The Need For Acute and Long Term Rehabilitation in a Universal Health Care Plan

1993 ◽  
Author(s):  
Marie DiCowden
Keyword(s):  
Health Care ◽  
Care Plan ◽  
Universal Health Care ◽  
Health Care Plan ◽  
Universal Health

… And Health Care for All: Immigrants in the Shadow of the Promise of Universal Health Care

2009 ◽  
Vol 35 (1) ◽  
pp. 185-204 ◽  
Author(s):  
Adrianne Ortega
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
The United States ◽  
Care Plan ◽  
Universal Health Care ◽  
Care Services ◽  
Eligibility Requirements ◽  
Universal Health

President Obama’s ambitious universal health care plan aims to provide affordable and accessible health care for all. The plan to cover the estimated 46.5 million uninsured, however, ignores the over thirty million non-citizens living in the United States. If the United States passes universal health care coverage, Congress should repeal the prohibitions of the Welfare Reform Act, extend Medicaid coverage to non-citizens, and allow non-citizens to purchase employer-based insurance coverage.President Obama’s plan follows the lead of state universal health care legislation by retaining private, employer-sponsored insurance coverage and expanding the eligibility requirements of the Medicaid program. This strategy will not aid uninsured immigrants or overburdened states and hospitals, though, because current law excludes most non-citizens from nonemergency health care services.

scholarly journals Obama Health Care Reform Proposal From An International Perspective

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Sam Mirmirani
Keyword(s):  
Health Care ◽  
The United States ◽  
International Perspective ◽  
Care Plan ◽  
Industrialized Countries ◽  
Font Size ◽  
President Obama ◽  
Reform Plan ◽  
Health Care Plan ◽  
Universal Health

<p class="MsoNormal" style="text-align: justify; line-height: normal; margin: 0in 0.5in 0pt;"><span style="font-family: &quot;Times New Roman&quot;,&quot;serif&quot;; font-size: 10pt;">This paper discusses the importance of reforming the health care system in the United States. In doing so, a sample of industrialized countries that have had an established universal health care plan is analyzed. Furthermore, the proposed reform plan by President Obama is discussed.<span style="mso-spacerun: yes;">&nbsp; </span>The future prospects of the proposed reform plan by President Obama is explained in the concluding remarks<span style="color: black;">.<strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;"></span></strong></span></span></p>

Short-term gain for long-term pain? Which patients should be treated and should we ration?

2013 ◽  
Vol 28 (1_suppl) ◽  
pp. 148-152 ◽  
Author(s):  
T R A Lane ◽  
B Dharmarajah ◽  
D Kelleher ◽  
I J Franklin ◽  
A H Davies
Keyword(s):  
Health Care ◽  
Varicose Veins ◽  
Universal Health Care ◽  
Short Term ◽  
Improve Efficiency ◽  
Crucial Component ◽  
Universal Health

Objectives: Treatments of common conditions which do not affect mortality often become sidelined in the drive to improve efficiency and reduce costs. The rationing of patients is a divisive but crucial component to universal health care. How should this be accomplished? Methods and Results: In this article we examine the outcomes of various rationing methods in varicose veins. Conclusions: No method is perfect and treatment of symptoms and complications should remain the target for all physicians.

scholarly journals Racial/ethnic differences in cardiovascular outcomes in a universal healthcare system: insights from the CARTaGENE cohort

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
M D'Entremont ◽  
E L Couture ◽  
M Nguyen ◽  
J Ni ◽  
A Yan ◽  
...  
Keyword(s):  
Health Care ◽  
Ethnic Differences ◽  
Cardiovascular Outcomes ◽  
Universal Health Care ◽  
Universal Healthcare ◽  
Single Payer ◽  
Racial Ethnic ◽  
Universal Health

Abstract Background While prior studies have shown racial/ethnic differences in cardiovascular (CV) outcomes within private or mixed health care systems, it remains uncertain whether inequalities in cardiovascular outcomes exist between different races and ethnicities in universal health care contexts. We aimed to determine whether there are racial/ethnicity disparities in long-term CV outcomes within a single-payer universal health care system. Methods The CARTaGENE study is a population-based prospective cohort study with enrollment of 19,996 individuals between 40–69 years in 2009, in the province of Quebec, Canada. Participants residing in four large metropolitan areas were randomly chosen from the provincial health insurance registry by strata of age, sex, and postal codes. Follow-up was available up to 2016. For this analysis, we retained only participants without prior known CV disease. The primary composite endpoint was time to the first CV event or intervention (CV death, acute coronary syndrome, heart failure, coronary revascularization, ischemic stroke, or peripheral vascular event or revascularization). We used unadjusted and adjusted Cox proportional hazard models to evaluate the association of self-defined race/ethnicity with the primary endpoint. Results There were 17,802 eligible participants with a mean age of 51 years (52.5% females) with 111,312 person-years of follow-up (median follow-up of 6.6 years). South Asian (SA) participants had the highest prevalence of diabetes mellitus (29%) and hypertension (32%). After adjustment for age and sex, SA ethnicity was associated with a 95% relative increase in risk for CV events, while East/Southeast Asian (ESA) ethnicity was associated with a 42% relative decrease in risk for CV events compared to White participants. After further adjustment for socioeconomic status and CV risk factors, ESA ethnicity remained associated with a similar decreased CV risk. In contrast, the association of SA ethnicity with increased CV risk was attenuated after full adjustment for baseline characteristics (Table 1). Conclusions Racial/ethnic disparities in long-term CV outcomes are present in a single-payer universal healthcare setting. ESA ethnicity was associated with a lower risk of long-term CV outcomes. Future studies are needed to corroborate the reduced risk of long-term major CV events associated with ESA ethnicity. Understanding the reasons related to potential CV protection with ESA ethnicity could facilitate endeavors to reduce long-term CV outcomes in other races/ethnicities. FUNDunding Acknowledgement Type of funding sources: Public hospital(s). Main funding source(s): McGill Health University Center

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