To improve the current situation with the uninsured and the underinsured I believe we need to evaluate current policies in place and build on them.
To improve the current situation with the uninsured and the underinsured I believe we need to evaluate current policies in place and build on them. A we have read in this chapter; Medicaid has attempted to expand coverage to low-income people and increase access to care. Even though it has proven successful by allowing more and more people to become insured if they meet economic guidelines, it still leaves out a good chunk of the population that desperately needs access to quality healthcare. The first step would be to continue efforts to expand Medicaid, but by making eligibility guidelines a bit more lenient. There are a lot of people that experience poverty but are above the 138% FPL limit and therefore do not qualify for Medicaid. By increasing the limits, more people would qualify. This could also benefit the underinsured as some could qualify for Medicaid instead of their existing plan under this policy change. Also, current programs in place can continue to expand to include low-income adults as well as children. Another option that I believe is already being implemented in some states is for employers to contribute to a pool or a fund to provide coverage for their employees. Lastly, I believe education is always an important contributor to creating innovative approaches to improving people’s quality of life. In this instance, if low-income people were to be more educated on the matter they could vote and elect officials that align with their needs and therefore advocate for their healthcare needs. Ultimately, the opposition in the expansion of health coverage by several states comes down to partisanship and doing what favors their political ideologies. I think the government can take on a stricter role in this and make it harder for opposing states to continue to oppose expansion. Adding to that, continuing incentives and innovation programs that allow states to experiment with better ways to improve the system can allow them to determine what works best. In turn, they will progress as a state and hopefully inspire other states to follow in their footsteps. As previously mentioned with the problem of the underinsured and uninsured, education can be the key to addressing the problem of healthcare disparities. Increasing outreach efforts in communities with low-income backgrounds to promote education can increase health literacy in these communities. Also on the other hand, health organizations can reach out to policy makers using data pertinent to individuals in these communities and demonstrating the great need for access to care and properly allocate resources. This is where moving away from health equality comes in to play and practicing health equity instead, to really assess what is needed and where. Healthcare organizations can also conduct cultural competency training in order to bridge many gaps in the delivery of healthcare to people of different ethnic backgrounds. Understanding people of different backgrounds is essential to understanding what their healthcare needs are. I used to be a bilingual patient advocate for a hospital, and I saw this firsthand with patients that spoke other languages and could not be accommodated. The medical staff would not understand their needs and often overlook them. Overall, I believe expanding education for both the target population and healthcare organizations can be a great start to properly addressing this problem. Comment on the statement above. Do you agree or disagree? Why or why not
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