Programs, Access, and Coverages
Title 18 of the Social Security Act is a federal health insurance program that covers the elderly (those 65 years or older), some disabled individuals, and persons with End-Stage Renal Disease.
What is Medicare?
This distribution principle considers health care to be an economic commodity subject to the laws of supply and demand.
What is market justice?
An approach to medicine which incorporates the spiritual with the physical, mental and social aspects of health.
What is holistic medicine/health?
The common medical viewpoint in the U.S. that views health as the absence of disease and illness and emphasizes clinical diagnosis and the alleviation of symptoms.
What is the biomedical/medical model?
The U.S. health care delivery system is not centrally managed, and does not have this administrative entity as other developed countries do with their national health programs.
What is a central governing agency?
This joint federal and state program, known as Title 19 of the Social Security Act, provides funding for health care for low-income adults, children, the elderly and disabled persons.
What is Medicaid?
This distribution principle sees health care as a social good and basic human right which should be funded and shared on a social basis.
What is social justice?
On a denotative level, this term can refer to overall satisfaction with life and health perceptions before and after an interaction with the medical care system.
What is quality of life?
This word applies to how an individual feels about him or herself and the clinical evaluation of the symptoms by a medical professional will determine a disease.
What is illness?
This approach to health care delivery is the merging of the four functions: financing, insurance, delivery and payment.
What is the quad-function model?
The term used to describe an individual's ability to access health care services when needed.
What is access?
This fundamental value is the responsibility for obtaining medical treatment, paying insurance premiums and taking care of oneself.
What is individual responsibility?
Health-related factors that can contribute to poor health and early mortality are classified under four overarching headings: behaviour and lifestyle, heredity, medical care and this.
What is an/the environment?
WHO's definition of health, which makes it more than just the absence of disease.
What is the biopsychosocial model?
In the U.S., the primary method of delivery that influences utilization of and the cost of medical services through a capitation or discounted fee arrangement with providers.
What is managed care?
Enacted in 1986, this law requires that all patients, regardless of insurance coverage or ability to pay, be seen and medically stabilized in a hospital emergency room.
What is EMTALA (Emergency Medical Treatment and Labor Act)?
The quantity and the kind of health services used are naturally limited by the inability of the individual and the price, in a market justice context.
What is demand-side/price rationing?
This set of 10-year national public health plans sets baselines, overall public health objectives, and the top health indicators (LHIs) that will be used to direct health promotion efforts in the United States.
What are the Healthy People initiatives?
Those conditions which are relatively severe, intermittent, short-lived, and generally treated in an inpatient hospital setting.
What are acute conditions?
In private health insurance, this is when a health provider bills an insured patient for the amount that is not covered by an insurance provider.
What is balance billing?
The public program was created in 1997 to create health insurance coverage for children in uninsured families with moderate incomes above the eligibility thresholds for Medicaid.
What is CHIP (Children's Health Insurance Program)?
In the concept of social justice, the government regulates the allocation of high-tech services and capital investment to regulate the total investment, which is known by this term.
What is supply-side/planned rationing?
These upstream determinants differ from immediate social needs (food, transport etc.) as they are systemic and structural, the conditions people are born into, grow up in, live in, work in and age.
What are social determinants of health (SDOH)?
A disease state in the middle ground between acute and chronic on the disease spectrum, which may include post acute care like ventilator management or head trauma therapy.
What is a subacute condition?
This practice is commonly used by U.S. clinicians, who are often worried about malpractice litigations, and are ordering more tests, checkup visits, and unnecessary paperwork.
What is defensive medicine?