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Heading: Health Policy
Is access to health care a right/entitlement?
In the United States, today, there is a debate on whether access to healthcare is an
entitlement or a right to all residents. This discussion takes place among different groups of the
society that include the conservative, progressive, practical and the authorities (government). To
the conservatives, they claim that access to healthcare by all citizens should be enhanced as it is
part of the natural rights that God has provided for all to enjoy. By contrast, the progressive
group asserts that healthcare is a right to all in US because it is one way of furthering the highest
social justice cause. According to the Boss group; the authorities, access to healthcare by all in
US is a right because the president or government has decreed to be so (Morone, Litman &
Robins, 2008, pp. 180-105).
On the other hand, the practical position argues that healthcare access by all Americans is
an entitlement since the authorities have decreed to be so. Nevertheless, from a neutral point of
view, Americans regard healthcare as contractual right. This is because all citizens have entered
into a contract, in which they are paying for implied considerations. This means all Americans
are in one way or the other contributing to the medical schemes, such as, Medicaid and Medicare
through tax payments (Morone, Litman & Robins, 2008, pp. 180-105).
Do all individuals currently have equal and open access to health care?
Explicitly, not all individuals in the US access open and equal health care. Despite the
medical schemes put in place by the government, there are still thousands of Americans that do
have access to open and equal medical care as others. This specifically involves numerous
citizens that are poor or unemployed. Studies demonstrate that over 46 million people are
uninsured, while more others are underinsured with high co-payments and deductibles.
Additionally, about 60 million other individuals, even those with insurance cover, cannot access
healthcare centers, and over 18, 000 Americans annually succumb to preventable complications
since they cannot access a doctor in time (Farmer & Currie, 2009, pp. 53).
What are your thoughts on universal health care?
Universal healthcare is a necessity in every country in the world so as to improve
people’s health statuses. Everybody in a country, like in the US, is covered for primary
healthcare services, and none is denied the coverage provided that they are legal residents of the
Do you think there should be a universal health plan?
There ought to be a universal healthcare plan in the United States, as a wealthy nation
that can provide coverage to all its legal residents. This is because universal healthcare allows all
legal residents to obtain open and equal healthcare services; hence boosting their health
What role do you think you might play in health care policy?
In the healthcare policy, my role is to identify the urgent issues to be addressed and
mobilize the government and other agencies to effective implementation of the policy. I will also
play a role in the payment of taxes and provision of education on the importance of good health
in the society. This way, I will contribute to the success of the healthcare policy enforcement in
What do you think are the most urgent health care policy issues that must be addressed
while society deals with issues challenging the health care delivery system?
Among all the proposed healthcare policy issues, there are urgent ones that the US
government ought to address first before the others. These include safety, cost, insurance, open
and equal access, quality care, and women health issues in the country. The government should
consider enhancing safety to all legal residents in the country through the provision of healthcare
services. Secondly, it is imperative that the government addresses the issue of cost of healthcare
services so as to ensure that everyone affords them. Thirdly, it is vital that the government
ensures that all legal residents are insured with minimum co-payments and deductibles. This will
ensure that everyone is fully insured in the country (Morone, Litman & Robins, 2008, pp. 180105).
Open and equal access to healthcare services in the US is another urgent issue that the
government should consider. The government should also strive to provide high quality care to
all citizens by ensuring that there are adequate facilities, and competent personnel. Lastly,
women health is a vital issue in the US because women have many health complications.
Therefore, the government ought to ensure that they access affordable and quality medical
Do you think globalization affects the delivery of health care?
Globalization is said to have both positive and negative effects on healthcare system.
Explicitly, globalization leads to economic growth, knowledge exchange, trade, lifestyles,
culture and social interactions, conflicts, immigration, and food and water security issues. The
aforementioned issues are health determinants in a country. For instance, globalization leads to
exchange of lifestyles in terms of eating habits. Economic development enhances healthcare
systems, while exchange of knowledge helps in the promotion of health conditions among health
providers and clients (Lavis, Permanand, Oxman, Lewin & Fretheim, 2009, pp. 1-6).
Additionally, social interactions can lead to migrations that strain the government
capacity to offer universal care. It can also lead to conflict that result in terrorisms; hence,
compromising people’s health statuses, and government resources. Food and water security is
also a health determinant in countries involved (Harrington & Crawford, 2004, pp. 59-75).
How do you think the government has handled Medicare?
According to Carpenter (2009, pp. 23), Medicare is one of the United States’ insurance
plans that were designed to provide improved healthcare services to patients, at the same time
saving money. It was aimed at encouraging specialists, hospitals and doctors to collaborate in the
treatment of a patient’s particular state during one hospital stay and healing. However, the
government is said to have mishandled it in that it now bases its payments on quantity of
healthcare, instead of the quality of healthcare. Currently, there is hardly ant financial incentive
that offers a certain type of care collaboration, which can help a patient from revisiting the
What are some possible solutions to treating a growing population of immigrants who are
The United States government is striving to reduce the number of illegal immigrant in the
country at all costs. This is because these illegal residents are causing a lot of strain on the
government’s budget as regards effective implementation of the healthcare policy, and other
economic sectors. There are certain proposed ways of reducing immigration in the country that
include the establishment of border barriers; attrition by enforcement; promotion of
intergovernmental cooperation; and employment of legislative initiatives. This way, the United
States government will manage to minimize the rates of illegal immigrations in the country.
Carpenter, C. (2009) .We’ve been down this road before-- health reform in the United States.
Journal of Financial Service Professionals, 63(4), 23.
Farmer, J., & Currie, M. (2009). Evaluating the outcomes of rural health policy. Australian
Journal of Rural Health, 17(1), 53.
Harrington, C. & Crawford, C. (2004). Health policy: crisis and reform in the U.S. health care
delivery system. Sudbury, Mass, MA: Jones and Bartlett Publishers. Pp. 59-75.
Lavis, J., Permanand, G., Oxman, A., Lewin, S., & Fretheim, A. (2009). Support tools for
evidence-informed health policymaking (STP) 13: Preparing and using policy briefs to
support evidence-informed policymaking. Health Research Policy & Systems, 7(1), 1.
Morone, J. A., Litman, T.J., Robins, L.S. (2008). Health Politics and Policy. (4thed.). Delmar
Cengage Learning. Pp. 80-105.