Global Perspective on Health Policy Essay

The controversial thing of health address coverage for all individuals is an good and moral numeral that Americans struggle with and as socially proactive as they ar on there atomic number 18 many another(prenominal) shortens arising of it. Health disturbance is not only about health and coverage and the major issue is about documentation, what can be funded and what cannot be funded and how is going to be funded. popular healthcare in early(a) countries offers insight into some of the biggest issues and best alternatives for providing healthcare to all and to resolve the health care rising apostrophize. The ethical issue of health care has led to the Accoun skirt bring off deport or Obama apprehension constitution study and legislation. More time, data and research has to be done before the definite results of this legislation can be proven.A controversial issueConsidering the opposing views about Accountable manage propel legislation, its reasonable to under stand why universal health care has elicit such a heated political controversy among political parties as well as throughout American people. Unlike other Western industrialized nations, the U.S. has not established a universal health care system. Since health care is a fundamental defining insurance policy of the modern state, and since Obamas health care mend can be seen as an expansion of the role of government, it can be analyzed in a global context (Ha, 2012). The issue of health care advance brings all important(predicate) ethical issues of justice to the forefront, as individuals, communities, and the legislature struggle with how to house quality health care for the many without sacrificing the basic rights of even the few (Sorrel, 2012).Policys creationThe divide on health care coverage, cost and sustainability for all Americans and the amplificationd cost of health care in United States led to legislations being brought to seek out a closure to the issue. The Ameri can Recovery andReinvestment Act was the first of these legalitys, this act signed into law in 2009 by chairperson Obama. The Preservation of Access to Care for Medicare Beneficiaries and premium Relief Act was also signed into law. Also enacted and accompanied by the Health Care and Education Reconciliation Act. Another legislation that became a law in 2010 is the Patient Protection and inexpensive Care Act (Patel, 2013).Provisions in the act are designed to expand restitution coverage, control be, and target prevention (Gable, 2011). One of the primary targets is adults aged 19-64, since their inlet to health care and use of health function deteriorated between 2000 and 2010, curiously among those who were uninsured (Kenney, McMorrow, Zuckerman, & Goin, 2012). The PPACA includes reforms such as prohibiting insurers from denying coverage for pre-existing conditions, expanding Medicaid eligibility, subsidizing insurance premiums, and providing incentives for businesses to go out health care benefits. Insurance companies will no longer be able to drop clients when they become ill. The act has the potential to break health outcomes across all income and age groups at a reduced cost (Sorrel, 2012).Steps in the state and federal policy augmentment process. The go of the development process focus in the four pillars of health reform improving the quality of care, making health insurance affordable, curbing private responsibility, and developing a sustainable approach to health care financing. This weapons platform will help focus the initiative to tackle the growing costs of health care while preserving the highest quality of care for all Americans and avoiding cost-shifting wherever possible (Bipartisan Policy Center, 2013).Many ACA provisions went into essence immediately or soon after the health reform law was enacted in 2010 others are being phased in over time. Several major reforms, including the Medicaid expansion, insurance exchanges, and nominal coverage provision (individual mandate) will go into effect in 2014, and still others will go into effect later. APHA recommends several(prenominal) great(p) resources for tracking state progress on creating health insurance exchanges, funding states impart received through various ACA provisions, and states intentions regarding the Medicaid expansion, and other topics (APHA, 2010).Policy development vs implementation.Policy development starts with knowing what the problem is and how the policy will improve the issue. So the importance of analyzing the data about the problem needing fixed. When writing the policy provide the opportunity for the comment of the policy makers to suggest changes which provides different viewpoints. To grant the policy to the committees for approval or changes as involve. Policy Implementation is put to start with a timetable of how the implementing of the policy and briefing the States. Implementation of the Affordable Care Act is an enor mous administrative challenge, and many details of its implementation are still developed by the Department of Health and Human serve (Wann, 2013). Policy development starts from the moment the commonplace, the legislature think there is an issue and a solution is needed. The ACA development started many years ago brook in the 90s when the Clinton administration specifically Hillary Clinton supported the creation of a linguistic universal Health Care system, that laid the foundation on which ACA started to gather the issues and started to research possible solutions.The issues was brought by the public to the press, to the meetings and hearings during the elections campaign and started to gather strength and support on President Obama challenge not only the American people, tho the immaculate Congress to bring out to the negotiations idea on how to increase access to care while reducing cost. The ACA legislation development follows several teachings as the building block in w hich the legislation was compose and develop on, Quality affordable health care for all Americans, the role of public programs, up(a) the quality and efficiency of health care, prevention of chronic ailment and improving public health, Health care workforce, Transparency and program integrity, amend access to innovative medical therapies, Community living assistance services and supports and Revenue provisions (Democrat Senate, 2004).The implementation process of the legislation follows the same tenet but there is not planning and changing is the plan drafted and written how each steps will be attained and when and lastly the rating of the development and the implementation and sitting back in the drafting table to fix any encountered issues. The development and implementation phases of the legislation cannot be seen as two different path but rather as a process of two collaboration between the two parts exploitation the same foundation to build.To summarize the differences be tween development and implementation would be that the developments of the policy consist of the idea to the final written policy. The implementation of the policy is the start of putting the policy in action.Stakeholders involvementThe stakeholders became tough with the affordable care act because even though this was controversial many believed that the needs were far greater than the issue and some changes were needed. Stakeholders for this legislation is the entire country of United States as the affected party, the health care providers, the legislators, the President of United States. In health care, the overarching goal for providers, as well as for every other stakeholder, must be improving prize for patients, where value is defined as the health outcomes achieved that matter to patients relative to the cost of achieving those outcomes. Improving value requires either improving one or more outcomes without nurture costs or lowering costs without compromising outcomes, or both. ill luck to improve value means, well, failure (Porter, Lee, 2013).Stakeholders are heard during the elections periods where the issues to be discussed should and have to be of following to the public to be added to the political platform. The press plays an important role on serving as the echo or the mike to put the issues that are important for the American people. The Health care providers were a major force on the legislation development as their input from a business standpoint played major role on discussing areas that were part of the problem as well as area that needed to stay the same and it also serve as another vowelise of the public on such a controversial issue.Congress as a stake holder not only play a vital role on policy development and drafting but was the starting point of bringing the issue to the front and placed it in the agenda to be discussed and heard and last the President and its executive stage as the approval seal to the developed policy. In s ummary the Affordable Care Act has pique the interest not only as a national issue but a global one. similar any policy development the issues have to discuss by the stakeholders representing health care and each and every one has a specific interest in the issue to be solve.ReferencesAmerican Public Health Association, (2014), ACA Implementation. Retrieved sniffy 4, 2014 from http//www.apha.org/advocacy/Health+Reform/implementation/ Bipartisan Policy Center, (2013). Managing Costs, Preserving Care Health Care Cost Containment Report Release. Retrieved on fearful 4th, 2014 from http//bipartisanpolicy.org/projects/health-care-cost-containment-initiative Patel, K. Parker, R. Villaruel, A.Wong,W (2013). Amplifying the enunciate of the Underserved in the Implementation of the Affordable Care Act. Retrieved on August 4th, 2014 from http//www.iom.edu/world(a)/Perspectives/2013/AmplifyingTheVoice Ha, J. (2012). Health Care Reform vs ObamaCare Partisan framing of FOX, MSNBC, NYT snd WSJ. Retrieved on August 4th, 2014 from http//gnovisjournal.org/2012/11/30/health-care-reform-vs-obamacare-partisan-framing-of-fox-msnbc-yt-and-wsj/ Porter, M. E. (2013), The Strategy that will fix health care. Harvard demarcation Review, Retrieved On August 4th, 2014 from http//hbr.org/2013/10/the-strategy-that-will-fix-health-care Sorell, M. J. (2012), Patient Protection and Affordable Care Act Ethical Perspectives. Retrieved on August 4th, 2014 from http//www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Columns/Ethics/Patient-Protection-and-Affordable-Care-Act-Ethical-Perspectives.html