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Terms in this set (13)
With the introduction of the Affordable Care Act in October of 2013, America saw a significant increase in insured individuals.
Designed to increase affordability, lower the uninsured rate, reduce cost for individuals and the government.
Centers for disease control and prevention reported that the average number of uninsured in 2014 was 11.4 million fewer then the average in 2010.
Fully enacted in 2022
Predictions by the Association of American Medical colleges projected the shortage would reach 30,000 in just two years and will grow to 66,000 in less than a decade.
Nearly one in five Americans already lived in a region designated as having a shortage of physicians, and the number of physicians entering the field isn't expected keep pace with demand."
This graph is from 2010 and you can see the problem is getting exponentially worse.
Not just from ObamaCare. US population is growing and AGING.
How can we fix this, and how quickly can we fix this?
most state medical boards refuse almost any other countries medical schools except for Canada.
It takes 5 to 10 years to educate and train doctors, thus we must find ways to cater now
The goal at the end of the day is to protect the consumer and this makes fixing supply side issues more difficult
This can be done by converging smaller practices into larger ones to create teams of doctors who can assist higher quantity of patients then if they are their own practice. Working with Physican Assistance, Nurses.. etc
Since 2014, just 35 percent of physicians described their practice as independent opposed to 62 percent in 2008.
Bruce Sigsbee, a Neurologist in Rockport Maine claims, "You'll really lose ready access in many parts of the country that are rural... There really seems to be a perceived push to leave independent practice by these policies."
Rural populations are poorer and more likely to be uninsured
ACA coverage expansion are particularly notble in rural areas where the population is older, chronically ill, lower-income, and uninsured compared to people in urban areas.
Only 3 percent of matriculated medical school students say they plan to practice medicin in a small town or rural area.
One-quarter of the nonelderly rural population has family income below the poverty line
Less likely to work blue collar jobs with less benefits
Compared to urban counterparts, limited supply of providers can provide low cost or charity care.
Based on the idea that smaller rural hospitals and private practices will shut down and move towards larger cities to accommodate a higher amount of patients through teams.
Canada Health Act of 1984, this journal has conducted a study on geographical distribution within specific providence's in Canada regarding the adaptation of Universal HealthCare.
86 percent of canadians support or strongly support
91 percent prefer over a united states system
Used complex algorithmic formula
Concluded that there were few gaps in the spatial allocation of general hospitals.
There conclusion after running specific tests on specialists such as critical care and neurological that "Specific scenario modeling should not obscure the trend that when more specialized health services are considered, a clear difference in geographic access emerges within the IHA.
Wait times for orthopedic surgery in thunder bay, 261 days compared to 110 in Toronto.
More doctors but not needed where they are needed most. This was due to a large shortage of physicians causing phsicians to move to larger rural areas to become more systematic. Now there rural areas have no specialists. Eeriliy familiar
The ACA is designed to help make health care coverage affordable and accessible for millions of Americans.
The problem resides in actually enrolling the rural population. Turning out to be very difficult.
For example resources may require traveling distances which can be impossible for lower income individuals.
The problems presented in signing up rural residence effects the ability for rural hospitals.
This forces specialists to seek urban communities that are more financially stable.
This is why less then 3 percent of matriculated medical-students say they plan on working in rural communities.
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