Global Perspective on Health Policy Essay

The debatable write of fountainheadness mission coverage for tout ensemble individuals is an honorable and moral lie with that Americans struggle with and as socially proactive as they are on thither are many issues arising of it. wellness do is non whole about health and coverage but the major issue is about funding, what can be funded and what cannot be funded and how is going to be funded. universal proposition health cathexis in opposite countries offers insight into some of the biggest issues and best alternatives for providing health sell to all and to resolve the health get by rising speak to. The ethical issue of health care has led to the Accountable Care guess or Obama Care constitution evolution and legislating. 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 Care consummation legislation, its reasonable to understand why universa l health care has elicit such a heated policy-making 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 policy of the modern state, and since Obamas health care repair can be seen as an expansion of the aim of government, it can be analyzed in a international context (Ha, 2012). The issue of health care reform brings important ethical issues of justice to the forefront, as individuals, communities, and the legislature struggle with how to result quality health care for the many without sacrificing the basic rights of even the a couple of(prenominal) (Sorrel, 2012). constitutions creationThe divide on health care coverage, cost and sustainability for all Americans and the increased cost of health care in United States led to legislations being brought to seek out a ancestor to the issue. The American Recov ery and Reinvestment Act was the first of these righteousnesss, this act signed into law in 2009 by President Obama. The Preservation of Access to Care for Medicare Beneficiaries and award 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 amends coverage, control costs, and target prevention (Gable, 2011). One of the primary targets is adults aged 19-64, since their entre to health care and use of health services deteriorated between 2000 and 2010, particularly 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 indemnity premiums, and providing incentives for businesses to pr ovide health care benefits. Insurance companies leave no drawn-out be able to drop clients when they become ill. The act has the potential to correct health outcomes across all income and age groups at a lessen cost (Sorrel, 2012).Steps in the state and federal policy evolution process. The steps of the development process focus in the four pillars of health reform improving the quality of care, making health damages policy affordable, supporting personal responsibility, and developing a sustainable approach to health care financing. This 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 form _or_ system of government Center, 2013).Many ACA provisions went into effect nowadays or soon after the health reform law was enacted in 2010 others are being phased in over time. Several major reforms, including the Medicaid expansi on, insurance exchanges, and minimum coverage provision (individual mandate) will go into effect in 2014, and still others will go into effect later. APHA recommends some(prenominal) great resources for tracking state progress on creating health insurance exchanges, funding states have received through various ACA provisions, and states intentions regarding the Medicaid expansion, and other topics (APHA, 2010).Policy development vs performance.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 piece the policy provide the opportunity for the input of the policy makers to suggest changes which provides various viewpoints. To present the policy to the committees for approval or changes as needed. Policy slaying is ready to start with a timetable of how the implementing of the policy and briefing the States. Implementation of the cheap Care Act is an eno rmous administrative challenge, and many details of its performance are still developed by the Department of Health and adult male Services (Wann, 2013). Policy development starts from the moment the public, the legislature think there is an issue and a solution is needed. The ACA development started many years ago back in the 90s when the Clinton administration itemally Hillary Clinton supported the creation of a Universal Health Care system, that laid the foundation on which ACA started to garner the issues and started to research possible solutions.The issues was brought by the public to the air pressure, to the meetings and hearings during the elections campaign and started to gather fortissimo and support on President Obama challenge not only the American people, but the entire coitus to bring out to the negotiations idea on how to increase access to care while reducing cost. The ACA legislation development follows several tenets as the building block in which the legis lation was written and develop on, Quality affordable health care for all Americans, the business office of public curriculums, Improving the quality and efficiency of health care, prevention of degenerative disease and improving public health, Health care workforce, Transparency and program integrity, Improving access to innovative medical therapies, Community living financial aid services and supports and Revenue provisions (Democrat Senate, 2004).The implementation process of the legislation follows the aforementioned(prenominal) tenet but there is not patternning and changing is the plan drafted and written how each steps will be attained and when and in conclusion the evaluation of the development and the implementation and sitting back in the draftsmanship 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 move using the sa me foundation to build. To summarize the differences between 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 appointmentThe stakeholders became involved 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 range 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 to a greater extent outcome s without raising costs or lowering costs without compromising outcomes, or both. Failure 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 interest to the public to be added to the political platform. The press heartens an important role on serving as the echo or the microphone 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 subject fields that were part of the problem as well as area that needed to stay the same and it also serve as some other voice of the public on such a controversial issue.Congress as a stake holder not only play a vital role on policy development and draught but was the starting point of bringing the issue to the front and pose it in the agenda to be discussed and heard and last the President and its decision maker branch as the approval seal to the developed policy. In compact the Affordable Care Act has pique the interest not only as a national issue but a global one. Like 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 wonderful 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 horrible 4th, 2014 from http//bipartisanpolicy.org/projects/health-care-cost-containment-initiative Patel, K. Parker, R. Villaruel, A.Wong,W (2013). Amplifying the Voice of the Underserved in the Implementation of the Affordable Care Act. Retrieved on August 4th, 2014 from http//www.iom.edu/Global/Perspectives/2013/AmplifyingTheVoice H a, 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 Business 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