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How is Healthcare Reform impacting Citizens

Updated on January 30, 2014
A Doctor's office
A Doctor's office | Source
John Hopkins University
John Hopkins University | Source

“Health is a human necessity; health is a human right”
James Lenhart, Conversations for Paco

“It is hard to talk about a middle ground for something that is a fundamental right.”
Teri Reynolds, The Obama Syndrome: Surrender at Home, War Abroad

After a century of striving, after a year of debate, after a historic vote, health care reform is no longer an unmet promise. It is the law of the land.
Barack Obama

Furthermore, we believe that health care reform, again I said at the beginning of my remarks, that we sent the three pillars that the President's economic stabilization and job creation initiatives were education and innovation - innovation begins in the classroom - clean energy and climate, addressing the climate issues in an innovative way to keep us number one and competitive in the world with the new technology, and the third, first among equals I may say, is health care, health insurance reform.
Nancy Pelosi

What is Health care?

Health care is one of our fundamental rights and, unfortunately; there are citizens around the globe who do not get access to this and die on the streets or their homes cause they could not afford to pay the doctor for his visit or the medicines prescribed.

Each country deserves to extend care to their citizens either through public sector insurance programs or make it private. Alas, many individuals cannot avail health insurance.

The reason is that many are uninsured either due to lack of jobs or not enough funds. Thus do not get the privilege to use it for disease care or preventive medicine.

Universal Health Care

Currently there are about 50 countries that have accomplished universal health care coverage.

Many countries have implemented universal health care through legislation, regulation and taxation. The law of the government directs what care must be provided and on what basis. This is a combination of a little cost paid by the patient and the bulk coming from tax revenues. Such programs vary from country to a country where the income levied by government on properties or income is used to either fund the insurance for the very poor or those needing chronic care. Many countries use mixed private-public sector to manage universal health care.

The Saga of Health Insurance in United States of America

United States even though a developed country does not have a universal health care as a result; many are without insurance and cannot avail of the preventative medicine. Thus, when this individual gets sick, he goes to the emergency room (ER) to get treated. The taxpayers pay for his visit.

Health insurance is being handled by the private sector, and that can be a prudent decision until their premiums do not empty out a consumer’s wallet just to see a specialist or even go to a doctor next door.

Unfortunately, private companies see to their personal progress and want to position themselves in the stock exchange thus, will eventually hike as they command huge shares of the market thus driving out small companies that fail to gain enough customers.

Obama Care

Obama introduced the Affordable Care Act, which launched the competition between insurance companies to drive down health care costs and give consumers more choices. This is offering more benefit choices to consumers to choose between various insurance companies.

As a result the uninsured will have options as they can shop around for an affordable health care.

Insurance coverage will augment for consumers with pre-existing medical conditions. Government subsidy will be offered to those with low income as a result no one will be turned down.

I feel Obama care is an indirect implementation of universal health care and eventually everyone will have coverage for preventative needs or during sickness.

However, the results are mixed so far.

Some questions to ponder upon

What if the government made healthcare a priority, and a right for each living being?

Thus, offering free health insurance coverage to many children or those who are unemployed or aged or retired. There are several countries that offer such a kind. Brazil offers private and public health care with about 80% of its population relying on public care while 20% opt for private health care. Britain has the National Health Service, which are also a private and a public sector. Canada is also another example.

There will always be some discrepancies with numbers when a country is dealing with a large population.

According to Bloomberg market the top most efficient health care systems cost wise in the world are Hong Kong, Singapore, and Japan since they have heavy government participation and it does not affect the bustling economy.

Japan has a mere 8.5% Gross Domestic Product (GDP) followed by a 4.4% GDP of Singapore and a GDP of 3.8% the lowest for Hong Kong.

I am open to any kind of health care system as long as all citizens of that country can benefit out of it.

Usually a patient is directed to a network of doctors since his insurance covers only those physicians. Also to see a specialist either takes months or he needs a referral.


A man should have the right to shop for his doctor. It is his life, and his responsibility to make a choice which physician to approach. Let’s make health not only a right for every individual but also a privilege and an obligation for the government of all the countries of this world.


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    • Ruchira profile imageAUTHOR


      5 years ago from United States

      I agree Audrey. WE have to make it work. The negative feedback from the opposition is not gonna help cause it is the public who will get slaughtered.

      Thanks for your valuable feedback

    • AudreyHowitt profile image

      Audrey Howitt 

      5 years ago from California

      I also believe in Universal Health--I think we have to have it and make it work--it is just that it is a wee bit socialist in its concept and so difficult for many here to swallow--

    • Pamela99 profile image

      Pamela Oglesby 

      5 years ago from Sunny Florida

      Very interesting article and you make some very valid points. It seems we are not able to keep our doctors, which has not been the case. I hope they can improve this program so everyone can have healthcare. Excellent hub.

    • DDE profile image

      Devika Primić 

      5 years ago from Dubrovnik, Croatia

      How is Healthcare Reform impacting Citizens is a serious problem for America. You approached this with thorough research.

    • midget38 profile image

      Michelle Liew 

      5 years ago from Singapore

      Thanks for the description! Hope Obama Care will get's fallout has really thrown a couple of curve balls!

    • Ruchira profile imageAUTHOR


      5 years ago from United States


      As to what I understand about obama is leaning on private and government sectors. However, keeping fingers crossed on how it will pay forward.

      Thanks for stopping by!

    • Nell Rose profile image

      Nell Rose 

      5 years ago from England

      Hi, Ruchira, I did wonder what Obamas new health care system was, as I didn't know, it is a shame that he can't just opt for the Health system that we have over here, I know it may be difficult to start this off, but it would be so much better for everybody, interesting hub, and it will be interesting to see what happens, nell

    • Ruchira profile imageAUTHOR


      5 years ago from United States

      Fingers crossed Dianna :)

      Yes, it would be good for all Suzette.

      Amen to that PEggy :)

      Thanks ladies for stopping by with your valuable feed. Appreciate it!

    • Peggy W profile image

      Peggy Woods 

      5 years ago from Houston, Texas

      I am hoping the same as teaches12345 is hoping. Right now it is a bit of a mess and so far enough of the young healthy citizens are not signing up which needs to happen in order for the Affordable Care Act to work right without increasing costs for everyone.

    • suzettenaples profile image

      Suzette Walker 

      5 years ago from Taos, NM

      I agree with you Ruchira in universal health care for all. The Affordable Care Act is complicated at the moment but as teaches says above, if we can work out the kinks, then this health care will be great for all Americans. I, too, believe it is a right, not a privilege to have universal health care in this county. And, as you say, what is good for us is good for everyone world-wide. Very interesting and informative hub!

    • teaches12345 profile image

      Dianna Mendez 

      5 years ago

      You have so many good views and comments on your article. So glad you wrote this with optimism. If the tangled web can be straightened and provide health care for everyone at a reasonable cost, it would make for a better America.

    • Ruchira profile imageAUTHOR


      5 years ago from United States

      I agree FlourishAnyway. As long as we ALL get covered and then it depends on individual to individual :)

      thanks for stopping by!

    • FlourishAnyway profile image


      5 years ago from USA

      Although I like the idea of universal health care, I am concerned about the financials, especially given that many people choose not to even care for themselves in basic ways. As someone with an "orphan" disease, I'm also concerned about the extraordinary delays I understand are common in universal health care scenarios. No easy answer, but I support Obamacare nonetheless as long as my husband's insurance can continue to buy me the best care available.

    • Ruchira profile imageAUTHOR


      5 years ago from United States

      I agree jackie. all insurance companies vouch for that but then they increase the premiums and the co-pays are excrutiating.

      i kinda like the new obama care and am keeping fingers crossed for it.

      good luck jackie and thanks for stopping by!

    • Ruchira profile imageAUTHOR


      5 years ago from United States

      Thanks Audrey, Linda..I too believe in universal health system. I do hope we get the system running under this new Act :)

      Thanks Sheri for your concern. it sure is daunting to understand where these policies went wrong with regards to the USA.

      Thanks Audrey. i agree we gotta allow the public and private sectors to mingle.

      thanks chitra. i agree india is slightly better but the expenses without insurance is also mind boggling.

      Frank! how are you? thanks for stopping by. I agree universal health system rocks!

      thanks nithya. i so agree with you my friend.

      thanks karen. i agree we all should have the power to choose.

    • Jackie Lynnley profile image

      Jackie Lynnley 

      5 years ago from The Beautiful South

      We were promised to keep our doctor here in America but that was not true as we all know. Also premiums are skyrocketing and messing up a lot of people with serious health problems. Maybe the number of uninsured was high but now it may be even higher and if our government had concentrated on helping the ones who needed help instead of messing up the whole system everyone would be covered by now. As it is I am very afraid where it may lead. Just my honest opinion, Ruchira.

    • Sheri Faye profile image

      Sheri Dusseault 

      5 years ago from Chemainus. BC, Canada

      In Canada, as you know, we have universal health care and it is very hard for us to imagine why in heavens name, one of the riches countries in the world, the US, does not. I have some American friends whose life savings and more have been wiped out by illness. I wish you Americans luck as you work towards health care for everyone.

    • vocalcoach profile image

      Audrey Hunt 

      5 years ago from Idyllwild Ca.

      Insurance companies have way too much power.

      The Healthcare that I have (HMO) claims that I can choose my doctor - but the doctor has to be on their list. There has to be a better way. Excellent article! Audrey

    • ChitrangadaSharan profile image

      Chitrangada Sharan 

      5 years ago from New Delhi, India

      Hi Ruchira!

      Quite an informative article about the Healthcare scenario in USA. I also believe in Universal Healthcare and the liberty to choose your Doctor.

      Things are different in India.

      Great thought provoking hub! Voted up and shared!

    • Frank Atanacio profile image

      Frank Atanacio 

      5 years ago from Shelton

      The mighty buck is why we cant have universal health insurance.. it just seems that dollars dictate.. health is secondary.. my opinion, but this is a touchy subject people can go either or... depends on which side of the fence you stand on.. great discussion type hub Ruchira.. and good to see you again...:)

    • Vellur profile image

      Nithya Venkat 

      5 years ago from Dubai

      Universal Healthcare is the best and people should have a right to choose their doctor and get the best medical help at a reasonable price. Great hub, voted up.

    • Sunshine625 profile image

      Linda Bilyeu 

      5 years ago from Orlando, FL

      I also believe in Universal Healthcare. As long as every citizen has the opportunity to purchase health insurance at an affordable price to their income level it's all good with me. No one should have to be without. No one should have to rely on the E.R. for their health care.

    • AudreyHowitt profile image

      Audrey Howitt 

      5 years ago from California

      I also believe in universal healthcare. And I think it is inevitable here--but it will take some time to implement and for people to really accept it

    • Ruchira profile imageAUTHOR


      5 years ago from United States

      i agree Bill. But I have hopes for the new act and keeping my fingers crossed.

      Thank you for stopping by to say a few encouraging words. Took me a while to research and write this up :)

    • billybuc profile image

      Bill Holland 

      5 years ago from Olympia, WA

      I do believe in universal healthcare; other countries have it and do it successfully. Our main problem in this country is the power that insurance companies have and the horrid mess that the medical industry is in. If we ever solve those problems then everyone in this country can enjoy the benefits of modern medicine. Great article and food for thought, Ruchira.


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