Name
Institutional Affiliation
 
 
Healthcare Politics and Policy: The State Director of Health Planning Duties
The state of Texas has had a wide range of healthcare issues that are yet to be effectively addressed over the years (Buettgens, Blumberg, & Pan, 2018). Even though the state’s healthcare policy has improved some sectors of health, is facing serious problems on matters such as many uninsured individuals, Medicaid issues, access to, quality, and cost of care.  The governor has been under a lot of pressure from various groups including advocates for the working poor who are demanding more comprehensive coverage and party leaders who are complaining about the increasing Medicaid costs. “Cookbook medicine” which is harming patients is also a concern raised by patients’ rights groups and some professional. As the new state director of health planning in Texas, I am tasked with assisting the governor with clarifying the possible choices with regards to access, cost, and quality of care. This paper consists of a report and recommendations on healthcare access in Texas as well as a speech to the governor.
Part A: report and recommendations on access to healthcare in Texas
Uninsured
Who are the uninsured
19 percent of the Texas non-older populace, 4.7 million individuals, stay uninsured. The uninsured are vigorously gathered at low wages. Around 60 percent of the uninsured have family MAGI underneath 138 percent of FPL, and 88 percent have family MAGI beneath 300 percent of FPL. The uninsurance rate differs with pay, running from 29 percent of those with salaries underneath 138 percent of FPL to just 4 percent of those with wages over 400 percent of FPL. Kids makeup just 14 percent of the uninsured and have an uninsurance rate far lower than grown-ups; 8 percent of kids are uninsured contrasted and 25 percent all things considered (Buettgens, Blumberg, & Pan, 2018). Hispanics have an eminently higher uninsurance rate than some other race/ethnicity gathering: 27 percent are uninsured contrasted and 12 percent of non-Hispanic whites and 16 percent of non-Hispanic blacks. Grown-ups in single-parent families and singles without youngsters have the most elevated uninsurance rates (33 percent and 30 percent, individually).
66% of the Texas uninsured are in working families. 56 percent are in families within any event one all day specialist. Forty-two percent of uninsured Texans are in families within any event one grown-up who works in a huge firm, and 25 percent are individuals from families with just little firm laborers. 66% of the uninsured are US natives. In any case, US natives are substantially less liable to be uninsured than individuals who are not US residents (Buettgens, Blumberg, & Pan, 2018). Similarly, fifty-eight percent of uninsured Texans are in families comprising altogether of natives.
What the state is doing to help the uninsured
The state of Texas works in association with the national government and non-benefit associations to finance and offer free or minimal effort medicinal consideration to the uninsured and low-waged persons. There are a few principle programs accessible to the individuals who qualify. The administrations gave a shift, and can go from free physician recommended prescriptions to assets that emphasis on youngsters or malignancy patients (Garfield et al., 2016). While a portion of the consideration is given to free, at times patients should pay a part of the expense or some genuinely insignificant charges or derivations. One of the projects is the Texas Breast and Cervical Cancer Diagnostic Program which is offered at more than 200 facilities and well-being facilities. Ladies who range in age from 18 to 64, who need medical coverage, and who meet certain low pay rules might be qualified with the expectation of complimentary testing, screenings, and diagnostics. The goal is to discover any malignant growth at the earliest opportunity and afterward to guide ladies to medicinal suppliers that can offer help.
Another one is CHIP (Children’s Health Insurance Program) which is the Texas medical coverage plan for kids from low to direct salary families. It, by and large, gives inclusion to individuals who don’t meet all requirements for some other government or open guide (Garfield et al., 2016). The help program is wide extending, and it gives office visits and normal checkups, free physician recommended drugs, access to medicinal pros, emergency clinic care and administrations, x-beams and lab tests, emotional wellness care, and treatment of prior conditions. Others possibly non-crisis issues are likewise tended to from CHIP, and this can incorporate dental consideration just as free eye tests and glasses.
What the state can do to improve care to the uninsured
The essential methodology that could be pursued to cover the uninsured is totally rebuilding the framework. The significant bit of leeway to rebuilding is that another framework could be more discerning than the one that has grown generally. Likewise, it can give systems to cover the majority of poor people and additionally uninsured (Garfield et al., 2016). There is, obviously, no certification that restructuring the healthcare system will be proficient than the framework it supplanted, however apparently we will have gained from past faults. Adopting a state health insurance can largely benefit the uninsured people in Texas. It will take the form of national health insurance (NHI) which covers everyone regardless of their employment status
Quality
In terms of healthcare quality, Texas is one of the states that perform poorly. Policymakers in Texas have bounty to investigate. The state comes in third to rearward in the general positioning, in front of just Louisiana and Oklahoma. The state falls fundamentally beneath the national normal in such classifications as patient security, Medicaid, solid living, HIV/AIDS, nursing homes, and low protection rates, among others. Texas has the most noteworthy level of uninsured people country savvy. Deductibles are higher in business designs in the state which implies that Texans aren’t getting all the consideration they need (Carter, 2019).
Hawaii is one of the benchmark states that had been ranked number one in terms of offering quality healthcare. The state has put a lot of efforts in insuring its citizens, something which is strongly affiliated to Texas’s adoption of the Prepaid Healthcare Act of 1974. The law was the first in the nation to command all day specialists be secured by medical coverage; the employer is required to at minimum 50 percent of the premium, with employee commitments not exceeding 1.5 percent monthly payment (Carter, 2019). Numerous organizations additionally intentionally spread in any event part of the premium forwards. Under the steady gaze of the law was passed, just 70 percent of neighborhood inhabitants had medical coverage; a short time later, with the assistance of administrative and state government programs for hole gatherings like poor people and youngsters, inclusion crested at 98 percent. The level of uninsured expanded after some time however, Obamacare decreased the rate again and the most recent information show just 3.7 percent of the neighborhood inhabitants need medical coverage. The program has produced great wellbeing results, great purchaser fulfillment, and generally unobtrusive by and large human services consumptions.
In terms of population size, Texas has a lower population compared to Hawaii. Currently, there are approximately 27.8 million people in Texas while Hawaii has about 1.4 million residents. Many people in Hawaii are Asians followed by whites and then individuals of mixed ethnicities. In Texas, the whites are the majority followed by African Americans (Sommers et al., 2015). The employment rate in both states is almost equal. This means that Texas can borrow some of the Practices from Hawaii to improve their quality of healthcare.
Recommendations
It would be recommendable for Texas to develop and enact a Prepaid Health Care Act (PHCA) like that of Hawaii. This will boost the quality of care received by workers as voluminous will afford it. The main requirement in this law is that the business should in all cases pay at any rate half of the premium for worker just inclusion (Carter, 2019). This implies for no situation would a business have the option to set the representative offer of the premium at a sum more noteworthy than half of the full premium. This will enable employers to pay less and their employers to pay more for their healthcare coverage. Nevertheless, a major drawback with PHCA is that it only applies to the employed individuals.
Medicaid
Who is receiving Medicaid care
Texas has not extended Medicaid under the ACA. Thus, the state has the greatest inclusion hole in the nation, with an expected 759,000 residents ineligible for Medicaid and furthermore ineligible for premium appropriations to balance the expense of private inclusion in the trade. In Texas, long haul care is costly, regardless of whether in a nursing home, helped living office, or home human services (Begley et al., 2016). Gatherings of individuals who can consequently fit the bill for Medicaid incorporate SSI beneficiaries, members in the TANF program, and youngsters in its child care framework.
To have the option to get Texas’ Medicaid program to pay for long haul care in 2019, a solitary individual’s month to month salary can’t be higher than $2,313. Texas does not permit people to meet all necessities for Medicaid by “spending down” their salary on qualifying medicinal costs until they achieve Medicaid pay limits. Texas does, notwithstanding, enable people to put some additional month to month pay in a trust to permit an individual qualify monetarily for Medicaid (Begley et al., 2016). To fit the bill for Medicaid, you should have a couple of assets. Assets will be resources, similar to cash in the bank, retirement records, land, and individual property like vehicles. As far as possible for a solitary individual to fit the bill for Texas Medicaid is $2,000, and for a wedded couple who both need to fit the bill for Medicaid, it is $3,000.
Most Medicaid beneficiaries in Texas get benefits through a controlled care framework. The most widely recognized framework is called STAR Managed Care (Begley et al., 2016). In oversaw care, Medicaid beneficiaries pick a medicinal arrangement from a rundown of plans accessible in their general vicinity and pick an essential doctor who works under that arrangement. The plans are worked by privately owned businesses that agreement with Texas to give Medicaid administrations.
What is the quality of care they are receiving
Individuals receiving healthcare under Medicaid coverage incur many costs when they become sick in Texas. Research shows that a significant number of insured Texans lack primary care physicians and a third of them forgo necessary medical care since they cannot afford it. Notwithstanding its choice not to extend Medicaid, Texas has made it more troublesome than different states for individuals who are qualified for inclusion under the ACA to really enlist (Begley et al., 2016). Numerous states have adequately utilized medical coverage guides and different sorts of help to educate and enable qualified individuals to agree to accept inclusion, however, Texas picked not to make an in-person help program and passed laws that viably constrained the capacity of network associations to enable customers to take a crack at protection.
Whether the plans of dissimilar states can be adapted for use in Texas
Texas should consider expanding Medicaid just like the other states. Minnesota is one of the states whose good rankings in terms of health can be attributed to Medicaid expansion. Somewhere in the range of 2013 and 2016, the number of uninsured people in Minnesota declined by 48.9 percent. Around 90,000 people in Minnesota were joined up with wellbeing plans offered through the medical coverage trade in 2016 (Diaz Vickery et al., 2016). Enlistment in Medicaid added up to about 1.1 million in May 2016.  Kaiser Family Foundation found that somewhere in the range of 2016 and 2017, normal month to month premiums for benchmark anticipates Minnesota’s trade expanded by a normal of 55 percent in the Minneapolis showcase, from $235 to $366. Given that Texas has the highest number of uninsured people in the country, Medicaid expansion will enable more residents in the state to access and afford health care whenever they need it.
 
 
Part B: the governor speech
For the past few years, Texas has performed exceedingly poorly in terms of quality, accessibility, and, cost of healthcare that it has been providing. It has been ranked among the states in the U.S with undesirable healthcare systems. One of the main factors that have contributed to this bad rating is the state’s state of uninsured persons. Today, Texas has the largest number of individuals who lack healthcare coverage countrywide. While the populace without medical coverage inclusion in Texas incorporates individuals from a scope of foundations, most uninsured Texan grown-ups are low-salary laborers. Uninsured grown-ups in the state are additionally, overall, more youthful and bound to be non-white individuals than the individuals who have protection (Buettgens, Blumberg, & Pan, 2018). Likewise, while most uninsured grown-ups are residents or lawful workers, an outstanding offer of uninsured grown-ups in Texas are undocumented settlers, who stay outside the scope of numerous arrangements of the ACA.
Uninsured grown-ups in Texas are almost certain than different inhabitants to be low-salary. For instance, 40% of uninsured grown-ups are poor as opposed to 5% of grown-ups with boss inclusion (Buettgens, Blumberg, & Pan, 2018). In Texas, most poor uninsured grown-ups are ineligible for inclusion developments under the ACA. Grown-ups with Medicaid are the in all probability of any inclusion gathering to be poor, mirroring the way that grown-up pay qualification is restricted to those with low livelihoods.
Apart from the high rates of uninsurance in the state as well as poor quality of care, Texas also faces Medicaid problems. The state is one of those which has declined Medicaid expansion program (Begley et al., 2016). As a result, many people remain uninsured since the state has also a strict eligibility criterion that bars low-income populations. Even for those who are eligible under Medicaid in Texas, they still incur unaffordable costs when they become sick.
The main reason for addressing these health-related issues in Texas is mainly to improve the health status of the state. Individuals’ well-being is one of the most important factors that determine the productivity of a region. When many people are sick because they cannot afford not just healthcare services but also quality care, it means that there is no bright future (Sommers et al., 2015). The economy will be negatively impacted since people cannot work when they are sick, the children, who are also tomorrow’s future, cannot go to school. Additionally, addressing these issues will enable the state to work hard towards ensuring that it has a good name. No one likes to be associated with or interact with negativity. Therefore, it is crucial for the state of Texas to be viewed as a healthy place.
To curb the elevated rates of insurance, the government of Texas through the state director of health planning duties considers restructuring the healthcare system and adopt one that resembles NHI. Given Texas has a significant proportion of jobless uninsured individuals, changing the framework to one that covers all the people regardless of their status will be helpful in enabling the state to improve its health in the next 4 years. Even though transforming the state’s healthcare system can be difficult governments that have adopted “Medicare for all” have the least insurance rates. For instance, in Australia’s two-tier universal health plan, everyone is covered health-wise (Borgonovi & Compagni, 2013).
As for improving the quality of care, the state proposed PHCA. This is one of the policies that Hawaii has used in achieving a high health status in the country. Even though Texas will still retain the ACA, PHCA will be of great importance to the state. In Hawaii, it has made it possible for many employed people to be insured, something that has been advantageous to the low-income earners (Carter, 2019). The law will require employees to pay at least half of their workers’ health insurance premiums while the employees will only contribute not more than 1.5 percent to their coverage each month. Texas governments expect that the insurance rates will fall drastically and improve the health status of the overall population when PHCA comes into effect.
Above all, Texas government, after deep consultations have decided to be open to the idea of expanding the Medicaid program. This is because the state has found the law necessary in enabling various groups in the states, especially the low-income earners and the vulnerable groups to access healthcare services at affordable costs. The benefits of Medicaid expansion are widely documented. In Minnesota for instance, it enabled about 1.1 million residents to be eligible under Medicaid health plan (Diaz Vickery et al., 2016). Texas, being one of the states with the largest population of uninsured persons, expanding Medicaid will loosen the exclusion criteria and more persons will be eligible. This will, in the long run, improve the state’s health status since more people will be covered. Eventually, this will create a good name for the beloved state of Texas and its people.
 
 
References
Begley, C., Hall, J., Shenoy, A., Hanke, J., Wells, R., Revere, L., & Lievsay, N. (2017). Design and implementation of the Texas Medicaid DSRIP program. Population health management20(2), 139-145.
Borgonovi, E., & Compagni, A. (2013). Sustaining universal health coverage: the interaction of social, political, and economic sustainability. Value in health16(1), S34-S38.
Buettgens, M., Blumberg, M., & Pan, C. (2018). The uninsured in Texas: statewide and local areas views. Urban Institute.
Carter, L. E. (2019). Health Care Reform: policy innovations at the state level in the United States. Routledge.
Diaz Vickery, K., Guzman-Corrales, L., Owen, R., Soderlund, D., Shimotsu, S., Clifford, P., & Linzer, M. (2016). Medicaid expansion and mental health: A Minnesota case study. Families, Systems, & Health34(1), 58.
Garfield, R., Damico, A., & Orgera, K. (2016). The coverage gap: Uninsured poor adults in states that do not expand Medicaid. Kaiser Family Foundation.
Sommers, B. D., Maylone, B., Nguyen, K. H., Blendon, R. J., & Epstein, A. M. (2015). The impact of state policies on ACA applications and enrollment among low-income adults in Arkansas, Kentucky, and Texas. Health affairs34(6), 1010-1018.
 
 
 
 
 
 
 
 
 
Healthcare Politics and Policy: The State Director of Health Planning Duties
Name
Institutional Affiliation
 
 
Healthcare Politics and Policy: The State Director of Health Planning Duties
The state of Texas has had a wide range of healthcare issues that are yet to be effectively addressed over the years (Buettgens, Blumberg, & Pan, 2018). Even though the state’s healthcare policy has improved some sectors of health, is facing serious problems on matters such as many uninsured individuals, Medicaid issues, access to, quality, and cost of care.  The governor has been under a lot of pressure from various groups including advocates for the working poor who are demanding more comprehensive coverage and party leaders who are complaining about the increasing Medicaid costs. “Cookbook medicine” which is harming patients is also a concern raised by patients’ rights groups and some professional. As the new state director of health planning in Texas, I am tasked with assisting the governor with clarifying the possible choices with regards to access, cost, and quality of care. This paper consists of a report and recommendations on healthcare access in Texas as well as a speech to the governor.
Part A: report and recommendations on access to healthcare in Texas
Uninsured
Who are the uninsured
19 percent of the Texas non-older populace, 4.7 million individuals, stay uninsured. The uninsured are vigorously gathered at low wages. Around 60 percent of the uninsured have family MAGI underneath 138 percent of FPL, and 88 percent have family MAGI beneath 300 percent of FPL. The uninsurance rate differs with pay, running from 29 percent of those with salaries underneath 138 percent of FPL to just 4 percent of those with wages over 400 percent of FPL. Kids makeup just 14 percent of the uninsured and have an uninsurance rate far lower than grown-ups; 8 percent of kids are uninsured contrasted and 25 percent all things considered (Buettgens, Blumberg, & Pan, 2018). Hispanics have an eminently higher uninsurance rate than some other race/ethnicity gathering: 27 percent are uninsured contrasted and 12 percent of non-Hispanic whites and 16 percent of non-Hispanic blacks. Grown-ups in single-parent families and singles without youngsters have the most elevated uninsurance rates (33 percent and 30 percent, individually).
66% of the Texas uninsured are in working families. 56 percent are in families within any event one all day specialist. Forty-two percent of uninsured Texans are in families within any event one grown-up who works in a huge firm, and 25 percent are individuals from families with just little firm laborers. 66% of the uninsured are US natives. In any case, US natives are substantially less liable to be uninsured than individuals who are not US residents (Buettgens, Blumberg, & Pan, 2018). Similarly, fifty-eight percent of uninsured Texans are in families comprising altogether of natives.
What the state is doing to help the uninsured
The state of Texas works in association with the national government and non-benefit associations to finance and offer free or minimal effort medicinal consideration to the uninsured and low-waged persons. There are a few principle programs accessible to the individuals who qualify. The administrations gave a shift, and can go from free physician recommended prescriptions to assets that emphasis on youngsters or malignancy patients (Garfield et al., 2016). While a portion of the consideration is given to free, at times patients should pay a part of the expense or some genuinely insignificant charges or derivations. One of the projects is the Texas Breast and Cervical Cancer Diagnostic Program which is offered at more than 200 facilities and well-being facilities. Ladies who range in age from 18 to 64, who need medical coverage, and who meet certain low pay rules might be qualified with the expectation of complimentary testing, screenings, and diagnostics. The goal is to discover any malignant growth at the earliest opportunity and afterward to guide ladies to medicinal suppliers that can offer help.
Another one is CHIP (Children’s Health Insurance Program) which is the Texas medical coverage plan for kids from low to direct salary families. It, by and large, gives inclusion to individuals who don’t meet all requirements for some other government or open guide (Garfield et al., 2016). The help program is wide extending, and it gives office visits and normal checkups, free physician recommended drugs, access to medicinal pros, emergency clinic care and administrations, x-beams and lab tests, emotional wellness care, and treatment of prior conditions. Others possibly non-crisis issues are likewise tended to from CHIP, and this can incorporate dental consideration just as free eye tests and glasses.
What the state can do to improve care to the uninsured
The essential methodology that could be pursued to cover the uninsured is totally rebuilding the framework. The significant bit of leeway to rebuilding is that another framework could be more discerning than the one that has grown generally. Likewise, it can give systems to cover the majority of poor people and additionally uninsured (Garfield et al., 2016). There is, obviously, no certification that restructuring the healthcare system will be proficient than the framework it supplanted, however apparently we will have gained from past faults. Adopting a state health insurance can largely benefit the uninsured people in Texas. It will take the form of national health insurance (NHI) which covers everyone regardless of their employment status
Quality
In terms of healthcare quality, Texas is one of the states that perform poorly. Policymakers in Texas have bounty to investigate. The state comes in third to rearward in the general positioning, in front of just Louisiana and Oklahoma. The state falls fundamentally beneath the national normal in such classifications as patient security, Medicaid, solid living, HIV/AIDS, nursing homes, and low protection rates, among others. Texas has the most noteworthy level of uninsured people country savvy. Deductibles are higher in business designs in the state which implies that Texans aren’t getting all the consideration they need (Carter, 2019).
Hawaii is one of the benchmark states that had been ranked number one in terms of offering quality healthcare. The state has put a lot of efforts in insuring its citizens, something which is strongly affiliated to Texas’s adoption of the Prepaid Healthcare Act of 1974. The law was the first in the nation to command all day specialists be secured by medical coverage; the employer is required to at minimum 50 percent of the premium, with employee commitments not exceeding 1.5 percent monthly payment (Carter, 2019). Numerous organizations additionally intentionally spread in any event part of the premium forwards. Under the steady gaze of the law was passed, just 70 percent of neighborhood inhabitants had medical coverage; a short time later, with the assistance of administrative and state government programs for hole gatherings like poor people and youngsters, inclusion crested at 98 percent. The level of uninsured expanded after some time however, Obamacare decreased the rate again and the most recent information show just 3.7 percent of the neighborhood inhabitants need medical coverage. The program has produced great wellbeing results, great purchaser fulfillment, and generally unobtrusive by and large human services consumptions.
In terms of population size, Texas has a lower population compared to Hawaii. Currently, there are approximately 27.8 million people in Texas while Hawaii has about 1.4 million residents. Many people in Hawaii are Asians followed by whites and then individuals of mixed ethnicities. In Texas, the whites are the majority followed by African Americans (Sommers et al., 2015). The employment rate in both states is almost equal. This means that Texas can borrow some of the Practices from Hawaii to improve their quality of healthcare.
Recommendations
It would be recommendable for Texas to develop and enact a Prepaid Health Care Act (PHCA) like that of Hawaii. This will boost the quality of care received by workers as voluminous will afford it. The main requirement in this law is that the business should in all cases pay at any rate half of the premium for worker just inclusion (Carter, 2019). This implies for no situation would a business have the option to set the representative offer of the premium at a sum more noteworthy than half of the full premium. This will enable employers to pay less and their employers to pay more for their healthcare coverage. Nevertheless, a major drawback with PHCA is that it only applies to the employed individuals.
Medicaid
Who is receiving Medicaid care
Texas has not extended Medicaid under the ACA. Thus, the state has the greatest inclusion hole in the nation, with an expected 759,000 residents ineligible for Medicaid and furthermore ineligible for premium appropriations to balance the expense of private inclusion in the trade. In Texas, long haul care is costly, regardless of whether in a nursing home, helped living office, or home human services (Begley et al., 2016). Gatherings of individuals who can consequently fit the bill for Medicaid incorporate SSI beneficiaries, members in the TANF program, and youngsters in its child care framework.
To have the option to get Texas’ Medicaid program to pay for long haul care in 2019, a solitary individual’s month to month salary can’t be higher than $2,313. Texas does not permit people to meet all necessities for Medicaid by “spending down” their salary on qualifying medicinal costs until they achieve Medicaid pay limits. Texas does, notwithstanding, enable people to put some additional month to month pay in a trust to permit an individual qualify monetarily for Medicaid (Begley et al., 2016). To fit the bill for Medicaid, you should have a couple of assets. Assets will be resources, similar to cash in the bank, retirement records, land, and individual property like vehicles. As far as possible for a solitary individual to fit the bill for Texas Medicaid is $2,000, and for a wedded couple who both need to fit the bill for Medicaid, it is $3,000.
Most Medicaid beneficiaries in Texas get benefits through a controlled care framework. The most widely recognized framework is called STAR Managed Care (Begley et al., 2016). In oversaw care, Medicaid beneficiaries pick a medicinal arrangement from a rundown of plans accessible in their general vicinity and pick an essential doctor who works under that arrangement. The plans are worked by privately owned businesses that agreement with Texas to give Medicaid administrations.
What is the quality of care they are receiving
Individuals receiving healthcare under Medicaid coverage incur many costs when they become sick in Texas. Research shows that a significant number of insured Texans lack primary care physicians and a third of them forgo necessary medical care since they cannot afford it. Notwithstanding its choice not to extend Medicaid, Texas has made it more troublesome than different states for individuals who are qualified for inclusion under the ACA to really enlist (Begley et al., 2016). Numerous states have adequately utilized medical coverage guides and different sorts of help to educate and enable qualified individuals to agree to accept inclusion, however, Texas picked not to make an in-person help program and passed laws that viably constrained the capacity of network associations to enable customers to take a crack at protection.
Whether the plans of dissimilar states can be adapted for use in Texas
Texas should consider expanding Medicaid just like the other states. Minnesota is one of the states whose good rankings in terms of health can be attributed to Medicaid expansion. Somewhere in the range of 2013 and 2016, the number of uninsured people in Minnesota declined by 48.9 percent. Around 90,000 people in Minnesota were joined up with wellbeing plans offered through the medical coverage trade in 2016 (Diaz Vickery et al., 2016). Enlistment in Medicaid added up to about 1.1 million in May 2016.  Kaiser Family Foundation found that somewhere in the range of 2016 and 2017, normal month to month premiums for benchmark anticipates Minnesota’s trade expanded by a normal of 55 percent in the Minneapolis showcase, from $235 to $366. Given that Texas has the highest number of uninsured people in the country, Medicaid expansion will enable more residents in the state to access and afford health care whenever they need it.
 
 
Part B: the governor speech
For the past few years, Texas has performed exceedingly poorly in terms of quality, accessibility, and, cost of healthcare that it has been providing. It has been ranked among the states in the U.S with undesirable healthcare systems. One of the main factors that have contributed to this bad rating is the state’s state of uninsured persons. Today, Texas has the largest number of individuals who lack healthcare coverage countrywide. While the populace without medical coverage inclusion in Texas incorporates individuals from a scope of foundations, most uninsured Texan grown-ups are low-salary laborers. Uninsured grown-ups in the state are additionally, overall, more youthful and bound to be non-white individuals than the individuals who have protection (Buettgens, Blumberg, & Pan, 2018). Likewise, while most uninsured grown-ups are residents or lawful workers, an outstanding offer of uninsured grown-ups in Texas are undocumented settlers, who stay outside the scope of numerous arrangements of the ACA.
Uninsured grown-ups in Texas are almost certain than different inhabitants to be low-salary. For instance, 40% of uninsured grown-ups are poor as opposed to 5% of grown-ups with boss inclusion (Buettgens, Blumberg, & Pan, 2018). In Texas, most poor uninsured grown-ups are ineligible for inclusion developments under the ACA. Grown-ups with Medicaid are the in all probability of any inclusion gathering to be poor, mirroring the way that grown-up pay qualification is restricted to those with low livelihoods.
Apart from the high rates of uninsurance in the state as well as poor quality of care, Texas also faces Medicaid problems. The state is one of those which has declined Medicaid expansion program (Begley et al., 2016). As a result, many people remain uninsured since the state has also a strict eligibility criterion that bars low-income populations. Even for those who are eligible under Medicaid in Texas, they still incur unaffordable costs when they become sick.
The main reason for addressing these health-related issues in Texas is mainly to improve the health status of the state. Individuals’ well-being is one of the most important factors that determine the productivity of a region. When many people are sick because they cannot afford not just healthcare services but also quality care, it means that there is no bright future (Sommers et al., 2015). The economy will be negatively impacted since people cannot work when they are sick, the children, who are also tomorrow’s future, cannot go to school. Additionally, addressing these issues will enable the state to work hard towards ensuring that it has a good name. No one likes to be associated with or interact with negativity. Therefore, it is crucial for the state of Texas to be viewed as a healthy place.
To curb the elevated rates of insurance, the government of Texas through the state director of health planning duties considers restructuring the healthcare system and adopt one that resembles NHI. Given Texas has a significant proportion of jobless uninsured individuals, changing the framework to one that covers all the people regardless of their status will be helpful in enabling the state to improve its health in the next 4 years. Even though transforming the state’s healthcare system can be difficult governments that have adopted “Medicare for all” have the least insurance rates. For instance, in Australia’s two-tier universal health plan, everyone is covered health-wise (Borgonovi & Compagni, 2013).
As for improving the quality of care, the state proposed PHCA. This is one of the policies that Hawaii has used in achieving a high health status in the country. Even though Texas will still retain the ACA, PHCA will be of great importance to the state. In Hawaii, it has made it possible for many employed people to be insured, something that has been advantageous to the low-income earners (Carter, 2019). The law will require employees to pay at least half of their workers’ health insurance premiums while the employees will only contribute not more than 1.5 percent to their coverage each month. Texas governments expect that the insurance rates will fall drastically and improve the health status of the overall population when PHCA comes into effect.
Above all, Texas government, after deep consultations have decided to be open to the idea of expanding the Medicaid program. This is because the state has found the law necessary in enabling various groups in the states, especially the low-income earners and the vulnerable groups to access healthcare services at affordable costs. The benefits of Medicaid expansion are widely documented. In Minnesota for instance, it enabled about 1.1 million residents to be eligible under Medicaid health plan (Diaz Vickery et al., 2016). Texas, being one of the states with the largest population of uninsured persons, expanding Medicaid will loosen the exclusion criteria and more persons will be eligible. This will, in the long run, improve the state’s health status since more people will be covered. Eventually, this will create a good name for the beloved state of Texas and its people.
 
 
References
Begley, C., Hall, J., Shenoy, A., Hanke, J., Wells, R., Revere, L., & Lievsay, N. (2017). Design and implementation of the Texas Medicaid DSRIP program. Population health management20(2), 139-145.
Borgonovi, E., & Compagni, A. (2013). Sustaining universal health coverage: the interaction of social, political, and economic sustainability. Value in health16(1), S34-S38.
Buettgens, M., Blumberg, M., & Pan, C. (2018). The uninsured in Texas: statewide and local areas views. Urban Institute.
Carter, L. E. (2019). Health Care Reform: policy innovations at the state level in the United States. Routledge.
Diaz Vickery, K., Guzman-Corrales, L., Owen, R., Soderlund, D., Shimotsu, S., Clifford, P., & Linzer, M. (2016). Medicaid expansion and mental health: A Minnesota case study. Families, Systems, & Health34(1), 58.
Garfield, R., Damico, A., & Orgera, K. (2016). The coverage gap: Uninsured poor adults in states that do not expand Medicaid. Kaiser Family Foundation.
Sommers, B. D., Maylone, B., Nguyen, K. H., Blendon, R. J., & Epstein, A. M. (2015). The impact of state policies on ACA applications and enrollment among low-income adults in Arkansas, Kentucky, and Texas. Health affairs34(6), 1010-1018.