Question

Examine two (2) efforts at health reform in the United States that occurred during the 1900s. Determine the major political and social factors that influenced the outcomes for each. Support your rationale with specific examples of such influence.

Compare and contrast at least two (2) pros and cons of developing a state health insurance exchange. Speculate on which exchange you believe would be most beneficial for the majority of the insured in your state. Provide support for your rationale.

Provide references

Answer 1

During the year of 1993, the health reform of Universal coverage was unaccepted by the Congress which was proposed by the first lady Hillary Clinton. But in 1996, there was a restriction of -existing conditions in health insurance coverage determinations, establishing the standards for edictal rerecords privacy, creating tax favouring treatments for long-term care insurance which were resulted from the Health Insurance Portability and Accountability Act

The Health Insurance Association of America and the National Federation of Independent Businesses can be seen as the two main reforms which faced a lot of opposition from the staff as both of these reforms were believed to have to create the difficulties for the smaller members.

The support of was also divided and they came up with the variety of proposals and then all of these steps created a lot of hurdle in the path of President's plan.

Pros and cons of developing a state health insurance exchange are as below:-

Pros:-

Cost reduction and improved quality of services

Cons:-

There was a lot of limitation in the selection of insurer or it was almost not allowed to the customers

There was an increase in the premium to be paid which is still on the upper side.

Silver Sneakers program rationale:- this is quite helpful in advancing the period of insured and it is also proving to be a cost-saving method which could be utilized for the propose of patient hospitalization and it indicates about the sustainability of the program and the greater motivations are provided to the insured to maintain fitness and therefore leading a high-quality life.

Reference:-

The Crises and Reform Timeline. (2015). Peery/Post-Reform, 55-81. doi:10.1002/9781119200291.ch2

Do the Health Insurance Exchanges Benefit Consumers? - DEBATED - Obamacare - ProCon.org. (n.d.). Retrieved from healthcarereform.procon/

Fox, D. M. (2014). Health Care for Some: Rights and Rationing in the United States since 1930 by Beatrix Hoffman. Bulletin of the History of Medicine, 88(1), 213-214. doi:10.1353/bhm.2014.0003

PBS- Healthcare Crisis: Healthcare Timeline. (n.d.). Retrieved from pbs./healthcarecrisis/history. Rigby, E., & Haselswerdt, J. (2013).

Hybrid Federalism, Partisan Politics, and Early Implementation of State Health Insurance Exchanges. Publius: The Journal of Federalism, 43(3), 368-391. doi:10.1093/publius/pjt012

Tshoose, C. I. (2013). The pros and cons of National Health Insurance in South Africa. International Journal of Private Law, 6(4), 355. doi:10.1504/.2013.056805