14 Nov 2022

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Identification and Description of the Legislation and Proposed Bill in Health

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There are several key health care policies or the proposed bills that are still under review in Congress. When passed, the bill would have a high positive impact on the future health care operations within America and the entire world. The key health care issues are pending in Congress, waiting for approval that would improve and set new rules on how to handle the individual's healthcare (Cotterill & Gage, 2002). The pending bills include patient engagement and disclosure, Drug pricing, Health Insurance coverage, Pre-existing conditions, and Medicare for all. All the policies would change the future healthcare for everyone, and in this case, I am going to discuss the "Medicare for All" bill under the current review for passage into functional legislation by Congress.  

Medicare for All 

Medicare for All is Senator Bernie Sander's single-payer healthcare bill. It advocates covering all the essential treatment without premiums or deductibles. Medicare for all would expand the categories of benefits under the current Medicare system, including other areas such as vision coverage, dental health, and long-term care.   It will also eliminate the role of the employees in providing health insurance and paying for healthcare leading to the eradication of the Medicare program. Medicare for All would include the expansion and massive healthcare benefits for long-term care, such as Medicare (Goodnough, 2019). The Medicare for all bill enjoys several proposals in the House focusing on the extension of the Medicare to all Americans. Medicare for all issues is a major focal point of the Democrats with the bill presented by Representative DeLauro (D-CT). 

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  It advocates for the Amendment of the Social Security Act for the proper establishment of Medicare for the entire American health program to provide comprehensive health coverage for all Americans. The bill is not having bipartisan support for implementation into functional legislation. This makes it difficult to predict if it would pass through the Democrat and Republican-dominated House for passage to the President for signing into law. Under the Medical for All, there would be a single entity in healthcare threatening the multi-healthcare policies such as Medicare and Medicaid. In such a case, the Federal government catering to the current healthcare would massively eliminate the role of private health insurance organizations. 

Description of the Key Aspect of the Legislation or Bill and Health Care Addressed 

The bill for the "Medicare for All" has massive Democratic presidential candidates' support but faces fierce debate in Congress. Supporters of the bill argue that it is the best cover for the Americans holding down the cost. Critics of the bill argue that the cost of the policy will be astronomical wondering whether the government will efficiently manage such a gigantic involvement. Its proposal support various healthcare sectors with similar objectives to the existing healthcare programs such as Medicare and Medicaid. The key aspect of the proposed healthcare bill would include a single-payer government-operated health care program. It focuses on the provision of universal medical coverage for all Americans replacing the existing private and public plans (Evans and Fleming, 2019). The bill would diversely influence Medicare by merging the existing "Medicare policies" with the advanced "Medicare for All" prerequisites. The bill terminates the private and public health insurance companies from offering health insurance assistance with the government taking charge of all healthcare costs. The bill discussed herein Medicare for all bills that would have a diverse positive influence on healthcare. Medicare has various legislations within its healthcare coverage jurisdictions spreading into various sections A, B, C and D. All merging of all Medicare policies with the authorization of the government.  

Part A coverage focuses on the provisions for inpatients hospital coverage called the hospital insurance. It covers the cost of the patients admitted to a hospital, skilled nurse facility or hospice. Its coverage spread to home health services and most people at the age of 65 enroll automatically for Part A medical coverage. The enrolled people for this healthcare policy need to pay only a deductible annually, which they have to spend on before the initiation of the Medicare benefits. The coinsurance is part of healthcare costs after the patient's deductibles. Part B caters to the medical coverage for outpatient care, such as visiting a doctor's office for a consultation, test, and preventive care, including the cancer test and vaccines. It also extends its coverage to medical supplies such as the blood sugar test strips and the therapeutic shoes. There is an automatic enrollment of people within the Medicare cover (Sarlin and Kimelman, 2019). One is needed to pay a monthly fee, deducible, and a 20% Medicare-approved amount for varies types of care such as diabetes supplies, physical therapy, durable medical equipment, including wheel and commode chairs. Part C has the prescription of the benefits of the Medicare covers, providing a Medicare health plan that a patient gets from a private insurance company. This plan offers a patient with all the traditional benefits of Medicare. Part D helps with the prescription drug benefits making the beneficiary of the Medicare services to join a private health plan paying for prescription drugs. The insurance companies providing the Part D services decide on which drugs cost to cover within their limits. There is a monthly fee paid for Part D. 

The Health Care Issues in the Bill and Its Influence in Nursing Practice, Healthcare System and Patient Communities 

  The "Medical for all" is the proposal for a single-payer health care program whereby all the Americans have medical coverage with a very generous version of Medicare. In this version of Medicare, there is more concern in the health -insurance program for the elderly that would replace the existing private and public healthcare plans (Shea  et al , 2008). The healthcare bill would have different influences on the nursing practice, healthcare system, and the patient's communities. Since the bill would involve the government in all its finances and cover operations, it will limit the employment opportunities professionally affecting the employees of the private and public health insurance companies. The monotony of the government universal involvement in Medicare would interfere with the healthcare system since there applied domains would be similar in all the medical institutions (Friedman, 2013). The critics are skeptical of the ability of the government to administer the medical coverage over such a large scale arguing of longer waiting times for various services that would influence the patient's communities. Some patient communities require urgent Medicare services and delays would cost inconveniences and lack of faith in the proposed Medicare for all. It influences the Nursing practice through the initiation of a single-payer system disrupting the services of the existing Medicare and Medicaid  

Position on the Legislation or Bill 

  I support the passage of the Medicare for all bill into a functional law because it covers every necessary healthcare requirements. The eligibility of the bill covers everyone living in America with necessary medical services including primary and preventive care, mental health care, prescription drugs, vision, and dental care. It also caters for the community based long-term medical services and support. The full involvement of the government in the program would make the genuine and not profit-oriented program for fleecing money for unsuspecting citizens. The government would guarantee efficient and proper assistance without failure, unlike the private and public health insurance companies. The will be enough finances and resources to cover all the citizens equally without bias because the government will assume the quality of all the communities under the cover.  

References 

Friedman, G. (2013). Funding HR 676: The Expanded and Improved Medicare for All Act.  How We Can Afford a National Single-Payer Health Plan. Physicians for a National Health Program. Chicago, IL . 

Cotterill, P. G., & Gage, B. J. (2002). Overview: Medicare post-acute care since the Balanced Budget Act of 1997.  Health Care Financing Review 24 (2), 1. 

  Shea, A. M., Curtis, L. H., Hammill, B. G., DiMartino, L. D., Abernethy, A. P., & Schulman, K. A. (2008). Association between the Medicare Modernization Act of 2003 and patient wait times and travel distance for chemotherapy.  JAMA 300 (2), 189-196. 

Sarlin, B. and Kimelman, J. (2019). What is 'Medicare for all' and how would it work.  NBC news . [Online] Available at: https://www.nbcnews.com/politics/elections/what-medicare-all-how-would-it-work-n1014256 [Accessed 16 Nov. 2019]. 

Goodnough, A. (2019). Medicare for All? For More? Here’s How Medicare Works.  New York Times . [Online] Available at: https://www.nytimes.com/2019/07/31/health/medicare-insurance.html [Accessed 16 Nov. 2019]. 

  Evans, M. and Fleming, K. (2019). 5 Key Healthcare Issues Pending In Congress: 'New Rules' That Could Change How You Get Healthcare.  Forbes . [Online] Available at: https://www.forbes.com/sites/allbusiness/2019/07/07/5-key-healthcare-issues-pending-in-congress-new-rules-that-could-change-how-you-get-healthcare/#2045d6241ed9 [Accessed 16 Nov. 2019]. 

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StudyBounty. (2023, September 16). Identification and Description of the Legislation and Proposed Bill in Health .
https://studybounty.com/identification-and-description-of-the-legislation-and-proposed-bill-in-health-essay

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