The Principles of Good Health Care in the U.S. in the 2020s.
The Medicaid (begun in 1965) is a health care program that assists low-income families or individuals in paying for doctor visits, hospital stays, long-term medical, custodial care costs
and more. It is a joint program, funded primarily by the federal government and run at the state level, where coverage may vary. It provides free health insurance to 74 million low-income
and disabled people (23% of Americans) as of 2017.
The first two plans serve to about 133 million people (40% of the population) and provide good health insurance, comparable with the famous Scandinavian plans. However, what about the remaining 60% of the population? Those lucky who work may have plans co-paid by the employers. Unfortunately, not all employers finance such plans.
However, its first year of complete Act implementation, which began on October 1, 2009, led to the profound political crisis, resulted in shutting down the federal government due to the budget dispute at the Congress. This crisis is mostly caused by the lack of agreed principles of the American Health Care System and limited to the insurance issues.
Good health care is the constitutional opportunity of Americans. Today health care is costly. If it is free, it certainly will not satisfy the high expectations of Americans. Do they often perceive death as an option? The choice is between the right and the privilege of having health care. It depends on the
state’s economic situation and societal and political support. In this respect today, Americans are divided almost equally between the right and privilege.
Public Health Open J. 2019; 4(1): 8-14. doi: 10.17140/PHOJ-4-128
