Julian Castro is a U.S. political figure from San Antonio. He was born on 16th September 1974. Julian Castro is a Democratic Party member, and he was a member of Cabinet of President Obama, working as the sixteenth U.S. Secretary of Housing and Urban Development between the year 2014 and 2017. From 2009 to 2014, Julian worked as a mayor of San Antonio, Texas. He was stated as Hillary Clinton’s potential running mate in the year 2016 presidential campaign. At the beginning of the year 2019, Castro introduced his movement for the Democratic appointment for the U.S. President in the year 2020 in San Antonio (Hodge et al., 2019). He supports Medicare for All programs and specifies he will choose to sponsor it by increasing taxes on the wealthy and companies.
Medicare for All idea will be a single, nationwide health insurance plan which will cover everybody living in America. The bill was introduced in the year 2017 by Senator Bernie Sanders, and it will meet the expense of all medically necessary services such as routine physician appointments, mental health, surgery, vision and dental care, and prescription drugs. The particulars on longstanding care may differ from the House and Senate versions, but as a rule, nursing home plus associated care develop in the two proposals. Furthermore, the government will fix payment charges for medical equipment, drugs and services. The secretary of Health and Human Services (HHS) will fix a nationwide budget for every covered service every year, and expenditure will be constrained by that limit. There will be no costs for persons —no coinsurance or copays, and no deductibles. The exemptions will be for certain prescription medications — although that will be restricted to two hundred USD per year — and perhaps for longstanding care. The program will substitute every other insurance, with restricted exemptions, like cosmetic operation. Employer-offered insurance, Medicaid and eventually Medicare will vanish.
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Julian Castro’s stance is Medicare for all, however, permit private insurance. Castro wishes to ensure that the country reinforces Medicare for the persons who are on the program and offer Medicare to all who want it in the U.S., to ensure that everyone has the chance to receive Medicare. On Castro’s perspective, someone desires to have personal private health cover policy, they should have that. Castro does not believe that any person must go with no medical care or that the revenue reason must ever prevent someone from receiving the care they require. Castro indicates that he will choose to meet the expense of such a program by rising duties on businesses and the richest “1, 0.5 or 0.05 percent" of the U.S. citizens (Wilensky, 2019).
Castro stated that he similarly was troubled with the Medicare alterations under the Ryan proposal, which informs the baby boomers and future generation that they are totally on their own concerning medical care. Castro does not believe that is who people are as American citizens. According to him, Americans ought not to be on their own for medical care (Wilensky, 2019).
There are areas where I agree with Castro’s stance. For instance, because the government regulates the price of health services and medication by regulating and negotiating, the Medicare for All programs will be advantageous since it will lower medical care expenses for the economy as a whole. Also, doctors and hospitals will be compelled to deliver the identical standard of service at a reduced cost, rather than aiming at rich patients and providing costly services to get a greater return. Also, I agree with universal healthcare since it results in a healthier community. Research shows that preventive care lessens costly emergency room use. Prior to Obamacare, about forty-six percent of emergency room users were there since they lacked anywhere else to visit, and thus the emergency room turned into their primary care doctor (Wilensky, 2019). Such health care disparity is a key determinant in the increasing health care cost. Moreover, corporations will not be required to employ the workforce to take care of numerous dissimilar medical insurance firms’ guidelines. Rather, billing processes and insurance guidelines will be standardized.
However, there are areas where I disagree with Castro’s stance. For instance, am alarmed that the government might incapable of using its bargaining influence to push down costs as sharply and as rapidly as predicted in the proposal. I believe that Castro is too optimistic regarding this part of the proposal. Also, am troubled that protecting publics from expenses of health care would increase the utilization of health care. There is no other industrialized country that has nil out of pocket expenses (Woolhandler & Himmelstein, 2019). The public might not be as cautious with their fitness in case they lack a monetary inducement to do so. What’s more, the governments will require to restrict medical care expenditure to maintain low costs. Physicians may have less inducement to deliver quality care in case they are not compensated well. They might devote less time for each patient with the intention of keeping costs down. Also, they have fewer finances for novel life-saving equipment. Also, since the government will focus on delivering emergency and basic medical care, a majority of universal healthcare systems will report lengthy waiting durations for elective procedures. Lastly, the government might similarly restrict services that have a low possibility of success, and might not cover medications for uncommon illnesses .
References
Hodge, J. G., Barraza, L., Castagne, M., Fleming, H. K., & White, E. N. (2019). Major Health Law and Policy Positions Among 2020 Democratic Presidential Candidates. Available at SSRN 3403152 .
Wilensky, G. (2019). Democrats Ponder Options: Medicare for All, Medicare for More, or Strengthening the ACA. Jama , 321 (18), 1757-1758.
Wilensky, G. R. (2019). Threading the Needle Between Improving the Affordable Care Act and Medicare for All. The Journal of ambulatory care management , 42 (3), 225-227.
Woolhandler, S., & Himmelstein, D. U. (2019). Medicare for All and Its Rivals: New Offshoots of Old Health Policy Roots. Annals of internal medicine .
