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Medicare and Medicaid - Case Study Example

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Medicare and Medicaid

The white group has also the smallest percentage of uninsured (13%), while the Hispanic has 34%, which is largest amongst the racial entities in the United States. It is also determined that 46.1% of the uninsured are female, while 53.9% are male. From these statistics we can conclude that the uninsured in the US represent a group that doesn't know racial or gender boundaries, although we can see lower statistical values from one group to the next.
The current employer-based insurance system has several strengths and weaknesses. One of the main advantages of the system is the fact that it represents the most effective mechanism for providing health insurance in a private health insurance market. In addition, the employees in a specific company are able to cross-subsidize the health insurance of one another employees on the basis of the existence of unions or group policies, broadening the coverage for both the frequently ill and health employees. The highly localized regulation of obtaining health care is also considered to be an advantage compared to the government-controlled health insurance systems, as many new systems such as the diagnosis-related group (DRG) system for paying hospitals and the resource-based relative value scale (RBRVS) were innovated by the employer-based insurance. Also, it is considered that the immediate connection between a group of individuals within an organization and the provider of health insurance corresponds to the desired state of health insurance by the employees. However, there are certain weaknesses, most prominent of which is the fact that the health insurance of several hundreds or even thousands of families is based upon a specific working position, and maintaining the same. This would lead to a undesirable working environment, as the employee might remain within a company not because of his or her wishes, but rather the affordable health care. The lack of choice concerning the benefits of the health insurance plan, the lack of privacy concerning the access to the employee's medical records by their employers and the lack of transparency on the side of the employers concerning the payment of premiums are also cited as some of the problems. In addition, the high administrative costs concerning the health insurance industry shows the apparent lack of efficiency of the employer-based insurance system.

3. Does Medicare's original vision still work'

Created in 1965, the purpose of Medicare was to ensure financial stability of elderly Americans during their frequent medical necessities. This program was later expanded to include Americans with disabilities, and despite being added at a later period of time, today this category expends most of the finances allocated for Medicare. Over the years, Medicare has been restructured and expanded, encompassing the provisions of medical care necessary to satisfy the needs of its beneficiaries and research has shown that Medicare beneficiaries are amongst the most satisfied customers within the US health care system. The new Medicare part E would provide a less complicated way of obtaining low cost benefits and would also allow the government to negotiate the ...Show more


The 1999 Census Bureau report states that there are 42 million people in the United States that are without health insurance coverage, or 15% of the total population of the United States (247 million). This also represents about 17% of the population under 65 years of age…
Author : marcdibbert
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