Health Care Reform and the Health of Performing Artists in the US

2009 ◽  
Vol 24 (4) ◽  
pp. 155-156
Author(s):  
Ralph A Manchester

Health care in the United States is beset by three critical problems: cost, quality, and coverage. We have by far the most expensive health care in the world, spending about 17% of our Gross Domestic Product, or over $7,000/person; most other developed countries spend about 8 to 10% of their GDP on health care.1 Despite spending that much money, the health status of Americans is far from the best in the world, whether one looks at infant mortality,2 life expectancy,3 or survival among people with various diseases. 4 Underlying both problems is the fact that over 15% of the US population does not have health insurance,5 which means they do not have access to health care when it can be delivered most effectively at the lowest cost. While this should be of great concern to anyone who lives in this country, those of us who are invested in the health of performing artists should be especially interested in this issue. For a variety of reasons, performing artists are probably more likely to lack health insurance than is the case for the population at large.

Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet

The United States is unique among developed countries in not providing health insurance to all of its citizens. But newcomers, both legal and undocumented, are far more likely to be uninsured than natives. This chapter reviews US law, including the Affordable Care Act, regarding immigrants’ access to health insurance, exposing the conflicting and inconsistent policies towards including immigrants within the nation’s health care system. These policies not only reduce immigrants’ access to health care, they add significant complexity to the US health care system, and create a range of health and economic costs to immigrants and natives alike. The chapter focuses in particular on the practice of medical repatriation, whereby hospitals send seriously ill immigrants to their countries of origin, explaining how the conflicting edicts of US health law encourage the practice by requiring hospitals to treat all emergency patients regardless of citizenship or insurance status, while denying many immigrants public benefits for nonemergency care.


1994 ◽  
Vol 24 (2) ◽  
pp. 231-251 ◽  
Author(s):  
Howard Glennerster ◽  
Manos Matsaganis

England and Sweden have two of the most advanced systems of universal access to health care in the world. Both have begun major reforms based on similar principles. Universal access and finance from taxation are retained, but a measure of competition between providers of health care is introduced. The reforms therefore show a movement toward the kind of approach advocated by some in the United States. This article traces the origins and early results of the two countries' reform efforts.


2013 ◽  
Vol 55 (Supl.4) ◽  
pp. 508 ◽  
Author(s):  
Steven P Wallace ◽  
Michael Rodriguez ◽  
Imelda Padilla-Frausto ◽  
Armando Arredondo,

Objective. To identify policies that increase access to health care for undocumented Mexican immigrants. Materials and methods. Four focus groups (n=34 participants) were conducted with uninsured Mexican immigrants in Los Angeles, California. The feasibility and desirability of different policy proposals for increasing access were discussed by each group. Results. Respondents raised significant problems with policies including binational health insurance, expanded employer-provided health insurance, and telemedicine. The only solution with a consensus that the change would be feasible, result in improved access, and they had confidence in was expanded access to community health centers (CHC’s). Conclusions. Given the limited access to most specialists at CHC’s and the continued barriers to hospital care for those without health insurance, the most effective way of improving the complete range of health services to undocumented immigrants is through immigration reform that will bring these workers under the other health care reform provisions.


2021 ◽  
Vol 18 (1) ◽  
pp. 35-63
Author(s):  
Miguel Cerón Becerra ◽  

The US has built the most extensive immigration detention system globally. Over the last three administrations, several organizations have noted a systemic failure in the provision of health care in detention centers, leading to the torture and death of immigrants. This essay develops the principle of the preferential option for the poor to examine the causes of deficient access to health care and solutions to overcome them. It analyzes the substandard health care in detention centers from the notion of structural violence and systematizes solutions of grassroots immigrant organizations from the idea of solidarity, understood here as a form of friendship with the poor that moves toward relational justice. Its goal is to build bridges between people so that the political will is generated to create policies to improve and enforce health care standards in detention centers and address the unjust foundations of immigration detention.


2008 ◽  
Vol 19 (3) ◽  
pp. 731-742 ◽  
Author(s):  
Jeanette Kane Ziegenfuss ◽  
Micahel Davern ◽  
Lynn A. Blewett

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