Healthecare Part 1 Flashcards

(16 cards)

1
Q

The three-tiered US healthcare system

  1. Social Security
A
  • covers the elderly, unemployed and disabled
  • program linked to Medicare & Disability Insurance
  • funded by payroll taxes (must have worked/paid in to receive benefits)
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2
Q

The Three-Tiered Healthcare System

  1. Welfare
A
  • Covers : low-income n disabled
  • linked to Medicaid
  • funded by taxes means-tested (based on income)
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3
Q

The Three-Tiered Healthcare System

  1. Private coverage
A
  • Covers : those who are employed or can afford to buy insurance
  • Provided by employers or bought individually (majority of Americans)
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4
Q

What is Medicare 1965

A

National health insurance for people 65+ or with disabilities

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5
Q

What is Medicaid (welfare) 1965

A
  • Free or low-cost health coverage for low-income individuals, especially children, pregnant women, the disabled n the elderly
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6
Q

TANF (welfare)

A

Temporary Aid to Needy Families

  • Provides cash assistance n job training for poor families
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7
Q

SNAP (welfare)

A

Supplemental Nutrition Assistance Program

  • formerly “food stamps” — provides benefits via EBT cards to buy food
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8
Q

Head Start (welfare)

A
  • Early childhood education, nutrition, n health services for young children in low-income families
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9
Q

CHIP (welfare)

A

Children’s Health Insurance Program

  • covers healthcare for children in families who earn too much for Medicaid but can’t afford private insurance
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10
Q

Private coverage

A
  1. Employer-based Insurance
  2. HMO (Health Maintenance Organization)
    • requires members to use a network of doctors n hospitals
    • usually needs a referral from a primary doctor
    • lower cost, but less flexible
  3. PPO (Preferred Provider Organization)
    • Offers more freedom to choose doctors (in or out of network)
    • More expensive but more flexible
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11
Q

EBT card

A

Electronic Benefits Transfer

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12
Q

Social security groups

A
  • OASI : Old-Age & Survivors Insurance
  • DI : Disability Insurance
  • UI : Unemployment Insurance
  • Medicare
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13
Q

Welfare groups

A
  • Medicaid
  • TANF
  • SNAP
  • Headstart
  • CHIP
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14
Q

Private Coverage

A
  • Employer
  • HMO
  • PPO
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15
Q

The uninsured Americans

A

46 million in 2011
29 million in 2016 (Obamacare)

  • Part-time or temporary jobs : don’t offer health benefits
  • Small companies : no employer-sponsored insurance
  • Loss of job : no employer = no insurance

Who ?

  • Minority
  • Poorer Americans
  • Women
  • Young Adults
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16
Q

The cost of Healthcare

A

$4 Trillion total federal spending

This reflects a **high-cost, unequal system** —inefficient and fragmented compared to many other developed nations with universal coverage.