The concerned citizens of this country as taxpayers and beneficiaries of health care programs of the government seek to propose some changes in the policies governing managed care programs.
The Managed Care program currently works in a way wherein the member enrolled therein could go through and avail medical services at affordable prices through an agreement with participating hospitals (New Jersey Office of Administrative Law. New Jersey Administrative Code.
The charges for the doctor’s fees and operations are considerably lower than the rates normally charged thus the citizens are really enticed to avail of the benefits of a health care program by the government.
Health insurance is a necessity due to the rising incidents of sickness among people brought about by unhealthy lifestyle, poor diet and the high level of stress within the society.
As a result, many individuals try but fail to have a good insurance through a managed care program. The failure to enroll in a good health care provider is due to the present economic state that our country is facing today.
The common practice is that the employer would enroll all of their employees in a managed care program through a Health Maintenance Organization (HMO), Preferred Provider Organizations (PPO), or Point-of-Service (POS) (American Heart Association, 2009, p. 1).
A lot of Americans are unemployed at present and this means that a lot of people are left without funds to pay for their health insurance. Thus, we would like your good office through Congress to come up with a law which would give way for the citizens to benefit from a high-quality managed care program in accordance with the present economic difficulty that we are faced with today.
While it is true that the costs of managed care services are already cheap, the payment for insurance is still considered as a burden for ordinary people who are out of job. In a managed care program, there are still out of pocket expenses to be shouldered by the people.
We hope that these costs could be further eliminated. We understand that the government also needs funds for the success of their programs. However, it would be best if the government can evaluate the patients enrolled in a managed care program and ascertain as to whether or not the latter is capable of shouldering his or her expenses.
There should be a proportionate scheme to be implemented wherein high income earners should be obliged to pay for higher costs and those who are proven to be unemployed would be given free services. In this way, there would really be true government service especially to those who cannot afford them (Springer, David. The Rise of Managed Care – Is Capitalism to Blame?
Retrieved on May 6, 2009 from website http://www.jpands.org/hacienda/springer.html). The Managed Care policy was implemented to answer the needs of the people and at present, there is a clamor to have a change to make it applicable in the present state of the economy.
The change that is being proposed would give a true meaning to the service that the health industry vowed to uphold which is to save lives and not to primarily be concerned with obtaining profit (Springer, David. The Rise of Managed Care – Is Capitalism to Blame? Retrieved on May 6, 2009 from website http://www.jpands.org/hacienda/springer.html).
1. New Jersey Office of Administrative Law. New Jersey Administrative Code. Retrieved on May 6, 2009 from website http://www.state.nj.us/dobi/division_insurance/managedcare/omc/njac11c24.pdf.
2. Springer, David. The Rise of Managed Care – Is Capitalism to Blame? Retrieved on May 6, 2009 from website http://www.jpands.org/hacienda/springer.html.