Question

After reviewing the Universal Health Care Act

Write the

1) The history and social context of the Act. 2) Viewpoints for and against the enactment of this act including supporting evidence for both sides. 3) Major frameworks in public health ethics that could be applied to this issue. 4) Recommendations the committee would suggest to strengthen the policy.

Answer 1

#The United States National Health Care Act is otherwise called as Expanded and Improved Medicare for All Act.

The act would establish a universal single-payer health care system in the United States.

In the single-payer system, most medical care would be paid by the federal government.

The bill was first introduced in 2003, during that time it had 25 cosponsors and has been reintroduced in each Congress.

In 2009 health care debates over the bill that became the Patient Protection and Affordable Care Act.

The bill had 49 cosponsors in 2015.

As in October 2017, it had 120 cosponsors

#*The Patient Protection and Affordable Care Act requirement that states expand Medicaid coverage to all individuals with income up to 138% of the poverty line has caused against among the proponents of federalism.

To these individuals, the federal government's insistence that states cover more individuals under Medicaid simply shifts the financial burden to the states and further limits state flexibility.

The Patient Protection and Affordable Care Act is ambitious government legislation that may or may not solve the health care challenges in the United States.

Notwithstanding the merits of the Act, critics of the Act are incorrect in arguing that the Act abrogates federalism and unduly encroaches on states rights.

Critics of the legislation would be better served by focusing on the real flaws in the bill.

These opponents would ensure a more robust debate on the merits of the legislative goals.

#*Public health is concerned with promoting and protecting the health of populations. Collective interventions in the service of population health often involve or require government action.

An alternative view of public health ethics characterizes the moral foundation of public health as social justice.

Public health ethics has deep moral connections to broader questions of social justice, poverty, and systematic disadvantage.

In public health, the object of concern is populations, not individuals.

Increasingly national health systems are understood to include both preventive functions and the delivery of personal medical services. Often these functions and services are integrated under a common political or administrative structure.

Achieving good public health results frequently requires government action. Public health is focused on regulation and public policy.

Promoting public health means seeking to avoid bad health outcomes and advance good ones.

The scarcity and priority setting always loom large in the context of public health, giving rise to a number of equity, justice and fairness concerns.

#*Sustainable financing

*Basic set of health services

*Focusing on primary health care

*Quality health services

*Effective referral systems

*Health information systems