The Problem of Inability to access Health Care by the Vulnerable Population in the United States Part I

Human health plays a significant part of life, and it is paramount to take measures that would guarantee every individual a good health. The United States federal government puts effort to provide equal healthcare to every individual, though it is acceptable that some American communities still lack proper health care. The government in its response to the poor health services has initiated a series of actions and programs that pursue to expand the delivery of health care services in vulnerable populations. The government has put in place effective health policies to advance health services to vulnerable populations and has also invested in expanding Medicare schemes in these populations. Currently, there are over 46 million people who are unable to access health care in the U.S due to lack of health insurance. As a result, they have to pay huge amounts of money to providers to access health care. The government has addressed the issue of health care accessibility through the enactment of the Affordable Care Act (2010) that requires all employers to provide health care insurance to their employees. The policy also provides for free preventive and expansion of capacity to serve more members in the population who previously could not access quality and affordable health care.

Description of the Problem

Despite the efforts and objectives in the US to eradicate or reduce segregation in health care issues by 2010, significant inequalities in areas such as healthcare, mortality, and morbidity is still evident in vulnerable populations. For instance, investigations by Mechanic & Tanner (2007) show that Americans who live in low economic and social conditions have more probability of contracting illness, and are also less likely to have encountered certain types of medical service. The vulnerable groups in the US that have little chances of accessing better health services include racial and ethnic minorities, economically disadvantaged, the homeless, the elderly, people living with HIV, and those with chronic health ailments (Mechanic & Tanner, 2007). Vulnerable groups in the US also include people who live in rural areas and have difficulties accessing health services.

Interventions by the Federal Government

The government recognizes the challenges that vulnerable communities encounter in the attempt to acquire better health services and medication. The state, for instance, has created the Patient Protection and Affordable Care Act (PPACA) which advocates for the provision of better health services within the vulnerable community (Murdock, 2012). The policy calls for the concentration on three major areas that the government feels would be of significance in eradicating cases of segregation when offering health care to vulnerable communities.

The PPACA calls for the expansion of Medicare services to improve healthcare delivery at the national level, and in vulnerable populations (Murdock, 2012). The team in charge of the expansion strives to improve health services through the coming together of different institutions through sponsorship programs. The Medicare and Medicaid Scheme that form a major component of the act takes charge of paying medical bills for individuals who come from a poor background, and for persons who come from other vulnerable groups.

Apart from expanding the Medicaid and Medicare Scheme, PPACA calls for the increase in health insurance coverage for vulnerable populations that form part of a large population that lacks health insurance covers (Murdock, 2012).  The PPACA advocates for the issuance of health insurance to individuals who live in states such as Missouri, Florida, Kansas, Wyoming, and Ohio that have large numbers of vulnerable populations. The scheme makes it simple for people who belong to vulnerable groups to have access to free medication programs, which contributes towards the effective provision of services to vulnerable groups. The act works towards lessening the conditions necessary to acquire health insurance and hopefully, this initiative will help to minimize cases of segregation in offering health services.


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