Student responses
SandyRicou188ASSIGNMENT IS DUE FRIDAY AUG 9TH 2016 AT 10:00AM
FOR TOM MUTUNGA ONLYYYYYYYYYYYYY
The Patient Protection and Affordable Care Act have influenced the aging population through healthcare reimbursements such as Medicare. Medicare is an insurance program funded by the federal government that allows for individuals 65 or older to have insurance coverage. Since the implementation of the Affordable Care Act (ACA), Medicare has extended their coverage to allow better care, value, quality, and efficiency (Crosson, Guterman, Taylor, Young, & Tollen, 2009). Medicare has emphasized that services be more effective and have a less complex system when providing services and payment structures to providers (Crosson et al., 2009).
The United States will see the population ages of 65 years and older will nearly double between 2010-2015 (Neuman, Cubanski, Huang, & Damico, 2015). The population ages 80 and older will triple and the number of those 90-100 years will quadruple (Neuman, Cubanski, Huang, & Damico, 2015). These groups will account for a much larger share of spending growth on the nation’s health care programs expected through 2039 (Neuman, Cubanski, Huang, & Damico, 2015).
At what point does Medicare reach its peak? How does covered services vary by age for beneficiaries? The Affordable Care Act has launched several payment and delivery system reforms that could help with quality of care and spending for those on Medicare (Neuman, Cubanski, Huang, & Damico, 2015). The Affordable Care Act aims to reduce unnecessary, preventable hospitalizations, and manager transitions following hospital stays (Neuman, Cubanski, Huang, & Damico, 2015).
It is known that higher costs are associated with end of life. More work needs to be done to understand social, medical, and long-term needs and how best to improve them and coordinate care between patients, physicians, and payors (Neuman, Cubanski, Huang, & Damico, 2015).
3) Kelly Jones
Pubic policy exerts its influence on economic growth as it help in developing and stimulating the economy. Public policy ensures economic growth by considering rights of people living in the economy. The public policy, however works in accordance with deontology approach in which duties and rights are considered. While I enjoy these evaluations, I might consider such responsibilities in my future career because these evaluations help in ensuring implementation of policy in an ethical manner.
In the U.S. we have a lot of public policies to ensure a minimum standard in quality of work/life for our labor force. While sometimes this is disadvantageous in global competition, it is something 99% of U.S. citizens agree on falling under normative ethics. We all wants to live a good life and not see our neighbors suffer and work towards that as a society. There are mandatory paid breaks, ability to take lunch, get paid extra for overtime (for hourly wages), a minimum wage that you are able to scrape by on if you have to, and a long list of other policies. However, we are far from an ethically rich society.
One public policy that seems to have failed us in this ethical regard is the pursuit for infinite growth. I have often wondered how my dad bought a house for $25,000 after college and it is now worth 20 times more. Somewhere along the line Bernie Sanders became wildly popular when everyone realized how our pursuit for infinite riches destroyed the middle class. This is an ethical dilemma called hedonism, a philosophy to maximize personal gains at the expense of others. If you've seen The Wolf of Wallstreet or have ever heard of Bernie Madoff you know what I'm talking about. Outside of the common people wanting enough, there are a small group who would have it all no matter what it takes. These forces of greed in our society often have tremendous negative impacts on everyone. If you watch the news you've seen the recent EpiPen fiasco, and numerous related stories over the past few years about medication price hikes that seem absurd.
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