverage.|
|Why Universal Health Care Is Essential for a More Equitable Society | HuffPost||Other recent polls also show more oppose the law than support it. As might be expected, views on the health care law are colored by partisanship.|
|Universal Health Care: The Affordable Dream | Harvard Public Health Review: A Student Publication||Commentary Universal Health Care:|
|Why are we unable to overcome a market-based system that leads to a hundred thousand unnecessary deaths each year?|
Through providing access to screenings for diseases like breast cancer, promoting health in the workplace, and community preventative health, the Affordable Care Act contains sections that advance and promote preventative health initiatives.
In addition, the Patient Protection and Affordable Health Care Act of contained provisions which allows the Centers for Medicare and Medicaid Services CMS to undertake pilot projects which, if they are successful could be implemented in future.As important as these discussions have been for providing the American public details about each candidate's future plans in the health policy arena, they were also significant for the option they ignored – the possibility of universal health coverage in America.
The United States, which can certainly afford to provide healthcare at quite a high level for all Americans, is exceptional in terms of the popularity of the view that any kind of public establishment of universal healthcare must somehow involve unacceptable intrusions into private life.
Feb 12, · Comparisons of Health Care Systems in the United States, Germany and Canada Surveys of public opinion indicate that Germans by and large are satisfied with their health care system (as opposed to the U.S.
where a large portion of the population thinks that system needs substantial changes). The cost of health . Healthcare reform in the United States has a long history.
Reforms have often been proposed but have rarely been accomplished. Reforms have often been proposed but have rarely been accomplished. Yes, the United States should have universal health care. Mandatory health insurance is a step toward universal health care.
Most middle class families cannot afford the insurance premiums for health care, so the government would step in to subsidize. Here is an American solution to universal health care By Richard Kirsch, opinion contributor — 01/11/18 PM EST The views expressed by contributors are their own and not the view of The Hill.