6 Jul 2022

118

Determinants of Healthcare Reforms

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Academic level: College

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Healthcare has universally become one of the most important basic human needs, governments all over the world have been on the run to simplify and diversify the phenomenon for it to directly impact the lives of the populace that they govern. For healthcare to be termed beneficial, its impact must be felt by a large percentage of an entire population inclusive of the lowest earning group. Countries all over Europe and the Soviet Union; which are commonly termed as developing countries have different policies that govern healthcare, but the definition still includes words like equity, fairness and service delivery to the people (Barbaresco, Courtemanche & Qi, 2015) . The dynamics and jurisdiction may be entirely different, but they must conform to the needs of the people. Healthcare shortcomings of developing and undeveloped countries have been shouldered by universal health bodies that are governed by multi-national bodies like the United Nations and the European Union. This shows the importance of the matter. In the bid to strengthen their healthcare programs, different countries and respective states or internal jurisdictions have been reforming their policies to suit their needs. But the implementation has always been a hurdle because politics, economics and social values of the populace always have a bearing on the decisions to be made. 

Politics has an influence in almost all ministries and programs that a government runs because it is tasked with creation and implementation of laws by the powers vested in the respective leaders elected by the people. Healthcare has always been a vital point in manifestos that decides if people will vote for a certain leader or party. Depending on the implementation score, health care always decides if an outgoing leader has left behind a great legacy or one that can simply be overlooked. As explained in the previous paragraph, a healthcare system is termed good if it positively and directly impacts the lives of a large portion of the population. Though this is the standard measure, politics always defines the cogs that run the system, and this is the main reason why there exist different healthcare policies all over the globe or in internal jurisdictions of a single nation (Obama, 2016) . There has always been conflicting and lack of uniformity in the healthcare reforms depending on the manifestos and the management style that elected governments to have. This has been the major cause of dissatisfaction and dissent among the public on the matter. Concerning the Obama and the successive Trump administration, a clear picture can be drawn. Obama had shaped his legacy to lean on the Affordable Care Act that previous governments had failed to spearhead. Despite the many accolades and praises it won, the Trump administration thought it wise to scrap out the almost three-quarters of the benefits that the act put on workers because it conflicted with its manifesto. 

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Economics is the steering that directs almost all activities of the country, and it must always be considered before any reforms are tabled and passed. It is the phenomenon tasked with funding passed policies and also acts as a measure to prove the worth of any program leave alone healthcare programs. Before any program is tabled, the policymakers must ensure that there are enough funds to start the program and the flow of money must be circular so that the entire program can be sustainable (Sommers, Gunja, Finegold & Musco, 2015) . For health care policymakers, they must ensure that is enough personnel, equipment, technology, and medicine to keep the program the running for certain duration of time. This will require formulation of good insurance premium policies that will attract a large percent of an entire population and also woe insurance companies and private hospitals to come on board. If one of the stakeholders like the donor or private companies ever feels that they don’t benefit from the program in any way, they are likely to withdraw from the program, and this may cause the whole system to crumble. The taxes that the stakeholders and the populations are to be subjected to must be fair and not impede fair competition or growth of the players. Many economic loopholes that surface later on after the commencement of program are usually sealed with reforms. The disadvantage of numerous reforms in a single program is that always affects the credibility negatively and to reduce the risk of this effect governments must always consider their economic capabilities before the programs are initiated. 

Unlike any other program, healthcare programs always affect the lives of the people directly. Concerning the affordable care act that was perfected by the Obama administration, this program was termed to be stellar because the people easily accepted it due its simplicity and affordability. This is the main reason that the Obama administration broke the record of signing up the highest number of people on the affordable care program. For other governments to follow the steps of this record, they must be able to know the beliefs and values that its people have on health matters. This will help shape the policies regarding the number of charges that will be levied and the type of people that can be incorporated into the program (Jacobs & Skocpol, 2015) . People from different demographics depending on their race, religion, economic status, and culture have different values and beliefs on health matters, and they must all be considered if the program is to succeed. The willingness of people to accept the terms and conditions of reform must be tested before they are implemented. It is clear that an entire population cannot totally agree to a certain reform in its entirety, but if the policymakers are sure that more than half can consent to the set of rules in the reforms, then they can pass them. 

References 

Jacobs, L., & Skocpol, T. (2015). Health care reform and American politics: What everyone needs to know . Oxford University Press. 

Barbaresco, S., Courtemanche, C. J., & Qi, Y. (2015). Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults. Journal of health economics , 40 , 54-68. 

Sommers, B. D., Gunja, M. Z., Finegold, K., & Musco, T. (2015). Changes in self-reported insurance coverage, access to care, and health under the Affordable Care Act. Jama , 314 (4), 366-374. 

Obama, B. (2016). The United States health care reform: progress to date and next steps. Jama , 316 (5), 525-532. 

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