Tag Archives: ACA

Early Life & Childhood/Youth Prompt One

Those planning families are vulnerable to being misinformed by the media due to a greater focus on profit and a lesser focus on providing quality, evidence-based information geared towards helping them make educated decisions. An example of this is information on Assisted Reproductive Technologies (ART) used to initiate pregnancies presented on the websites of clinics that provide related services. An analysis done on clinic websites providing information on their ARTs and induction services found that many were guilty of using language intended to advertise their services as superior to others (Walden, 2013). Many clinics were found to violate polices put in place by the Society for Assisted Reproductive Technology (SART) and American Medical Association (AMA) by describing their services as “superior” to other clinics and using colorful language such as “dream”, many failing to provide objective and comparable information. This type of practice can get in the way of potential parent’s ability to receive evidence-based information that they can use to compare and make an educated decision.

New parents; whether in preconception, prenatal, or postpartum stages; want to know the best ways in which to make healthy and sustainable choices for themselves and their children. Carrying parents (non-cisgendered males and non-gendered people can also carry children) want to know how their bodies may be affected by pregnancy and what to expect when giving birth. Posting birthing videos on the internet has become a trend in recent years (MacGregor, 2012). Using birthing videos as an educational tool is one way that carrying parents can figure out what to expect. Professionally made birthing videos can also be a good way to ease anxiety among expecting parents as well, since they’re less likely to show the scarier aspects of birth. Expecting and new parents also want to know what steps they can take to improve their reproductive health and prevent diseases; before, during, and after pregnancy. The Affordable Care Act (ACA) enacted several requirements for insurers to cover without cost-sharing in their care packages, including: preventative care visits, tests, screenings, and counseling (Sonfield, 2012). Of course, whether or not these requirements have affected general reproductive knowledge and health depends on whether or not young people have been made aware of them. It’s also unknown how long the ACA will still apply to healthcare law, and how reproductive health and disease prevention will be covered without cost-sharing.

At this time the United States healthcare system operates in terms of how to make the biggest profit. Providing consumers with quality, evidence-based, and unbiased information is often put on the sidelines. Public health organizations attempt to regulate this information for the sake of education and integrity. For example, the AMA has guidelines for their clinics on how to formulate their websites. However Walden pointed out that the AMA does not check for compliance, and a study found that “the majority of fertility clinic websites failed to meet basic AMA guidelines…”(2013). So while guidelines are in place, they are not always met. New and expecting parents need to be wary of this system that doesn’t always have their best interest in mind.

Sources:

Huang, J. Y., Discepola, F., Al-Fozan, H., & Tulandi, T. (2005). Quality of fertility clinic websites. Fertility and Sterility, 83(3), 538-544. doi:10.1016/j.fertnstert.2004.08.036

MacGregor, H. (2012, September 6). The birth of a trend: Posting childbirth videos online. Los Angeles Times. Retrieved from http://www.latimes.com/health/la-he-birth-movies-20120809-story.html

Pearson, R. (2016). Consumer Health: Birth, Birth Options, Maternal-Child Consumer Issues [PowerPoint Slides]. Retrieved from chrome-extension://bpmcpldpdmajfigpchkicefoigmkfalc/views/app.html

Sonfield, A. (2012). Beyond Contraception: The Overlooked Reproductive Health Benefits of Health Reform’s Preventive Services Requirement. Guttmacher Policy Review, 15(4). Retrieved from https://www.guttmacher.org/gpr/2012/10/beyond-contraception-overlooked-reproductive-health-benefits-health-reforms-preventive

Walden, R. (2013, March). Direct-to-Consumer: Fertility Clinic Advertising on the Web. National Women’s Health Network: A Voice for Women, A Network for Change. Retrieved from https://www.nwhn.org/direct-to-consumer-fertility-clinic-advertising-on-the-web/

 

Health Care Prompt One

I think that the essential health benefits are the best aspect of the Affordable Care Act (ACA). Essential benefits are a list of basic health services that all insurers must cover in their packages. These essential benefits made it so insurers could no longer turn people away if they were sick often or had a preexisting condition (Belluz, 2017).

The best opportunity for improving the ACA would be incorporating a system for guiding consumers through their options and helping them get the best plan that is available to them. The ACA’s individual mandate (mandate requiring that almost everyone is required to purchase insurance) and online marketplace (a market of all insurance plans) means that people with little experience buying health insurance are purchasing from an online market that is also fairly new. However it may look, implementing a some system of guidance would improve the insurance selection process for consumers.

If I were to explain the ACA to my friend I would find it most important to share that choosing not to purchase insurance under the individual mandate will result in paying a penalty called the shared responsibility payment. I think this would be important for them to know, so that they know they must make this payment if they choose to opt out.

They will likely find the “marketplace language” as the hardest aspect of understanding the ACA. There are many unfamiliar words with unfamiliar meanings used when describing the insurance market, and keeping track of all those meanings while also learning about how the law works can be confusing at first.

They will find “A Guide to the Supreme Court’s Affordable Care Act Decision” helpful, because it provides more insight into key components of the ACA by recounting the Supreme Court’s ruling on whether those components were constitutional. “ACA vs. AHCA: Tax Credits, Insurance Premiums, and the Big Picture” would be a good source because it compares the ACA with the American Health Care Act (AHCA), a bill proposed to replace the ACA. Finally, a good source for them to learn more about essential health benefits would be “The Republican Attack on ‘essential health benefits,’ explained” which gives an overview of essential health benefits and how taking them away can affect the healthcare market.

Sources:

A Guide to the Supreme Court’s Affordable Care Act Decision. (2012). Focus on Health Reform. Retrieved July 2, 2017.

AHCA vs. ACA: Tax Credits, Insurance Premiums, and the Big Picture [Web log post]. (2017, Mar 16). Retrieved July 2, 2017, from http://www.sycamoreinstitutetn.org/2017/03/16/ahca-vs-aca-individual-market/

Belluz, J. (2017, May 4). The Republican attack on “essential health benefits,” explained [Editorial]. Vox. Retrieved July 2, 2017, from https://www.vox.com/2017/3/23/15031322/the-fight-over-essential-health-benefits-explained

Health Care Prompt 2

When I first learned about the Affordable Care Act I wasn’t outraged and neither were my parents. We know many people who fall below the poverty line who has had children that needed to be hospitalized and placed on medication. If it wasn’t for the ACA, they would not have been able to afford it. Many of them work at the warehouse my family runs. They are hardworking people and yet they still don’t make enough. With the ACA they got the help that they needed and removed some of the stress that they have to carry every day.

By 2018 it is estimated that 15 million more people would be uninsured under the new legislation because the penalty of not having insurance would be eliminated. By 2026, 49 million would be uninsured (Congressional Budget Office, 2017). Millions of people will be uninsured causing them to owe thousands of dollars if they have to seek medical attention. Many of them will not be able to afford to pay the cost of the medical bills due to the high cost. Just with an ambulance ride, it cost about 500-700 to take a ride. It’s going to lead people to be more in debt and many won’t pay the bills because they have families to take care of first. I think that the penalty for not having insurance should stay but reduce the cost of the penalty. A site that is reliable to look up more information would be on the http://www.medicaid.gov/affordable-care-act/index.html it’s one of the only few sites you can trust due to it being a governmental site and not a commercial or organization.