Healthcare in the United States has always been a hot button issue for Americans. There is much argument as to who should be responsible for the citizens’ well being: the government, or the individual. As time has progressed, two main systems have developed and gathered supporters. One group consists of universal coverage, and the other private coverage. Many industrialized nations today have completely switched over to the Universal system; the United States is the only industrialized, wealthy country to still have both systems utilized.
Universal healthcare (or a single-payer system) is a term that refers to the availability of medical service to each individual, made possible by a centralizing of power in the government. Each citizen, regardless of age, gender, contribution to economy, and occupation, is given free health care. By raising taxes, the government sets a flat salary for doctors, nurses etc…so that no matter where you go, all care providers will be paid uniformly. To be eligible for Medicaid in the US, you must fall under a certain annual income. If you are deemed eligible, you may receive healthcare absolutely free. Through universal, government programs, there has been a slight increase in the overall status of people insured in the recent times. This has been mainly due to the amount of children who are being covered by new programs according to a U.S. News and World Report article, “The number of people with health insurance increased from 249.8 million in 2006 to 253.4 million in 2007” (Reinberg). The main structure of universalized healthcare is that taxpayers’ money is taken and then redistributed by the government to provide its’ citizens with treatment. This system is set up in hopes that the poor will have the same care available to those who are not as unfortunate.
The other type of care is privatized healthcare. This is a system in which free, privately owned companies provide service to individuals for a certain cost. In this instance, the individual has the liberty to decide who treats them, to what extent they are treated and when they are attended to, provided they pay a premium to their insurer. Though this method is slightly more expensive, there is more freedom of choice for the individual. It also benefits a competitive market that helps keep the economy thriving.
There has been much argument over whether or not the United States should entirely switch to a universal system, as is the growing trend. Proponents of switching say that a centralized healthcare system would make it easier for doctors to work with a national database of resources. Also, some worry that privatization of healthcare has led to many uninsured people and is causing the status quo of health in the US to drastically drop. Opponents, on the other hand, claim that giving the government control over the population’s health is just another step towards socialism. Another belief is that, in the end, the taxpayers would end up suffering higher taxes, because the entire ideology of universalized care is using tax dollars to provide for the whole. Because it is beset with such drastic consequences, healthcare and its system in the US is a growing concern, as well as an up front issue in the coming election.
Barack Hussein Obama was born in Hawaii on August 4, 1961. He grew up in Hawaii, Indonesia and later New York, where he graduated from Columbia University. After a respite from corporate life to work as a community organizer in Chicago, Obama went on to earn his law degree from Harvard and successfully run for the United States Senate. On the issue of health care, Obama has historically voted in favor of a universal system. According to the Afl-Cio “Health Care For All report,” he voted against a 14 billion dollar, five-year funding cut for Medicaid , which would have resulted in more uninsured and uncompensated care, causing a shift of the financial burden to employer-sponsored health plans. ( “Obama Voted Against Cutting Medicaid Funding”) The Health Care For All study also reports Mr. Obama voted for a bill that reauthorized SCHIP (State Children’s Health Insurance Program) for five years and provided the program an additional 35.2 billion dollars. Furthermore, the report shows Obama additionally supported a budget resolution that would have authorized 50 billion dollars to expand the program. (“Obama Supported Reauthorizing SCHIP and Providing Insurance for Millions of Uninsured Children”) There are few instances in which Obama has voted against expanding universal health care to the needy One such circumstance was when a bill for the SCHIP was presented to extend coverage to unborn babies and their mothers. This would have reduced costs associated with premature births and low weight babies( Ertelt).
Despite claims that he has found a middle ground between universal and private health care plans, Obama’s strategy is very akin to universal healthcare. (Barack Obama “Health Care For All,” ““Plan For A Healthy America”.”) He aims to provide greater health insurance coverage levels using a system of managed competition to regulate private health care companies and their ability to deny coverage. As an alternative option to private providers, he wants to offer a government sponsored plan that will cover any American or permanent resident who wishes to be covered. There will be no mandates for individuals to purchase private health insurance; there will be subsidies for those who do not qualify for Medicaid but still need assistance. There will also be a National Health Insurance Exchange for private market insurance that will be ruled by a regulatory body.
Works Cited
” Barack Obama and Biden’s Plan”
< http://www.barackobama.com/issues/healthcare/>
Ertelt, Steven “Barack Obama Voted Against Extending Health Care to Pregnant Women, Unborn” 9/30/2008 Life News, 27, October 2008
< http://www.lifenews.com/nat4387.html>
“Health Care For All” 2008 Afl-Cio, 28 October 2008
< http://www.aflcio.org/issues/politics/obama_healthcare.cfm>
Reinberg, Steven “Number of Uninsured Americans Drops” 2008 U.S. News and World Report, 29 October 2008
Written by Alysa Nash
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