United States Healthcare & the Federal Budget Healthcare
United States Healthcare & the Federal Budget Healthcare is a topic makes national news frequently. There have been varied opinions on the topic which are hotly debated amongst people from all walks of life for a long time. However, the topic has become even more widely debated since the enactment of the Affordable Care Act in 2009. Although opinions on this act vary wildly, there seems to be one sub-topic that is discussed regardless of ones’ point of view on the subject: the effect of the ACA on the national budget. One specific group of people chiming in on the topic, both as it relates to how the ACA enables patients to receive care and doctors to provide care and the costs of doing so, are doctors themselves. Understanding this issue can be complicated, as the players involved all have legitimate, logical reasons for having the point of view they do. As this committee is tasked with offering a possible solution for the issue that satisfies both patient and professional needs and budgetary requirements to aid in ensuring continued healthcare availability at affordable prices, below we therefore review the different factors involved in the issue, the different viewpoints regarding it, possible solutions, and the impact any possible solution would have on the federal budget. A Commentary on Public Health Care: The Perfect Storm A Commentary on Public Health Care: The Perfect Storm, by Malcom Ing, MD, discusses the opposition by many to the United States’ current healthcare system, often referred to as ‘Obamacare’, which is overseen by the government. The purpose of Dr. Ing’s article is to inform the public of the opinion that the current healthcare system of the United States is setting the nation up for what he refers to as a “perfect storm” for the nation at a later time in many ways. In A Commentary on Public Health Care: The Perfect Storm, Dr. Ing details several issues with this healthcare system that he and many others see as problems rather than benefits. These issues include the Independent Payment Advisory Board, rising costs of medication and medical-oriented technology, and the role bureaucracy plays in the healthcare system, as they are seen by this group as detrimental to both the ability of physicians to provide patients with proper healthcare and the cost of doing so. However, it is important to note that while Dr. Ing’s point of view is one that is shared by many, it is not the only point of view regarding the nation’s healthcare system. Many deem these same issues to be important factors in ensuring that citizens receive the healthcare they need at a cost that is efficient and sustainable, and therefore consider factors such as the roles of bureaucracy and the Independent Payment Advisory Board as benefits to the healthcare system, in direct opposition to the viewpoint of Ing and his fellow colleagues (Ing, 2013). The United States spends more on healthcare than any other country in the world, and large share of the spending is from the federal government. Spending on the major federal health programs like Medicare, Medicaid, the Children’s health insurance program (chip), and the Health Insurance exchange which was created under the Affordable Care Act has increased 230 percent since 2000, while economy wide prices has risen 40 percent, and the economy has only grown by 90 percent. This growth is due to healthcare cost and expansions in the form of the Medicare prescription drug program and the Affordable Care Act (crfb.org 2019). The rising cost of healthcare over the long term is clearly unsustainable without a course of correction, federal debt has grown significantly over the past several decades and it is expected to grow in the future. Systems must pay attention to the rising cost of labor, labor shortages, acquiring physician practices, decreasing reimbursements (B. Brown, J. Hansman 2019). With highdeductible plans, consumers bear more of the healthcare cost burdens. Healthcare providers may not have little control over revenues, but they can control the expenses that is used to operate hospitals and clinics. These cost compromise all the cost of taking care of patients, labor, supplies, utilities, equipment, buildings, property, and capital. Healthcare systems need to identify the root causes of high costs to improve their financial health (B. Brown, J. Hansman 2019). Committee View on How Healthcare is Relevant to Federal Budgeting & Fiscal Planning When it comes to possible solutions to help those that need affordable healthcare, the process can be greatly affected by many changes. According to the Public Budgeting and Finance (F.S. Redburn 2015), the development of the federal budget process can have a better fiscal outcome for the nation with all the information available and analysis that are done to make sure that the decisions is properly designed with the strengthening of the institutions that support the choices of the budget. The changes that are made in each process can contribute to the fiscal outcomes of any obstacles such as reforms through the budget resources. In today’s budget strategies, the government promises to increase the nation’s ability to survive within the social and fiscal shocks. According to the Journal of Public Policy & Marketing (M.P Fitzgerald & C. Yencha 2019), politicians have been making think tanks and advocacy groups that have been proposed to reduce prices and improve the U.S. healthcare market. The combination of formal neoclassical economic theory and lay theory focuses on increasing competition, reducing regulations, and normative beliefs about price-quality and price-cost relationships in health care. In this article the authors identify these formal and informal theories and test five tenets of health care reform. They were able to determine that consumer–hospital interactions across the U.S., when put together with others, can increase competition among hospitals and is associated with lower hospital procedure prices; however, increased competition among insurers is associated with higher prices. Fitzgerald and Yenche (2019) state that policy makers in the current environment should not rely reducing regulations will reduce hospital prices, nor healthcare quality and price are positively correlated. Through making these changes there have legal cases that have went to the Supreme Court ( F.S Redburn 2015). Their agreement to hear the cases such as the Patient Protection and Affordable Care Act (ACA) of 2010, which resulted from several federal district court rulings. This case dealt with various constitutional interpretations, such as the Commerce Clause, real-world repercussions that affect clinicians, health care systems, and pharmacies. They were able to provide certain services in which health care organizations or clinicians and their levels of reimbursement through products and services that they provide. Solution Proposal The United States healthcare fiscal expenditure has been increasing every year and is estimated to increase hence making the current healthcare program questionable since it does not offer the best care for individuals and it takes a large share of the federal budget. A solution to better healthcare program is necessary to save the American people who pay high premiums and, in most cases, fail to utilize them due to poor programs. Therefore, a universal health care system should be created that would provide healthcare to all and include individual choice and free market techniques to cut spending to its lowest level. The proposed program would include health savings account for each person but funded by the government with a goal of saving 10000 dollars in each individual account per annum although 5000 dollars would be enough. The funds, which belong to the individual but can only be spent on healthcare, would cater for health insurance. The funds could also be invested and are tax-free so long as they remain in the account. Transfer from person-to-person to help others in a time of need, or to give to loved ones upon death could be made possible. If an individual does not use the money for long if they remain healthy, they could then also use five percent of the savings per year for retirement. The program would provide enough money for everyone to cater to healthcare. It would also help individuals save for retirement since five percent of the funds can be used annually for everyday expenses after retirement (Rogers, 2019). Therefore, the universal savings account is efficient since it provides healthcare for all and addresses arising problems while considering individual choices hence it would be more efficient. Proposed Solution & Its Impact on the Federal Budget When it comes to solution in help those that need affordable healthcare can go through many changes According to the Public Budgeting and Finance (F.S. Redburn 2015) The develop of the federal budget process can have a better fiscal outcomes for the nation with all the information and analysis that are done to make sure that the decisions is properly designed with the strengthening of the institutions that support the choices of the budget. The changes that are made in each process can contribute to the fiscal outcomes of any obstacles such as reforms through the budget resources. In today’s budget strategies the government promises to increase the nation’s ability to survive with in the social and fiscal shocks. According to the Journal of Public Policy & Marketing (M.P Fitzgerald and C. Yencha 2019) The politicians have been making think tanks and advocacy groups that have been proposed to reduce prices and improve the U.S. healthcare market. The combination of formal neoclassical economic theory and lay theory focuses on increasing competition, reducing regulations, and normative beliefs about price→quality and price→cost relationships in health care. In this article the authors identify these formal and informal theories and test five tenets of health care reform. They were able to determine that consumer–hospital interactions across the U.S., when put together with other can increased competition among hospitals is associated with lower hospital procedure prices; however, increased competition among insurers is associated with higher prices. According to Fitzgerald and Yenche states that policy makers in the current environment should not rely reducing regulations will reduce hospital prices, nor health care quality and price are positively correlated. Through making these changes there have legal cases that have went to the Supreme Court ( F.S Redburn 2015) Their agreement to hear the cases such as the Patient Protection and Affordable Care Act (ACA) of 2010 which was from several federal district court rulings. Within this case it deal with various constitutional interpretations, such as the Commerce Clause, real-world repercussions affect clinicians, health care systems, and pharmacies. They were able to provide certain services in which health care organizations or clinicians and their levels of reimbursement through products and services that they provide. Conclusion United States Healthcare & the Federal Budget Healthcare is a topic makes national news frequently. There have been varied opinions on the topic which are hotly debated amongst people from all walks of life for a long time. However, the topic has become even more widely debated since the enactment of the Affordable Care Act in 2009. Although opinions on this act vary wildly, there seems to be one sub-topic that is discussed regardless of ones’ point of view on the subject: the effect of the ACA on the national budget. One specific group of people chiming in on the topic, both as it relates to how the ACA enables patients to receive care and doctors to provide care and the costs of doing so, are doctors themselves. Understanding this issue can be complicated, as the players involved all have legitimate, logical reasons for having the point of view they do. As this committee is tasked with offering a possible solution for the issue that satisfies both patient and professional needs and budgetary requirements to aid in ensuring continued healthcare availability at affordable prices, below we therefore review the different factors involved in the issue, the different viewpoints regarding it, possible solutions, and the impact any possible solution would have on the federal budget. A Commentary on Public Health Care: The Perfect Storm A Commentary on Public Health Care: The Perfect Storm, by Malcom Ing, MD, discusses the opposition by many to the United States’ current healthcare system, often referred to as ‘Obamacare’, which is overseen by the government. The purpose of Dr. Ing’s article is to inform the public of the opinion that the current healthcare system of the United States is setting the nation up for what he refers to as a “perfect storm” for the nation at a later time in many ways. In A Commentary on Public Health Care: The Perfect Storm, Dr. Ing details several issues with this healthcare system that he and many others see as problems rather than benefits. These issues include the Independent Payment Advisory Board, rising costs of medication and medical-oriented technology, and the role bureaucracy plays in the healthcare system, as they are seen by this group as detrimental to both the ability of physicians to provide patients with proper healthcare and the cost of doing so. However, it is important to note that while Dr. Ing’s point of view is one that is shared by many, it is not the only point of view regarding the nation’s healthcare system. Many deem these same issues to be important factors in ensuring that citizens receive the healthcare they need at a cost that is efficient and sustainable, and therefore consider factors such as the roles of bureaucracy and the Independent Payment Advisory Board as benefits to the healthcare system, in direct opposition to the viewpoint of Ing and his fellow colleagues (Ing, 2013). The United States spends more on healthcare than any other country in the world, and large share of the spending is from the federal government. Spending on the major federal health programs like Medicare, Medicaid, the Children’s health insurance program (chip), and the Health Insurance exchange which was created under the Affordable Care Act has increased 230 percent since 2000, while economy wide prices has risen 40 percent, and the economy has only grown by 90 percent. This growth is due to healthcare cost and expansions in the form of the Medicare prescription drug program and the Affordable Care Act (crfb.org 2019). The rising cost of healthcare over the long term is clearly unsustainable without a course of correction, federal debt has grown significantly over the past several decades and it is expected to grow in the future. Systems must pay attention to the rising cost of labor, labor shortages, acquiring physician practices, decreasing reimbursements (B. Brown, J. Hansman 2019). With highdeductible plans, consumers bear more of the healthcare cost burdens. Healthcare providers may not have little control over revenues, but they can control the expenses that is used to operate hospitals and clinics. These cost compromise all the cost of taking care of patients, labor, supplies, utilities, equipment, buildings, property, and capital. Healthcare systems need to identify the root causes of high costs to improve their financial health (B. Brown, J. Hansman 2019). Committee View on How Healthcare is Relevant to Federal Budgeting & Fiscal Planning When it comes to possible solutions to help those that need affordable healthcare, the process can be greatly affected by many changes. According to the Public Budgeting and Finance (F.S. Redburn 2015), the development of the federal budget process can have a better fiscal outcome for the nation with all the information available and analysis that are done to make sure that the decisions is properly designed with the strengthening of the institutions that support the choices of the budget. The changes that are made in each process can contribute to the fiscal outcomes of any obstacles such as reforms through the budget resources. In today’s budget strategies, the government promises to increase the nation’s ability to survive within the social and fiscal shocks. According to the Journal of Public Policy & Marketing (M.P Fitzgerald & C. Yencha 2019), politicians have been making think tanks and advocacy groups that have been proposed to reduce prices and improve the U.S. healthcare market. The combination of formal neoclassical economic theory and lay theory focuses on increasing competition, reducing regulations, and normative beliefs about price-quality and price-cost relationships in health care. In this article the authors identify these formal and informal theories and test five tenets of health care reform. They were able to determine that consumer–hospital interactions across the U.S., when put together with others, can increase competition among hospitals and is associated with lower hospital procedure prices; however, increased competition among insurers is associated with higher prices. Fitzgerald and Yenche (2019) state that policy makers in the current environment should not rely reducing regulations will reduce hospital prices, nor healthcare quality and price are positively correlated. Through making these changes there have legal cases that have went to the Supreme Court (F.S Redburn 2015). Their agreement to hear the cases such as the Patient Protection and Affordable Care Act (ACA) of 2010, which resulted from several federal district court rulings. This case dealt with various constitutional interpretations, such as the Commerce Clause, real-world repercussions that affect clinicians, health care systems, and pharmacies. They were able to provide certain services in which health care organizations or clinicians and their levels of reimbursement through products and services that they provide. Solution Proposal The United States healthcare fiscal expenditure has been increasing every year and is estimated to increase hence making the current healthcare program questionable since it does not offer the best care for individuals and it takes a large share of the federal budget. A solution to better healthcare program is necessary to save the American people who pay high premiums and, in most cases, fail to utilize them due to poor programs. Therefore, a universal health care system should be created that would provide healthcare to all and include individual choice and free market techniques to cut spending to its lowest level. The proposed program would include health savings account for each person but funded by the government with a goal of saving 10000 dollars in each individual account per annum although 5000 dollars would be enough. The funds, which belong to the individual but can only be spent on healthcare, would cater for health insurance. The funds could also be invested and are tax-free so long as they remain in the account. Transfer from person-to-person to help others in a time of need, or to give to loved ones upon death could be made possible. If an individual does not use the money for long if they remain healthy, they could then also use five percent of the savings per year for retirement. The program would provide enough money for everyone to cater to healthcare. It would also help individuals save for retirement since five percent of the funds can be used annually for everyday expenses after retirement (Rogers, 2019). Therefore, the universal savings account is efficient since it provides healthcare for all and addresses arising problems while considering individual choices hence it would be more efficient. Proposed Solution & Its Impact on the Federal Budget When it comes to solution in help tho …