Introduction
Health care involves providing medical services to improve physical and mental well-being. The operations in hospitals, clinics, and government agencies differ from other workplaces. Thus, understanding healthcare systems is essential, including classifications, hospital structures, long-term care provisions, insurance coverage, legal considerations, and the roles of healthcare professionals. Gaining knowledge in these areas is crucial for success in this field.
The objective of this paper is to analyze and compare the healthcare systems of New York and Massachusetts, focusing on health insurance, population statistics, healthcare reform stance, and professional nursing practice impact. Furthermore, the paper will investigate the similarities and differences between these two states' healthcare systems. In terms of periodicals in New York and Massachusetts, there are two articles that discuss the role of nurse specialists and propose solutions for addressing shortages in underserve
...d areas. The key aspects addressed include implementing systematic changes to the insurance market, mandating health insurance for residents if affordable coverage is available, as well as providing assistance to low- and moderate-income individuals/families in accessing care (Angus, 2001).
The text emphasizes the importance of incremental changes in comprehensive reforms, specifically addressing the impact of removing previous prohibitions. The experience in New York serves as confirmation that not having an individual mandate results in significant and detrimental increases in premiums. However, a properly structured individual mandate can solve the issue of adverse selection by ensuring that healthy individuals also purchase insurance. This problem can be resolved by offering income-based subsidies to make insurance affordable (Chiappa, 1997). Massachusetts not only developed this concept but also implemented it, after it was initially proposed as an alternative to the Clinton reform plan in 1994 by late
Sen. John Chafee and others.
The healthcare law in Massachusetts has led to a rise in insurance coverage levels for all residents, surpassing 97 percent (Hathaway, 2000). The main objective of this law is to guarantee affordable insurance coverage for the uninsured population within the state. Additionally, it encompasses measures aimed at addressing cost and quality concerns. On the other hand, New York's situation is no longer problematic; nevertheless, there exists a noticeable discrepancy when it comes to nurses, with their conditions estimated to be considerably inferior compared to those in Massachusetts.
Strangely enough, the Keyn (2002) study recognized healthcare excellence and cost assemblage as important factors in advancing system improvement and saving money in public health and prevention. However, a new nationwide reform program has emerged with nine titles, each with its own specific reform agenda: Insurance coverage, medical and children's health insurance program, delivery system reform, prevention and wellness, workforce initiatives, deception and misuse program truthfulness, biologic similar community living assistance services and supports, and revenue provisions (Wachter 1996). The achievements of enterprises in New York and Massachusetts in increasing insurance attention have led to numerous improvements towards widespread coverage. Overall, comprehensive reform efforts are more effective at addressing gaps in coverage and access to care compared to narrower initiatives. This emphasizes the potential benefits of national health reforms.
The lack of sufficient data on example sizes and satisfaction in nationwide surveys makes it challenging to fully evaluate the impacts of healthcare reform in many states.
References
- Angus, D. C., Linde-Zwirble, W. T., Lidicker, J., Clermont, G., Carcillo, J., ; Pinsky, M. R. (2001). Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated
costs of care. Critical Care Medicine-Baltimore-, 29(7), 1303-1310.
H. (Ed.). (1997). Evoked potentials in clinical medicine.
Lippincott Williams ; Wilkins.
(2000). Health status and health care use of Massachusetts women reporting partner abuse. American journal of preventive medicine, 19(4), 302-307.
Kyne, L., Hamel, M. B., Polavaram, R., ; Kelly, C. P. (2002).
The article titled "Clinical Infectious Diseases" discusses the connection between health care expenses and death rates associated with nosocomial diarrhea caused by Clostridium difficile.
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