Term Paper on "National Health Care Reform the History"

Term Paper 4 pages (1329 words) Sources: 8

[EXCERPT] . . . .

National Health Care Reform

The history of national health care legislation is one that is mired with political controversy and frustration since as long ago as the 19th century. Healthcare, mildly stated, is a very personal issue -- especially when, in this day and age, about half of the bankruptcies filed are a consequence of medical bills; of those, 75% of filers had health insurance (Pibel 2006). In the last year and a half, Americans have seen the controversy and the frustration, but national health -- or universal health care as it's been aptly named -- has been a topic for over 150 years. In 1854, the Bill for the Benefit of the Indigent Insane, was proposed and it proclaimed that it would set up asylums for the poor people who suffered from insanity -- as well as the blind, deaf, and dumb, through federal land grants to the states. Dorothy Dix was the activist responsible for the proposal and it was passed by both houses of Congress -- only to get vetoed later by President Franklin Pierce (Crockett 2002, 216).

In the 1912 presidential election, progressive health care reformers supported Theodore Roosevelt, but Roosevelt was defeated. In the year 1933, during the Great Depression, Franklin D. Roosevelt asked for draft provisions to be made to Roosevelt's pending Social Security legislation in order to incorporate publicly funded health care programs. However, the reforms were viciously criticized by the American Medical Association (AMA) along with state and local affiliates of the AMA as obligatory health insurance. In 1934, Roosevelt created an advisory Committee on Economic Security to determine the best manner in which to protect people "against misfortunes which
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cannot wholly be eliminated" (Quadagno 2006, 22). Roosevelt removed the health care provisions from the bill in 1935. The worry of organized medicine's resistance to universal health care became the norm for many decades after that.

After World War II, president Truman proposed national health care, but the idea was completely overpowered by opposition. The National Mental Health Act, however, was passed in 1946.

Medicare was signed into law in 1965, but not without controversy. Before the legislation was signed into law, a Virginia physician sent a letter to Representative Aime Forand (D-RI), who was the sponsor of the legislation, stating he "should be castrated and his progeny die in embryo" (Quadagno 2006, 9). Medicare was, on one hand, a win for the reformers, but it was also a winning situation for providers. Medicare wouldn't interfere with the health care system; they would simply serve as a neutral channel through which the federal funds would pass (9).

President Bill Clinton was a major proponent of health care reform as was First Lady Hillary Clinton -- yet, their 1993 health care plan wasn't signed into law. HIPAA (Health Insurance Portability and Accountability Act) in 1996, though, made sure that employees could maintain health insurance coverage in the event that they lost of changed their jobs and in the event that COBRA ran out.

In 2003, president George W. Bush signed into law the Medicare Prescription Drug, Improvement, and Modernization Act, which would offer a prescription drug plan for elderly and disabled citizens (Christensen et al., 2008, 239).

Barack Obama's Universal Health Care reform plan would create what was coined a National Health Insurance Exchange. The plan would include private insurance plans and Medicare-type plans. Coverage would be mandatory, no matter what the individual's health was, and premiums would not differentiate based on an individual's health status either. Simply stated, Obama's health care proposal would require that all children have health insurance, and employers offer health benefits or at least contribute to the cost of the new public program. Expand Medicaid and SCHIP individuals without access to other public programs or employer-based coverage could enroll in a new public plan, like Medicare, or in a range of approved private plans.

Obama's plan would require that all children have health insurance as it would require large employers to provide… READ MORE

Quoted Instructions for "National Health Care Reform the History" Assignment:

You are to examine the health care reform bill passed by Congress late last month and signed into law by President Obama. Your paper should general address some the following points:

1. The background of national health care legislation

*****¢ The history of national health care legislation; what*****'s been proposed before; what*****'s been enacted before and how it*****'s worked

*****¢ The Obama proposal

*****¢ The Congressional response to the president*****'s plan

*****¢ Opposition to the plan: by the lobby (such as the insurance lobby), by Republicans, by talk radio, by some Democrats

2. The path through Congress--the compromises, the arguments, the procedural matters

The stages of the legislations process including differing developing versions of bill

*****¢ How Congress changed the president*****'s plan

*****¢ The single-payer issue

*****¢ What congressional Democrats did, what congressional Republicans did; the significance of the majority party status in Congress

*****¢ Calls by the president for bi-partisanship

*****¢ Dissention within Democratic ranks

*****¢ The bill looks dead

*****¢ Reconciliation controversy

*****¢ How the bill regained life and was finally passed in late March

3. What is in the final bill

*****¢ What takes effect immediately

*****¢ What comes into effect later

*****¢ How it will affect health care for Americans

4. The Future of the Health Care Reform Law

*****¢ Republican calls for repeal

*****¢ Changes promised/threatened

*****¢ Lawsuits brought by states (mostly Republican attorneys general) against the constitutionality of the law

*****¢ What the passage of the legislation means to the upcoming congressional elections in November; what could change in Congress as a result of the November general election; what effect has the health care law had on primary and special elections held after the passage of the law

You need not cover all these issues in your paper, but these are the issues in general that can be addressed. Many of them should be addressed in your paper to the point that you develop a cohesive story of what has happened . It is up to you to decide what of these issue points to include in your narrative.

TYPE OF PAPER: This is an expository paper, not an argumentative or persuasive paper. Do not offer your own opinions directly in the body of your paper. Write exclusively in the third person, not the first person. You may present the arguments by scholars, judges, experts, journalists, politicians and others in a formal, substantiated, documented manner. You are writing objectively, telling both sides of the issue. Examine the issue objectively and report on what you have found. Like a lawyer in court proving a case, you will use evidence presented by experts and witnesses. Lawyers in a case do not testify themselves. They must let their witnesses prove the case. You will be doing much the same thing. Let the sources tell the story. You may, however, if you wish, draw your own conclusions in the first person (e.g., *****"I believe, based on my research, that*****¦.*****") in the conclusion of your paper (the last paragraph or two of your paper). Be rational, not emotional in your writing.

Remember that this is a term paper, an essay, not a list of questions and answer, not a list of bulleted points to address. You are telling the story of this political controversy, policy debate, and policy decision. You are acting as a newspaper reporter would in writing an objective article over viewing in general what happened. Do not put headings and subheadings in your paper (such as *****"What Is In the Final Bill*****") because you don*****'t have room for it in such a short paper. Let your development and transition tell the reader what area you*****'re addressing.

REQUIRED CITATION: You MUST, of course, document each use of a source in your paper. You must cite the article information and the URL for the article. You MUST

use the TURABIAN (also known as the Chicago Manual of Style format) method to cite your sources and you MUST cite using ENDNOTES. (See material below for how to use the Turabian method; also see the two sample term papers I have provided you as examples of how to use the Turabian style of documentation.) Failure to use the Turabianmethod of documentation with endnotes for you paper will result in a severe grading penalty.

REQUIRED LENGTH: At least three (3) full pages of text NOT including the cover sheet and NOT including the ENDNOTES pages. This is a minimum page length requirement, not a maximum limit. You may go beyond the three text page minimum requirement if you wish. You must use at least EIGHT (8) different articles from The New York Times (see below). You must document/cite each use of the eight (or more) articles; you may use any of the articles you select for your paper more than once for quotes or paraphrased material, documenting / citing each use. If you wish, you may use more articles in your paper, BUT you MUST use at least eight (8) in the paper.

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REQUIRED SOURCES TO USE IN YOUR PAPER: You are required to use at least eight (8) sources in your paper. You are to use exclusively the coverage of the national health care reform issue from The New York Times. All the source material you use in your paper must be from articles this newspaper and ONLY from this newspaper (The New York Times). Conveniently, The New York Times assembled all their coverage of this issue on an issue site on the papers*****' Web site. Here is the link to that site on each paper:

The New York Times: Times Topics -- Health Care Reform http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/health_insurance_and_managed_care/health_care_reform/index.html?scp=1-spot&sq=health%20care%20reform&st=cse

The Times has a marvelous overview of the issue at the top of their page. And all their coverage of the issue is accumulated there. If you think you cannot find something on the Times Topics--Health Care Reform page, you can enter key terms in the *****"Search all NYTimes.com*****" dialogue box at the top right corner of the page. You are to use only articles from the New York Times in your paper. You may not use material from links you might find on The New York Times to outside material.

You are required to use (direct quotes or paraphrasing) at least eight (8) New York Times different articles in your paper. You are not, however, limited to using just eight. That is the minimum requirement. You may use more if you wish.

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TERM PAPER MECHANICAL REQUIREMENTS:Be certain to follow these mechanical requirements closely in preparing your paper. This is often where students lose valuable points on their papers because I adhere to these standards strictly and deduct points from your paper grade if you fail to follow these instructions!

 Three (3) pages of text, minimum. That*****'s at least THREE FULL PAGES--not two, not two-and-a-half...at least THREE full pages of text (this three page minimum does not include the title page or the ENDNOTES pages at the end of the paper. I will deduct 15 points from your grade for each 1/2 page under the minimum length requirement, 30 points for each full page under the length requirement.

ï‚‚ The paper must be typewritten, double-spaced; characters must be no larger than 12 point. I will deduct 5 to 15 points if the type style exceeds the required size. I will NOT accept a paper that is not typed. You must use Times-Roman or Times New Roman at the typestyle in your paper. I will deduct five points if it is not in Times-Roman or New Times Roman typestyle. You must submit the paper in Microsoft Word format as an attachment via Blackboard mail. I will not accept a paper not saved in Microsoft Word format.

 One(1) inch margins--top, bottom, left and right. I will give you some leeway, up to 1.5 inches on the right side for a ragged right margin. Five (5) points off for each page violating this requirement. Anywhere from 5 to 15 point off if the margins are excessively beyond the 1.5.

ï‚„ You must document (cite) all your references. You are to use the Chicago Manual of Style (also known as the *****"Turabian*****") method of citation and documentation with sequential superscript numerical citations within the paper and an ENDNOTES page(s) at the end of the paper. You must show proper documentation for every quote used or source material paraphrased. You will have an ENDNOTES page (or pages) at the end of your paper listing the articles and material you actually used in your paper. You must include the URL for the article from the Internet site of the article as well as the basic information about the article.

IMPORTANT NOTE:If you do not cite your sources in the body of your paper, showing where you borrowed the quoted or paraphrased material, you will receive a ZERO (0) for your term paper grade! You must use the Turabian method and use sequentially numbered

ENDNOTES. BE ABSOLUTELY SURE YOU UNDERSTAND THIS AND MEET THE CITATION - DOCUMENTATION REQUIREMENT!

ï‚… Include a title page (which, as you recall, does not count as one of your three text-page minimum). On the title page, include the information as shown below. Five (5) points off for failure to include a title page with appropriate information. (You*****'d be surprised how many papers I get each semester without a name anywhere on the document!) Your title page does not count toward your required three full pages of text. Your title page must follow the following format (you MUST have this information on it):YOUR NAME

YOUR STUDENT ID# OR LAST 4 DIGITS OF YOUR SS#

TITLE OF YOUR PAPER

GOVERNMENT 2301, CRN 21348

SPRING 2010

DATE OF SUBMISSION

SUBMITTED TO JOHN BEN SUTTER, HCC GOVERNMENT

 Keep a copy of your paper on your hard drive or on a CD or floppy disk. If there is a problem with transmission or opening of your paper I may need you to re-send the paper

 You must submit your paper electronically via BLACKBOARD mail by attaching the paper as a FILE ATTACHMENT. (See attachment instructions at the bottom of this document.) Do NOT send it to me by any other mail method. I will not accept a paper that is sent by any method other than Blackboard mail. Send me a copy of your paper via email, saved in Microsoft Word format, attached to an email via BLACKBOARD mail. If I do not receive the paper as an attachment on a BLACKBOARD email, I will NOT consider the paper submitted. I will not accept a term paper that is not saved in Microsoft Word. DO NOT COPY AND PASTE YOUR PAPER ONTO AN EMAIL AND SEND IT TO ME IN THAT MATTER; I WILL NOT ACCEPT IT IN THIS MANNER! In an emergency, you may in order to make a timely submission, send the paper to me at johnben.sutter@hccs.edu if you have trouble with Blackboard. You must, however, soon afterward send the paper to me again via Blackboard mail.

 You must use a minimum of EIGHT (8) different articles from the New York Times in your paper. Therefore, you will have at the very least EIGHT entries on your END NOTES or WORKS CITED page(s). Remember, you must appropriately document/cite each of the sources used in your paper. You may use and cite any of the sources more than once in your paper, of course, and you would, thus, have more than eight endnotes; but you must use at least eight different articles from The New York Times in your paper.

How to Reference "National Health Care Reform the History" Term Paper in a Bibliography

National Health Care Reform the History.” A1-TermPaper.com, 2010, https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307. Accessed 1 Jul 2024.

National Health Care Reform the History (2010). Retrieved from https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307
A1-TermPaper.com. (2010). National Health Care Reform the History. [online] Available at: https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307 [Accessed 1 Jul, 2024].
”National Health Care Reform the History” 2010. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307.
”National Health Care Reform the History” A1-TermPaper.com, Last modified 2024. https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307.
[1] ”National Health Care Reform the History”, A1-TermPaper.com, 2010. [Online]. Available: https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307. [Accessed: 1-Jul-2024].
1. National Health Care Reform the History [Internet]. A1-TermPaper.com. 2010 [cited 1 July 2024]. Available from: https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307
1. National Health Care Reform the History. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/national-health-care-reform/9323307. Published 2010. Accessed July 1, 2024.

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