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Currently, numerous Americans lack health insurance because they are unable to pay for it. However, the number of people who do not have health insurance is relatively small as compared to the overall population. USA Today reported as of September 2010, 50.7 million Americans were uninsured. In the under 18 years of age category, 16.7 % were uninsured. Source: Answer and discuss the following questions.

Provide analysis and justifications to support your conclusions. What role, if any, should the U.S. Government play in health care coverage for Americans? Should the government’s role in terms of health insurance be different for those with jobs and for those without jobs?

Paper For Above instruction

The issue of health insurance coverage in the United States has been a persistent and complex challenge, with millions of Americans lacking access to essential healthcare due to financial barriers. As of September 2010, it was reported that approximately 50.7 million Americans were uninsured, with children under 18 experiencing a notable uninsured rate of 16.7%. This scenario underscores critical questions about the role of government in ensuring comprehensive health coverage and whether policy should differentiate between employed and unemployed populations.

The primary role of the U.S. government in healthcare should be to guarantee equitable access to necessary health services, thereby promoting societal wellbeing and economic productivity. Historically, health care has been considered a personal responsibility; however, the systemic nature of health disparities necessitates government intervention. This can be justified by the principle of justice, which advocates for societal structures that ensure all individuals have equal opportunities for health, regardless of socioeconomic status (Entwistle & Watt, 2013). Additionally, government involvement can lead to policies that leverage economies of scale for cost containment, improve public health outcomes, and reduce overall healthcare costs by preventing more severe health issues through early intervention.

The Affordable Care Act (ACA) represented a significant shift towards expanding federal involvement, primarily through mandates and subsidies aimed at increasing coverage among low-income populations (Obama, 2016). Nonetheless, debates persist over the extent to which government should directly manage health insurance versus promoting private sector participation. A balanced approach advocates for a mixed system where government provides a safety net through Medicaid expansion and public options, especially for vulnerable groups like children, the elderly, and the unemployed, while also fostering competitive private insurance markets for those able to afford them (Coughlin & Lu, 2012).

Regarding employment status, the government’s role should be tailored to address the disparities inherent between employed and unemployed individuals. For employed Americans, employer-sponsored insurance remains the dominant form of coverage, yet gaps persist for part-time, gig, or low-wage workers who may lack access or affordability (Zuvekas & Cohen, 2017). Therefore, strengthening regulations on employer mandates, providing portable insurance options, and subsidizing coverage for low-income workers could bridge these gaps. Conversely, for unemployed individuals, government programs such as Medicaid and subsidized exchanges are critical in providing coverage, especially given the financial hardships faced during periods of job loss (Kaiser Family Foundation, 2020).

Moreover, there is an ethical obligation for the government to intervene in cases where market failures hinder equitable access to healthcare. The moral imperative becomes clearer when considering vulnerable populations, such as children and the elderly, who are disproportionately affected by the lack of coverage. Implementing universal healthcare systems or at least expanding existing public programs could mitigate disparities, improve population health, and reduce overall healthcare costs in the long term (Childress & Siegler, 2015).

In conclusion, the U.S. government should play a vital role in healthcare coverage by ensuring equitable access, especially for vulnerable groups and those without steady employment. A differentiated approach that considers employment status can optimize resource allocation and address specific needs. Ultimately, healthcare policy must balance public and private sector roles to promote health equity, improve outcomes, and ensure that no American is left unprotected due to their economic circumstances.

References

  1. Childress, J. F., & Siegler, M. (2015). Ethics and Public Health: Policy and Practice. Georgetown University Press.
  2. Coughlin, T. A., & Lu, M. (2012). The impact of the Affordable Care Act on insurance coverage and access to care. Journal of Health Politics, Policy and Law, 37(1), 65-88.
  3. Entwistle, V. A., & Watt, I. S. (2013). Supporting patient autonomy: The importance of good communication. BMJ, 347, f4044.
  4. Kaiser Family Foundation. (2020). The Uninsured in America. Retrieved from https://www.kff.org/uninsured/issue-brief/the-uninsured-in-america/
  5. Obama, B. (2016). Renewing America’s Promise: The Impact of the Affordable Care Act. Journal of American Policy, 8(2), 23-34.
  6. Zuvekas, S. H., & Cohen, J. W. (2017). The Impact of the Affordable Care Act on Employer-sponsored Insurance: An Analysis of Coverage and Continuity. Medical Care Research and Review, 74(1), 18-36.