The student must then post 2 replies of at least 300 words by 11:59 p.m. (ET) on Monday of the assigned Module/Week. For each thread, students must support their assertions with at least 1 scholarly citations in APA format. Each reply must incorporate at least 1 scholarly citation(s) in APA format. Any sources cited must have been published within the last five years. Acceptable sources include various scholarly/peer to peer sources, the textbook, the Bible, etc.

Reply 1:

"Hello Everyone, 


There is so much work that must be done to improve our healthcare system in the United States. From access to care issues, high costs, low insurance coverage, and more, there are many alternative fixes to these problems. Some alternative hypotheses regarding what national health insurance should achieve include universal healthcare coverage and lowering the costs of insurance and medical services in the industry. “Some politicians …claim that by eliminating waste in the healthcare system, universal coverage can be achieved, and everyone can have all the medical care they need at a lower cost” (Feldstein, 2018). 


Prescription drugs, medical research, and medical services are so expensive, and it turns people away from seeking care. People look to alternative care because they can’t afford a physician or monthly insurance costs. People may not even take the necessary medication because the prices keep increasing. With such high costs and low access:


 Substantial health disparities exist in the United States, with low socioeconomic status segments of the population subject to decreased access to quality healthcare and increased risk of non-communicable chronic conditions such as obesity and type II diabetes, among other determinants of poor health (Zieff et al., 2020). 


The access to care to a great majority of our nation is almost cut in half. With a universal healthcare system, we would increase access to care, which would limit the increasing health disparities and poor health conditions around the nation. The lower class, who needs health insurance the most, cannot afford the increasing costs of premiums. The universal healthcare system would dramatically lower the costs of regular visits, medications, exams, testing, and insurance payments. Everyone deserves equal access to care, whether you are wealthy or not. A new system that would supply everyone with their medical help at a low cost would be greatly beneficial both financially for individuals and economically for the nation because there wouldn’t always be an imminent need for health services if more people are healthy.  It should not always be about money, but the people. A universal and cheaper system would also improve workforce motivation, reduce burnout, increase patient satisfaction, and aid in addressing financial instability. 


New health care climate requires changes to existing delivery systems in order to meet the needs of the community in ways that focus on the triple aim of improving the experience of care, the health of the population, and the cost of health care (Wrathall & Belnap, 2017). 


Moreover, many senior citizens were opposed to the affordable care act because of the new change to a system they’ve had for a lifetime. There were new costs, new benefits, and new requirements to their healthcare that they were not used to or didn’t understand. There was also a lack of trust in the government and its healthcare plan. The opposition to mandated healthcare and government control was very known. It also meant that the spending of Medicare was going to increase over time and that less financially attractive elderly would be put in another categorial system of health insurance.



Matthew 10: 8-11, “Heal the sick, raise the dead, cleanse lepers, cast out demons. You received without paying; give without pay. Acquire no gold nor silver nor copper for your belts, no bag for your journey, nor two tunics nor sandals nor a staff, for the laborer deserves his food. And whatever town or village you enter, find out who is worthy in it and stay there until you depart” (ESV). God wants us to help our nation in all ways possible and provide everyone with reasonable care without problems or sacrifices. "

Reply 2:

When the Affordable Care Act (ACA) was passed in 2010 there was some people who thought that this was going to be the solution to providing universal health coverage in the United States.  It had the ambitious goal of providing health coverage for 32 million uninsured in the US.  More than 10 yrs later, it is clear that the ACA has not accomplished all that it set out to do.  It did not perform as expected, some portions have been repealed, and Medicare payments to hospitals are causing tremendous hardships for healthcare organizations.  So the debate continues.  How do we best provide healthcare coverage to the most people in a way that is equitable and sustainable?  Many solutions and theories have been proposed but in general all of the proposals can be broken down into the following three categories:  a single payer system similar to the Canadian system; employer mandated health insurance coverage combined with and individual mandate, and income related tax credit program (Feldstein, 2018).  The Canadian healthcare system is a single payer system and has been held up by some as model of what the US healthcare system should look like.  At first glance, the Canadian system seems to have a lot of promise.  What is right about the Canadian system?  Full access to hospital and medical services for everyone, without deductibles or copayments.  Physician and hospital choices are unrestricted.  This all sounds very promising, but that is not the whole picture.  “…contrary to the beliefs of single payer proponents, the Canadian system does not have better outcomes than those in the United States” (Feldstein, 2018).  With patients having zero out of pocket costs for visits or procedures, physicians are faced with a high demand.  This results in less time spent with each patient per visit in an attempt to see more patients.  Wait lists for tests that are diagnostic critical have risen continually.  This extends the wait time to confirm diagnosis of serious medical conditions, which increases stress on the patient and family as well as negatively impacts treatment outcomes.  The single payer system, while it may have a few advantages, promotes serious inequities for the poor as the wealthy can travel outside of the system to obtain care.  The option of an employer mandated health insurance coverage combined with and individual mandate is essentially the format of the Affordable Care Act.  Studies have shown that the employer mandate component of the ACA has been largely unsuccessful in increasing coverage of employees (Duggan et al., 2017).  Another disadvantage of the employer mandate is that the increased employer costs are ultimately shifted to the employee, with low age employees bearing the biggest burden.  The third category of proposal for healthcare reform is income related tax credits.  Various versions of this have been proposed over time. The refundable tax credit proposal is an equitable approach to achieving universal coverage while at the same time promoting efficiency in medical service use and delivery.  Another positive aspect of the refundable tax credit proposal is that it is based on the individual instead of the employer.  This gives the individual much more freedom too change jobs without concern about interruption in insurance coverage.


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