Download The Care of the Uninsured in America by Howard Eng (auth.), Nancy J. Johnson, Lane P. Johnson (eds.) PDF
By Howard Eng (auth.), Nancy J. Johnson, Lane P. Johnson (eds.)
The Care of the Uninsured in America
Edited through Nancy J. Johnson, El Rio neighborhood sanatorium, Tuscon, AZ
Lane P. Johnson, Arizona future health technology heart, Tucson, AZ
They earn an excessive amount of for Medicaid yet now not sufficient to find the money for a future health plan. Or their service provider rescinded their advantages. Or they’re "not disabled adequate" for incapacity. a few forty five million humans have fallen in the course of the cracks of America’s overall healthiness care approach, and this loss of insurance impacts entry to assurance, timeliness of care—even lifestyles expectancy. The Care of the Uninsured in America offers a nuanced portrait of this wide population—urban and rural, from generational poverty and the operating poor—while illuminating the present nation of medical/dental assurance and the situations that reason such a lot of to do with no. Its authors conceptualize loss of assurance as a well-being disparity (as are ethnicity, gender, age, etc.), and clarify its collective health and wellbeing impression and significant matters excited about supplying care.
In transparent, important prose, the book:
- Identifies subpopulations one of the uninsured (e.g., the mentally sick, the homeless, individuals with HIV) and their particular care needs.
- Outlines useful abilities and techniques for operating with uninsured sufferers, from health and wellbeing merchandising to cultural competency.
- Offers types and case examples of leading edge care programs.
- Reports on equipment for making improvements to entry and aid, together with coalition development and well-being details management.
- Describes medicine assistance courses: how they paintings and what they cost.
- Discusses continual care and illness administration one of the uninsured.
- Analyzes the common wellbeing and fitness care debate and makes suggestions.
The Care of the Uninsured in America will allure a large viewers between pros and graduate scholars in public and neighborhood health and wellbeing and future health coverage; clinicians and nurses who deal with the uninsured; directors and bosses looking a deeper knowing of the method; and policymakers and analysts looking avenues for change.
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Extra info for The Care of the Uninsured in America
Sample text
Some states such as Illinois and Indiana, however, mandate that insurance be sold with comprehensive benefits to all residents regardless of health status. org, 2008). Again, the Georgetown University study reports in that 395 people with diabetes needed to purchase individual health insurance and only 15 were successful (NIHCM Foundation 2008). The federal legislation of COBRA, mentioned earlier, allows certain people who would lose their insurance when their employment ends to purchase the existing employer-based plan for, anywhere from, 18 to 36 months.
There are many health consequences as a result of not receiving preventive and ongoing health services as well as services in a timely manner. Many of the uninsured will forego preventive services; the uninsured are less likely to be screened for serious illnesses. The uninsured are more likely to postpone or fail to receive needed medical care. Not receiving care in a timely manner may result in entering the healthcare system in poorer health or at a more advanced disease stage. , Medicaid) as a result of seeking care with more serious symptoms or illnesses.
To pay for the accrued medical bills, families may have to cut back on basic living expenses such as food, heat, or rent, may have to use up or close saving accounts, borrow from other family members and friends, obtain loans or a second mortgage on their home, or declare bankruptcy (IOM 2003; Long 2003; Schwartz and Artiga 2007b). High uninsured rates have negative economic impacts on society and the healthcare system. The society costs include: (1) lost health and reduced length of life, (2) higher costs for publicly supported health programs such as Medicaid and Medicare, (3) increased financial risks and anxiety in families, and (4) financial stresses for – and instability of – healthcare providers in communities with high uninsured rates (IOM 2003; Kellermann 2003).