Analyzing The Oregon Study In Regard To Medicaid For American Citizens

Analyzing The Oregon Study In Regard To Medicaid For American Citizens This article challenges the originally widely praised concept of the famous Oregon experiment; a study conducted in 2011 claiming that having Medicaid was significantly better than being uninsured, which directly refuted various studies claiming that individuals are no better or worse off with Medicaid than without it. The public response to its’ preliminary, flimsy, and uncertain results in 2011 was driven by media hype and premature over eagerness—headlines such as â€Å"A new, rigorous study from Oregon confirms that Medicaid does, indeed, save lives,† (Roy) and â€Å"What we found in a nutshell is that having Medicaid makes a big difference in peoples’ lives† (Roy) flooded front pages; the Oregon experiment had ignited national, growing faith in Obamacare that was previously unseen. The day prior to publishing of this article, May 1st 2013, the authors of the original Oregon study released their updated two year results— â€Å"Medicaid g enerated no significant improvement in measured physical health outcomes.† This article analyzes the staggering results, critiques the experimental methods used, and questions the $450 billion/year spent on a seemingly futile program. The structure of the Oregon study was centered around the comparison between the health outcomes of individuals enrolled in Medicaid, versus the health outcomes of the uninsured. The outcomes examined for comparison were levels of elevated blood pressure, high cholesterol, elevated HbA1c levels, and long-term cardiovascular risk (measured by Framingham scores). The main question the authors wanted to answer: Did Medicaid improve the health of its enrollees? Before analyzing the statistical data of the experiment, it is crucial to understand the flawed structural setup that introduced massive bias and even possibly skewed the results. The Medicaid population was partially self selected, making it an inaccurate representative sample of the common population. The Medicaid users were consciously and knowingly aware that they were receiving the benefits of Medicaid, and the uninsured were well aware that they were uninsured—this concept could potentially favor the Medicaid population due to prevalent bias. In much more accurate clinical trials, both the doctor and patient should be unaware whether the patient has received the placebo or the test drug in order to achieve an unbiased, accurate answer. The Oregon authors also only measured the baseline health status of the uninsured group, not the baselines of the Medicaid group. This massive flaw doesn’t allow for accurate results within the Medicaid group by offering no definiti ve method of comparison when analyzing the data. The process of creating the Medicaid group was also driven by massive bias. Of the 35,169 residents who â€Å"won† the lottery to gain Medicaid enrollment, only about 30% actually enrolled, and 60% of those selected out of the 30% physically filled out the forms to receive benefits. The 60% who signed up are clearly more likely to need the treatment and benefits compared to the other 40%, who didn’t bother to fill out paperwork. (Roy) Those who chose to enroll were therefore sicker and more in need of treatment; making them more likely to benefit from treatment than the control group, or the uninsured. The final element of bias introduced, and perhaps most significant, is how the state of Oregon individually manages their Medicaid program compared to the national average. In Oregon, Medicaid pays primary care physicians approximately 62% of what private insurers pay. Our national average pays 52%, and many blue states pa y well under 40%. (Roy) Because the state of Oregon pays their health care professionals more, their beneficiaries have better access to doctors; better access to doctors should lead to better health outcomes for beneficiaries than we’d likely see in other states, making the state of Oregon an unsuitable host for this experiment. As for the data, the authors found no statistically significant differences in elevated blood pressure, HbA1c levels, high cholesterol, or long-term cardiovascular risks between the insured and the uninsured. The sole, significant difference between the two groups in this study was the amount spent and the utilization of services. Medicaid patients spent an average of $1,172 more than the uninsured, with zero statistically supported data leading to better health outcomes. (Roy) These findings are extremely significant; the flaws within the setup of the experiment introduce extreme bias and inevitably lead to inaccurate data. I am convinced of the validity of this article due to the meticulous research, critique, and analyzation on the flaws of the Oregon experiment as a whole as conducted by the author. He raises a notable point that should be seriously considered by American citizens, government officials, and policy makers alike. With the heavy reliance on Medicaid expansion under Obamacare, this experiment questions the major flaws within the system in its entirety, making us ask ourselves: Is it worth it?

Models for Community and Individual Health Promotion Assignment

Models for Community and Individual Health Promotion - Assignment Example He as an individual might decide to help them, but such a behavior as smoking is a very addictive behavior which requires one to have the will of taking the necessary measures to quit smoking. This is a process that is not expected to be smooth running, but as long as the victim is willing then it will be easy to him or her stop the behavior (Edberg, 2010). One of the community models used to support health behavior is the Diffusion of Innovation Theory. It is easy for people to prevent themselves from getting sick by taking precautionary measures like washing your hands before eating or even after visiting the toilet. Some of the major diseases that really affect people and can easily kill; diseases like cancer, diabetes, cannot be easily screened, and one needs help from specialists and to then know how to cure it. For this reason, a community takes the initiative to educate its people more about this disease, their symptoms and where to get help from incase you are infected (Orleans, 2008). The Stage Change model helps one know that it is only you who has the full control of your life and that one is willing to leave a positive and healthy life. One can give you advise, and even avail the best clinics for you in order for you to for instance quit smoking but unless you are willing this is not possible (Gochman, 2011). This theory appreciates the spread of word and information in that, information can reach a lot of people and be helpful to the community. This is through schools, churches and such like places (Gochman,

Poverty in modern life Essay Example | Topics and Well Written Essays - 500 words - 188

Poverty in modern life - Essay Example There are many reasons for this problem and many solutions. The main cause of this problem is social stratification, where the poor people are condemned to their poverty. The rich continue enriching themselves by using their power and authority while the poor continue being poor. Income inequality caused by social stratification, political issues and poor economic policies lead to increased poverty among the minority members of the society. In addition, this problem happens due to lack of information about microfinance and banking in the society. Information asymmetry leads to inadequate information by the members of the society which could be used to make appropriate financial and economic decisions in order to come out of poverty. Lastly, this issue is caused by governments’ inability to implement public policies effectively. There are three primary solutions to this issue. The first solution is the government should establish effective systems of financial and economic empo werment. A country that has people that are development conscious can least find itself in situations of war and other forms of violence. Therefore, governments should create favorable policies that enhance business growth and peaceful co-existence among all people. In my opinion, economic empowerment is the only way that people can understand ways of identifying and providing solutions to social needs. Secondly, the government should create regulations to control financial markets so that they provide financial services effectively to all members of the society. For instance, the government should direct banks to lower their lending rates to small and medium businesses to allow them to invest and provide financial and economic security to members of the public.