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ALH Midterm

The Uninsured: Challenges and Solutions

Uninsured patient does not have insurance
Underinsured patient has insurance but it doesn't cover a lot of expenses
Patient Protection and Affordable Care Act Obama Care. Provides healthcare to everyone that needs it. Geared towards young adults. Preventative care
Medicare Elderly 65+. Individuals with end-stage renal disease/kidney failure.
Medicaid low income individuals, families, disabled individuals
Working poor Those who don't qualify for medicaid or medicare. Working, but living paycheck to paycheck.
Federally funded programs Medicare, Medicaid, VA veterans and their families, State Children's Health Insurance Program
State Children's Health Insurance Program covers chronic diseases that regular insurance doesn't cover. (Cancer)
ER with no insurance Can not turn you away. Treat then worry about money.
Contract workers no/minimal job benefits.
Individuals without health insurance can not be turned away when: require acute care/hospitalization (chest pain) are a victim of crime suffer catastrophic illness or injury
Physicals for young kids Allergies, scoliosis, milk caries (cavities from milk), eye exams and hearing tests
Possible causes of hearing loss chronic ear infections, encephalitis, measles, chicken pox, meningitis
Risks for Being Uninsured Families without full-time workers small-scale employers w/ limited budget families below poverty line working poor
Ethnicity and Uninsured Hispanics have highest rate of uninsured
Health care disparity related to ethnicity (NA Res, vs NYC) and Access (NYC vs Alaska)
In uninsured, access to preventative care is lost
Consequences of being uninsured more at risk for pain/suffering physical disability more likely developmental delays in children decreased life expectancy
Safety Net designed to provide a wide range of health care to vulnerable population
Vulnerable populations working poor non-medicaid children not included in parent's coverage mediciad beneficiaries chronically ill individuals people with disabilities mentally ill individuals homeless
Vulnerable populations cont people with communicable diseases (HIV/AIDS/STI) minorities native americans veterans substance abusers prisoners
Only options for uninsured/underinsured Public Hospitals
Community Health Care Centers (CHC) provide primary cares and preventive care purposed to serve low-income patients
Community/Teaching Hospital uncompensated care specifically medically-underserved
Private Practitioners rural and inner city medicare/medicaid patients and private patients informal role in providing uncompensated care
Created by: Gianna B