NR 443 Week 7 DQ 2 Affordable Healthcare. A Graded. Chamberlain College Of Nursing.Please explore the website www.healthcare.gov. Choose the “Get
... [Show More] Answers” tab towards the top of the
page. Please review several of the topics under this tab and share something that you learned about
how the Marketplace works and how this would apply to those in your community.
The Affordable Care Act is a controversial topic and I’m sure there are many different viewpoints
represented in our class. For this discussion, let’s focus on understanding the basics of the Marketplace
so that we can provide accurate information for our patients and communities.
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(an instructor response)
Collapse Mark as Unread Affordable Healthcare Instructor Hamilton Email this Author
2/18/2015 8:57:02 PM
Hello Class!
What a great topic we have this week especially with all the changes to the health care system lately.
Funding is allocated based on need and decisions must be made for the betterment of society. In your
opinion, should resources be allocated to help the majority (i.e., the greatest good for the greatest
number of people) or should they go to a few with the greatest need? Explain your thoughts and support
your opinion. There is no right or wrong answer, this is simply a discussion and one that as a public
health nurse I have heard often. See you in the threads.~Dr Hamilton
Class: You may begin posting in this TD on Sunday, April 12, 2015 for credit.
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Collapse Mark as Read RE: Affordable Healthcare Tasha Forehand Email this Author
4/12/2015 6:53:51 PM
Modified:4/12/2015 6:54 PM
Dr. Hamilton and Fellow Class,
This website was very informational and easy to navigate through. What I understand after reading
through it is that if you do not receive insurance through your employer, or if you receive health
coverage through some other system such as VA or Medicare, you are required to get insurance through
this Marketplace. If you do not comply with this than you will be penalized at tax time. In order to
receive the benefit from the Marketplace there are a few requirements which include, you must live in
the United States, you must be a U.S. citizen or national, and you cannot be incarcerated.
I have a very difficult time with the second part of this discussion regarding where the resources should
go. My initial response would be that the resources should go to help the majority because it seems
obvious that if you do it this way then you are able to help more people. However, when I start to think
about giving the resources to those few with the greatest need I am often emotionally taken to that
group because I begin to envison who that few might be, a mother who has been diagnosed with end
stage cancer who has three small children at home, a child who has been given a fatal diagnosis, these
situations are the ones that make me lean toward helping the few with the greatest need. I do have to
consider the argument, however, when choosing that topic, how could you possibly what the greatest
need is? If I have to give a clear cut answer then I would say that you give the resources to the majority
because in doing this you are able to help more people.
Tasha
Reference:
www.healthcare.gov
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(an instructor response)
Collapse Mark as Read RE: Affordable Healthcare Instructor Hamilton Email this Author
4/13/2015 8:46:48 AM
Tasha here is a link which discusses pros and cons of the affordable health care act. Let me know your
thoughts class.~Dr Hamilton
http://useconomy.about.com/od/healthcarereform/a/Obamacare-Pros-And-Cons.htm
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Collapse Mark as Read RE: Affordable Healthcare Tasha Forehand Email this Author
4/13/2015 4:03:57 PM
Dr. Hamilton and Fellow Class,
This website was very interesting and informative. I am personally not a huge supporter in Obamacare.
The one pro that I do really support with Obamacare is "insurance companies can no longer deny anyone
coverage for pre-existing conditions, drop them, or raise premiums once they do get sick." (ObamacarePros-And-Cons). This is definitely something that I think is huge, because I have never agreed with the
way it was done before when insurance companies did have the option to deny you or drop you or raise
your premiums in relation to an illness. This made it very difficult for patients who needed care. I have a
nephew who was born with a cleft lip and palate and without this new legislation it would be extremely
difficult to get his surgeries covered under insurance. This is about the only positive thing that I can see
coming out of Obamacare. I believe that it puts small business owners in a very rough position and will
cause many of them to just close their doors so that they don't have to deal with, thus hurting the
economy further. I also think that the issue with the drug companies and their prices is going to cause
patients to stop buying their medications because they won't be able to afford them and thus not
helping with the promotion of Healthy People 2020. This is just my personal opinion.
Tasha
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(an instructor response)
Collapse Mark as Read RE: Affordable Healthcare Instructor Hamilton Email this Author
4/14/2015 10:25:55 AM
Tasha,
Thanks for the post and follow-up. You would think the cleft lip/palate would be a covered expense as
this could potentially lead to a health issue...I know some are on the fence if this is a cosmetic or medical
procedure....I know the fines for not having insurance are more steep now than last year...while filing my
taxes I was asked if I had health insurance and needed to sign a paper acknowledging I do.~Dr Hamilton
Respond
Collapse Mark as Read RE: Affordable Healthcare Christina Segura Email this Author
4/16/2015 10:37:55 AM
Dr. Hamilton and Class,
There are many covered verses non-covered discrepancies in U.S. healthcare. For example, I find it hard
to believe most insurances do not cover eye-sight correction (visual exam, glasses, contacts, or corrective
vision surgery) but they do cover erectile dysfunction medications. Vision is considered to be cosmetic.
Does that indicate where our society priorities are?
Additionally, there are newer guidelines that hospitals are starting to become aware of regarding
medications provided to Medicare patients in the hospital. Many self administered medications are not
separately reimbursed to hospitals by Medicare/Tricare when reported in the hospital setting. Many
hospitals do no allow a patient to bring in their own home meds due to safety reasons. Well, legally
hospitals can now separately bill the patient for those meds that were not covered during their
encounter or inpatient stay. My hospital system is exploring this. I can imagine this will cause an issue
with our patients. For example, it would cause an issue for me if I went to the ER with my Tricare
insurance and the visit was covered but I later received a bill from the hospital for $1 (or more) for the 1
tylenol tablet I was provided. Especially when they paid for a stamp, paper, envelope, and biller to send
me the bill. Even though I work in revenue cycle and auditing, I still hold true to my role as a patient
advocate. If the law/guidelines don't change, I may have to oblige and implement this new billing
process for legal reporting requirements and potential revenue. [Show Less]