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					       Health Care
By: Macie Enman and Shay Wilcox
History of Health Care
 • 1847- Health care was first introduced as a group policy
   that gave only a few benefits by Massachusetts Health
   Insurance of Boston
 • 1861- Health care plans began to form during the Civil
   War, but these only covered accidents from rail or
   steamboat travel
 • 1890- First individual disability and illness policies were
   issued
 • 1929- First modern group health care plan established in
   Dallas, Texas by negotiations: teachers pay monthly fees
   to Baylor Hospital in exchange for medical services
 • 1932- Blue Cross Blue Shield created – gave discounted
   contracts
      Policy-Making Actions
•   The executive branch, meaning the President and his staff, are in charge of
    proposing a health care bill. They write in the bill what health care policies they
    want put in place and how they want to enforce them. For example, in the
    Affordable Care Act of 2010, President Obama set up health care so that by the
    year 2014, everyone in America will have some sort of health care. After this
    branch is finished writing the bill, it is sent to be reviewed by the legislative
    branch.
•   The legislative branch is in charge of amending the health care bill, and voting on
    whether it should become law or not. The same version of the bill must be passed
    in both the House and Senate Then it is sent back to the president for his
    approval. If the president okays the bill, it becomes a law.
•   The judicial branch comes in when there is a debate over the law. It can determine
    that some or all parts of the health care law are/is unconstitutional. Also, it can
    determine how the law is to be administered if there is a case brought up about
    that.
Interrelated Activity
           •   President Obama introduced
               Patient Protection and
               Affordable Care Act.
           •   It is sent to House of
               Representatives Committees:
               Energy And Commerce, Ways &
               Means, Education &Labor
           •   It is sent to Senate Committees:
               Finance and Health, Education,
               Labor, & Pensions
           •   Regulatory Activity- Health and
               Human Services (Bureaucracy)
           •   The Judicial Branch has the
               power to rule the act
               unconstitutional if it is taken to
               court.
          Role of Non-
      Governmental Groups
•   Interest Groups- AARP wants
    Medicare to pay for most of health
    care. They give Congress money to
    favor their legislation.
•   Media- They influence public opinion
    about legislation.
•   Opposing Lobbies- They cause
    Congress to split on decisions as
    opposite lobbies give money to
    different Congress people.
              Impact
• It improves access to health care for
  all citizens.
• It regulates insurance companies
  more.
• It imposes a new tax on business
  investment.
• Led to much public discourse and a
  split of public opinion.
                       Obama Care
            AKA: The Affordable Care Act
•   “In March 2010, Congress passed and the President signed into law the
    Affordable Care Act, which puts in place comprehensive health
    insurance reforms that will hold insurance companies more
    accountable, lower health care costs, guarantee more health care
    choices, and enhance the quality of health care for all Americans.”
•   “To help lower costs, the Affordable Care Act:
     –   -sets up a new competitive private health insurance market - through
         state Exchanges -- giving millions of Americans and small businesses access
         to affordable coverage, and the same choices of insurance that members of
         Congress will have.
     –   -holds insurance companies accountable by keeping premiums down and
         preventing many types of insurance industry abuses and denials of care, and
         ending discrimination against Americans with pre-existing conditions.
     –   -puts our budget and economy on a more stable path, since it is expected
         to reduce the deficit by more than $100 billion over the next ten years -
         and by more than $1 trillion over the second decade - by cutting government
         overspending and reining in waste, fraud and abuse.”
     –   http://www.healthinsuranceproviders.com/health-care-reform/
             Analysis of Policy
•   I think the government’s intentions for health care policy are good, but
    the way it is implemented may do more harm than originally thought.
    Trying to ensure some sort of health care for everyone in the US is very
    helpful. The people who normally could not pay for a plan now have
    some sort of protection. Though, normally when the government steps
    into the economy, it ends up suffering. I think this same thing will
    happen with health care. By ensuring everyone in the US has some sort
    of plan, they will be raising taxes for those that can afford it, to help
    those that can’t pay for it. This will only make the ones who had health
    care essentially pay more for the same or even worse plan than they
    already had.
•   I think a plan should be implemented that increases access to health
    care, not necessarily demand that everyone has it. Therefore, having the
    lowest priced health care plan affordable to almost everyone. Also, I
    think there should be a sort of pay off system for those who do not have
    health care but must pay medical bills. If they are able, they should be
    put to work by the government to pay off the debt they have to the
    medical institution.
                     Works Cited
•   http://www.neurosurgical.com/medical_history_and_ethics/history/history_of_he
    alth_insurance.htm
•   http://dmsbulletin.hms.harvard.edu/?p=391
•   http://arkansasgopwing.blogspot.com/2009/07/prescribed-by-congress.html
•   http://ctbob.blogspot.com/2010/11/dems-slam-congressional-gopers-for.html
•   http://www.sodahead.com/united-states/do-you-support-obamas-health-care-
    plan/question-
    520473/?link=ibaf&imgurl=http://www.ariven.com/system/files/images/healthca
    re-main.jpg&q=healthcare%2Bin%2Bcongress
•   http://blog.nj.com/njv_shenemans_sketchpad/2009/06/obamas_health_care_pla
    n.html
•   http://www.healthinsuranceproviders.com/health-care-reform/
•   http://www.whitehouse.gov/healthreform/healthcare-overview#healthcare-menu
•   http://www.kaiseredu.org/tutorials/reformprocess/player.html
•   http://www.businessweek.com/investor/content/mar2010/pi20100322_662113.h
    tm
•   Book

				
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