Implementing The Affordable Care Act

The documentary "Sicko" provides an extensive analysis of the different drawbacks of the American healthcare framework. Michael Moore, the director, is upfront with regards to the dissipation of statistical data and portrayal of real-life stories of the healthcare in other nations is better in comparison to that of the US. It is interesting to see the director careful utilize experiences from the Cuba, France, and the UK. A lot of film critics have issued a lot of reviews regarding the significance of the movie in highlighting the real image of the healthcare framework (Zaccagnini & White, 2015, p.110). For example, the illustration of Cuba's health system seems a bit far-fetched to the critics. All in all, Michael Moore does an adequate job in drawing comparisons from the other significant healthcare plans as a way of depicting the ailing form of America's health system.

This outcome is a direct result of the Helms-Burton Act as it restricts other foreign countries to assist Cuba with its medical situation. Cuban healthcare has been seriously undermined as the "embargo has caused Cuba a loss of more than 200 million dollars in the medical sector alone" (Xinhua). However, counter arguments to lifting the embargo for medical aid focus around the phenomenon of medical tourism, " the facility would be overwhelmed by its foreign patients" (Garrett). Yet, placement of the embargo is comparatively worse than engagement as Cuban citizens currently have very little chance of experiencing the new generation of health care with the trading sanction in place, the Cuban people and actors trying to help are being penalized due to the embargo and the powerlessness the people have when facing the government. Any private donations made to the public health cause must first go through the government where where its true amount and value will be grossly reduced by taxes and fees on U.S. dollars, only then will it trickle down to its originally intended owners. Much like failed U.S. embargos in the past, the embargo on the undemocratized Cuban government only negatively affects the people as the government gains more power and influences the only

Sanger-Katz, Margot. “Can Cuba Escape Poverty but Stay Healthy?” New York Times. 18 December 2014. Web. 15 April 2016. .

Throughout the documentary we see many things wrong with the resources people receive, we see this primarily with money. There are two types of currency in Cuba, peso and cuc, even having certain money makes you more privileged than others. Peso was described as being worth almost nothing that can buy basic necessities such as rice and coffee, while cuc on the other hand is described as more privileged. People with access to this money are able to buy things like shampoo, strollers and handbags; things that everyone should be able to have access to. Having special rights because of money seems to be very common in Cuba, there was a moment in the documentary when the narrator was denied access to one of the best hospitals located in Cuba because he didn’t have enough money, this comes to

Cuba and the United States of America have completely opposite economies. Cuba’s economy is based on the few natural resources that the country owns while the economic system in The United States is capitalist and can be recognized for its noticeable development in agriculture, energy, and other resources that keep the country expanding and provides jobs as well as a good quality of life for its residents. On the other hand, Cuba’s economy, is predominantly poor, to the point where a very huge percent of its population suffers from

Castro 's regime has been credited with opening 10,000 new schools and increasing literacy to 98 percent.(Cuba Headlines 2009). Cubans enjoy a universal health care system, which has decreased infant mortality to 11 deaths in 1,000(Vanguard News 2016).

Access to care has become a buzz word in the modern healthcare theater. The prevailing thought is that our healthcare system will experience a significant amount strain as an increasing number of individuals seek care with increased number of individuals being covered by third party payers under the affordable care act. Access to care has become a catch-all term used to describe the inability for an individual or population to seek needed healthcare services. Access to care can be divided into 4 major problems within a healthcare setting to include, physical accessibility, affordability, acceptability, and supply and demand. While the current state of our healthcare delivery system in regards to the changes implemented by the affordable care act has attempted to address affordability and acceptability. The affordable care act may have strained the infrastructure of our system in regards to the supply and demand aspects as well as physical accessibility challenges to many populations.

Such data suggests that rural areas were actually better off in terms of medical care prior to the enactment of the Affordable Care Act than they are now. Before ACA implementation, the rural population was significantly more likely to be covered by Medicaid (21%) or other public insurance (4%) than the metropolitan population (16% and 3%, respectively). Therefore, while urban individuals on average had more healthcare benefits due to the nature of their insurance provider, since Medicaid made up some of the gap in employer-sponsored coverage in rural areas, the uninsured rate was similar in rural and urbans populations prior to the ACA (Figure 2).

Implementation of The Affordable Care Act has addressed some issues surrounding HAIs. For instance, section 3008 of ACA recognized the HAC or hospital acquired condition in the Reduction Program to further reduce HACs and improve patient quality. In this program, the ACA seeks to establish a monetary incentive through CMS that will encourage hospitals to reduce HAC or HAIs. Since most not for profit, public, and even large hospitals receive some form of funding through CMS from Medicare or Medicaid payments, this monetary incentive is one of the better incentives to have been recently proposed by the ACA regarding HAIs. Therefore, some of the strategies in managing and developing evidence-based practice relevant in handling

This article is a summary in a medical journal about the state of the Cuban Health care system. It begins with describing the current state of Cuba – vilified by the majority of the western world, and by extension the medical community. After, it talks about how despite this Cuba has managed to be successful in nearly every area of health and medicine. After, it discusses reasons for this and how this happens despite the vast majority of the Cuban population being extremely poor and how there is a high degree of income inequality. Cuba has also invested heavily in the export of bio pharmaceuticals and has become extremely successful in this regard. They no longer rely on Russia for all their infrastructure, and can stand up on the own. Childrens'

The delay in the rollout and incomplete implementation of the United States of America government’s healthcare marketplace (Healthcare.gov) has been highly publicized and deliberated since before its launch in October 2013. Several researchers have sought to provide possible responses and reasoning as to why the implementation of the project did not finish as expected. Factors contributing to the unsuccessful launch of the software has been attributed to problems with project management, staffing, implementation and technology which can be further broken down into several problematic areas such as the gathering of requirements belonging to the project management category and change management which is handled in the implementation stage. Requirements gathering and poor management have been identified as major causes for the failure of Healthcare.gov at the launch date. This paper discusses the aims of the Affordable Care Act and its corresponding implementation of Healthcare.gov from an epistimological philosophical perspective.

The Affordable Care Act completely changed the patient landscape of health care safety nets with its implementation in 2010. In particular, its expansion of Medicaid significantly shifted uninsured patient healthcare provider utilization, from emergency departments and free clinics, towards community health centers and federally qualified health centers. Yet major gaps in healthcare coverage persist due to states choosing not to expand Medicaid, exclusion of undocumented immigrants, and misunderstandings of the ACA. Health care safety net providers must understand their changing demographics and the needs of vulnerable uninsured patient populations. In doing so, healthcare safety net providers will be better informed in regards to necessary changes needed to thrive in the post-ACA era.

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.

The healthcare system in United States is tied up with politics and propaganda that puts a choke hold on the whole process. It was sickening to see the 911 responders after the twin towers incident were going to another country to receive medical treatment. They actually traveled to Cuba to seek medical treatment because the insurance companies wouldn’t cover their claims and drop their coverage. Cuba has one of the most respected health care systems in the world the ratio is one doctor per Two Hundred citizens. The United States ratio is one doctor per Four Hundred citizens. Annually Cuba graduates about four thousand doctors a year out of its twenty one medical schools (Health Cuba). How could a country so rich in resources turn its back on American people who make this country strong?

In the first major article utilized for research, “Relaxation of Cuban Embargo Urged in Congress”, the main claim is that congressional action taken to limit the effects of the embargo and possibly eliminate it entirely would only strengthen the grip that Fidel Castro, the former dictator of Cuba has on his country. The article talks about congressional action being taken in the United States congress, or the lack of action that is being taken, and the effect that it has on Cuban humanitarian conditions. The tie into the medical field is quite broad but the focus it brings on the Cuban embargo reveals significant problems. The lack of medical supplies and equipment in the country due to the embargo is said to be deliberate. “…shortages of