Hello i need a good comment related with this argument .A paragraph  with no more 300 words.

 

  [removed]

 

 Deactivated

Tammy Wagner 

 

1 posts

Re:Topic 1 DQ 1

Infant mortality refers to the death of an infant before their first birthday.   In 1997 the infant mortality rate was 7.1 to 1,000 live births.   The ethnic groups that rank high are African-American families, Native Americans, and Hispanic families.   The African American family is more than double the White family.   Low birthweight babies continue to be the leading cause of infant mortality.   One barrier that stands between pregnant women and the care they need is the financial burden of seeking early prenatal care.   Women of these ethnic groups are often feeling the stress of poverty.   There are studies showing the correlation between stress and poor birth outcomes (“Infant mortality,” 2000) .

In 2007, the IOM reported the cost associated with premature births was $26.2 billion each year.   This breaks down to medical and healthcare cost for the infant, labor and delivery cost for the mother, developmental delays from birth to 3 yrs for the child, special education, and lost work for the parent.   The low birthweight child struggles in school often accompanied with behavioral problems.   An interesting note, even the late preterm delivery between 36 to 38 weeks can struggle in school.   In the last few weeks of gestation, the brain is still growing.   A baby’s brain at 35 weeks weighs only two-thirds of what it will weigh at 39-40 weeks (“The impact of premature birth,” 2016) .

In Arizona, 2014, 524 babies died before their first birthday.   ADHS is working to target the causes and improve infant mortality throughout the state.   Az came up with four areas of concern, health of women and girls, safe families, healthy pregnancy, and health disparities.   Networking with other states has shown to be a positive step (Arizona Department of Health Services, n.d.) .   the ADHS website is an excellent resource for parents.   There is also a website that offers help for NICU families find support groups that address the special needs of low birthweight infants.   PreemieCare:   Helping families and NICU support groups not only grow but blossom!   http://www.preemiecare.org/supportgroups.htm   by clicking on AZ link, it took me to local names with phone numbers and plenty of valuable resouces.

A personal sidenote, I work in L&D and we were told that a NICU admission for a low blood glucose with one of our babies is an admission cost of $15,000.  This is just for a low blood sugar, I can only guess at how much a full hospital stay is for a 26 weeker that will be in the hospital for weeks if not months. 

 

References

Arizona Department of Health Services. (n.d.). http://azdhs.gov/topics/index.php#baby-home

Infant mortality, low birthweight and racial disparity. (2000). Retrieved from http://www.nationalhealthystart.org/site/assets/docs/Infant%20Mortality%20Low%20Birthweight.pdf

The impact of premature birth on society. (2016). Retrieved from http://www.marchofdimes.org/mission/the-economic-and-societal-costs.aspx

 

Private vs. Public Control

The major payers in private healthcare (other than government programs) are employers, and this has been true since the inception of health insurance programs. There are several reasons why this is so, but one of the main reasons is employees are a defined risk pool based on the work performed for the company. Healthcare insurance companies are able to predict the financial risk (as in an experience rating) taken by the type of employees. If, for instance, the work is dangerous or injury prone, such as direct care in a nursing facility, then the cost to insure that group would be higher than for employees working at a telecommunications office. Government healthcare programs, such as Medicare and Medicaid, do not measure the cost of healthcare by the experience ratings.

Based on your understanding of the topic, answer the following:

• Can programs like Medicare and Medicaid adopt such methods to defray costs? If yes, how would they implement such methods? If no, what suggestions would you make to defray costs?

Most of those receiving Medicare and Medicaid benefits are not employed.

• How can the recipients of these programs be categorized into different risk pools? Explain.

The aging population is a force in healthcare continuing to have a dramatic effect on the direction of healthcare services. Many have discussed the aging population as the reason for the rising cost of healthcare. The pre- and baby-boomer generation (1946–65) were less knowledgeable and informed regarding the health risks and, therefore, engaged in risky behaviors that increased their susceptibility to chronic healthcare issues later in life.

• What does that mean to the viability of Medicare and Medicaid?

Regardless of how many changes are made to Medicare to try to keep it solvent, aren’t the sheer numbers of eligible recipients versus the ever decreasing number of people paying into Medicare the real reason why Medicare will cease to exist in its present form?

• Do you agree with this question? Why or why not?

The British national healthcare system owns many hospitals and directly employs workers. General practitioner salaries are set by the British government. The funding for healthcare services comes mostly from the government. This is significantly different from the US healthcare systems. Consider the issues with government healthcare programs in financing and administration.

• Would the US be able to transit to the British style of national healthcare? Why or why not?
• In comparison to the British system and US system, what would be some of the challenges the US would face in adopting a national healthcare system? Discuss at least three challenges.
• Employer-sponsored healthcare benefits should be maintained or done away with in favor of a government sponsored healthcare program? Why or why not? Think through this situation as representing both an incentive and a hindrance. If it is a hindrance, then what is it hindering in the way of government-sponsored healthcare programs?