Every year on July 4th we celebrate Independence Day- the day the original 13 American colonies established an independent country.
They subsequently established a government, military, educational system, highway system, public works, and a healthcare system.
We Americans may pride ourselves on not having “socialized” medicine or “national healthcare”, but we do have a health care system that is a combination of public and private funding and administration. And even private healthcare must comply with a myriad of local, state, and federal laws and regulations.
Celebrate healthcare professionals
I believe we have one of the best healthcare systems in the world because of the people who work in healthcare- the people who devote years to education and training and who work tirelessly 365 days a year, 24 hours a day to make and keep us well. Their commitment, compassion, dedication and competence benefits all of us and deserves our gratitude.
According to recent statistics, the United States government accounts for-
40% of healthcare spending , totalling $1.3 trillion yearly
United States government healthcare covers 100 million individuals through 4 federal agencies
- Department of Health and Human Services
- Department of Defense
- Veterans Administration
- Department of Homeland Security
(JAMA (Journal of the American Medical Association), June 21, 2016)
Government sponsored health care programs
The Affordable Care Act, aka Obamacare
The United States Congress passed the Patient Protection and Affordable Care Act (ACA) in 2010 to guarantee basic health insurance to all citizens. During the last presidential campaign, President Trump vowed to “repeal and replace” this law but although it has been modified, it is still active
Healthcare for military service member, veterans ,and their families
During the American Revolution the fledgling government extended health care benefits to the soldiers and veterans of that war; that system evolved into the current military health care system which covers service members and the Veterans’ Administration system for veterans.
Medicare and Medicaid
Medicaid provides insurance coverage for adults and children who are unemployed or low income.
Medicare covers disabled children and adults and persons 65 years and older.
- Together these programs cover at least 30% of Americans.
- Together they comprise 25% of all federal spending.
- Together they pay 40% of total U.S. health care spending.
An infographic from the Kaiser Family Foundation and JAMA explains this further.
You may not be eligible for either of these programs now, but chances are eventually you or someone close to you will.
- Anyone can become disabled from a serious illness or freak accident.
- You or your spouse may lose your job and your employer sponsored health insurance.
- Your child may have a disability that will prevent them from working when they grow up.
- We may all live long enough to qualify for Medicare on the basis of age alone. Your parents or grandparents are near or already at Medicare age.
It’s important to understand how Medicare works, since it’s not automatic; even if you qualify, you need to sign up to be covered (with a few exceptions). The rules are summarized here. Or consider an easy to understand book here.
Several government agencies regulate, monitor, promote and/or support both public and private healthcare including-
Food and Drug Administration- FDA
Centers for Disease Control and Prevention- CDC
National Institutes of Health- NIH
Occupational Safety and Health administration-OSHA
Drug Enforcement Agency-DEA
Congress enacted several important laws that administer and regulate both private and public healthcare.
The Affordable Care Act- ACA
Health Insurance Portability and Accountability Act-HIPPA
Emergency Medical Treatment and Labor Act- EMTALA
Health Information Technology for Economic and Clinical Health- HITECH
Americans with Disabilities Act-ADA
Family Medical Leave Act-FMLA
Let Freedom Ring
In the Declaration of Independence, the founders of the United States created a nation based on the “self-evident truths” of “Life ,Liberty, and the pursuit of Happiness” and to promote “Safety and Happiness” .
In the Constitution they vowed to “promote the general Welfare” .
I wonder if they envisioned their new government would spend so much time and money providing and regulating health care –
most of which was not available or even imagined at that time?
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