Q Module Ten assignment 11042023
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Purdue University *
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Health Science
Date
Dec 6, 2023
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Uploaded by chang541
Running head: Medicaid & Medicare
1
1/13 What changes should be made to ensure the future solvency of Medicare?
Ensuring the future solvency of Medicare requires a multifaceted approach. One solution
could be to raise the payroll tax, particularly for higher-income individuals, to increase funding
(Henderson, 2023). Additionally, restructuring Medicare from a defined benefit to a defined
contribution system could provide more stability and implementing a comprehensive plan for
hospitals, physicians, and prescription drugs might help in controlling costs (Henderson, 2023).
Furthermore, a competitive bidding process, like a reverse auction, could be incorporated to
establish benchmark premiums, setting subsidy levels more efficiently (Chakravarthy et al.,
2022). Addressing the escalating medical care costs and exploring ways to make the system more
efficient are also crucial steps. In this complex era, collaboration between policymakers,
healthcare providers, and economists is vital to devise sustainable solutions for the future of
Medicare.
2/13 Should adult children be responsible for the medical expenses of their parents?
Families provide invaluable support in terms of caregiving, emotional assistance, and
enhancing the overall well-being of whole family members. The issue of familial responsibility
for medical expenses is undeniably intricate, blurring the lines between individual obligations,
family support, and societal responsibility. Fostering a culture of mutual support and
understanding within families and communities is vital as it is not just a matter of financial
contributions but also emotional and social backing (Ho et al., 2022).
Financial planning and family support networks are crucial components of a well-
functioning society. However, the reality is more complex as aging parents, especially those on
fixed incomes or facing unexpected medical emergencies, might find it challenging to bear the
burden of high healthcare costs. In these cases, social responsibility becomes a fundamental
pillar of any compassionate and just society.
In an equitable healthcare system, it becomes imperative to bridge the gap between
individual/familial responsibility and social responsibility. This delicate balance can be achieved
through comprehensive means-tested support systems which assess the financial capabilities of
individuals and families(Henderson, 2023). Individuals capable of contributing financially
should do so, ensuring that the more financially stable shoulder a fair portion of their medical
expenses. Simultaneously, robust social safety nets are essential to support vulnerable
populations with limited familial backing, preventing them from suffering due to lack of access
to essential healthcare services (Henderson, 2023).
1/14 Discuss the basic features and impact of new Medicaid financing systems on low-income
families. How will these policies impact your practice if adopted?
New Medicaid financing systems often aim to introduce flexibility in Medicaid spending,
such as block grants or per capita caps, which provide states with fixed federal funding
(Henderson, 2023). While this approach offers states more control, it could lead to reduced
federal funding over time, potentially limiting services and coverage for low-income families
(Henderson, 2023). If these policies are adopted, it might impact my practice by potentially
reducing the scope of services covered by Medicaid, leading to challenges in providing
comprehensive care to low-income patients. This might require finding alternative resources or
programs to fill the gaps in coverage, ensuring that patients still receive necessary care despite
potential funding limitations. Additionally, it could necessitate a more proactive approach to
advocating for policy changes that prioritize the needs of low-income families in healthcare.
Running head: Medicaid & Medicare
2
References
Chakravarthy, R., Wilensky, G. R. & Miller, B. J. (2022). Implementing competitive bidding in
the Medicare program: An expressway to solvency.
Inquiry, 59
, 1-7. Doi:
10.1177/00469580221141776.
Henderson, James W. (2023).
Health Economics and Policy
. Cengage Learning.
Ho, Y. L., Mahirah, D., Ho, C. Z. & Thumboo, J. (2022). The role of the family in health
promotion:
A scoping review of models and mechanisms.
Health Promotion
International, 37
(6), 1-14. Doi: 10.1093/heapro/daac119.
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