Short essay policy making in the federal system obamacare

The West is well aware of Russian actions in Ukraine that began with Russian armed forces annexing the Crimean peninsula in Marchas well as initiation of the war in Donbas, which unfortunately is still ongoing Shares By L.

Short essay policy making in the federal system obamacare

The claim that health insurance improves health outcomes is hardly ground breaking. Studying whether insurance affects health status is like wondering whether three meals a day lead to a higher muscle mass than total starvation.

Baicker et al found that Medicaid enrollees fared no better in terms of health outcomes than those without insurance.

Short essay policy making in the federal system obamacare

That is, no insurance no difference. The study is an exemplar of policy research laced with regression equations, control of known confounders and clear separation of variables.

There is only so much rigor social science can achieve compared to the physical sciences. Yet this is about as good a study as is possible.

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The one thing the study did not lack was sample size. Large effects do not need a large sample size to show statistical significance. Conversely, if study with a large sample size does not show even a modest effect, it means that the effect probably does not exist.

Short essay policy making in the federal system obamacare

So where is the downside? Could the downside of a government program paying physicians, on average 52 cents, and as low as 29 cents, for every dollar paid by private insurance in a multiple payer system be access?

But one I least expected was that patients on Medicaid do worse than patients with no insurance risk-adjusted, almost. I am not going to be that remorseless logician, which John Maynard Keynes warned us about, who starting with one mistake can end up in Bedlam, and argue that if you are for Medicaid that is morally equivalent to sanctioning mass murder.

Rather, I ask how it is possible that possessing Medicaid makes you worse off than no insurance whatsoever. To some extent this may artifactually appear so because poverty correlates with ill health, and studies that show Medicaid patients faring worse than uninsured, cannot totally control for social determinants of health.

However, I found a plausible explanation during a recent conversation with a physician specializing in physical medicine and rehabilitation PMR. She ran a special clinic one day a week in which she saw adolescents for free.

These kids had no insurance. They were mainly from the local Hispanic and African American communities. She did not accept Medicaid patients. This point is worth parsing out again. This doctor is happy to see patients uncompensated but not Medicaid patients, partially compensated.

Why so, I asked, bewildered and feeling that I must be in Bedlam. Plus one is exposed to unintentional billing fraud, audits, compliance and perpetual war with formularies and pharmacies.

She ran her practice as a small business and kept her support staff to a minimum; she simply could not afford the legal and coding help that this would entail. She explained that if she saw all Medicaid patients for free she would technically be committing fraud. Unless she made a nuanced determination to waive fees on an individual basis.

At any rate it would unduly burden her, and it was a good deed that best remained unpunished. Again this is worth parsing out because this is so mind-boggling.


Seeing all patients on Medicaid for free is fraud! I am a simpleton. This is plainly shooting the messenger, sometimes. The Pavlovian reaction is understandable as some on the right see in Medicaid scientific vindication of their anti-welfare stance.

But if an individual loses 30 pounds despite a complete diet inquiring about the underlying problem, whether there is a malignancy or not, does not challenge the value of eating. How utterly incurious must one be to not wonder after the Oregon experiment and several other studies, why?

How can you possibly not at the very least inquire whether Medicaid is a structurally sound program?

One Deep Reason Why the US Does Not Have a Sane Way to Pay for Health Care for All | Ian Welsh

But he accepts as do many on the right that the poor should not be thrown under the bus. On Medicaid, the left and right are in that rare agreement. The mark of a civilized society is how it deals with the poor who are sick.In , Congress enacted the Patient Protection and Affordable Care Act in order to increase the number of Americans covered by health insurance and decrease the cost of health care.

Birch Gold. Now that the midterm elections are pretty much over, the Democrats control the House, and the Republicans control the Senate.

Find legislation in the U.S. Congress that affects you.

This may have several important impacts on your retirement over the next two years (and beyond, depending on policy adjustments). Breitbart TV is the home of the hottest video on politics, world events, culture, and media.

There was a pretty massive shift in the s and s when northern Democrats starting supporting the civil rights movement (among other things).

Mar 06,  · The essay must start with a short introductory paragraph which includes a clear thesis statement. The thesis statement must tell readers what the essay will demonstrate. The essay must end with a short paragraph which includes a conclusion.

Rus­sell L. Blay­lock, M.D. Infowars September 19, In a previous essay, I discussed a concept that is always on the mind of the socialist planner and that is “social utility”.

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