the Children's Health Insurance Program

Examples of the Children's Health Insurance Program in the following topics:

• Health Care in the U.S.

  • Health insurance is now primarily provided by the government in the public sector, with 60-65% of healthcare provision and spending coming from programs, such as Medicare, Medicaid, TRICARE, the Children's Health Insurance Program, and the Veterans Health Administration.
  • Around 84.7% of Americans have some form of health insurance; either through their employer or the employer of their spouse or parent (59.3%), purchased individually (8.9%), or provided by government programs (27.8%; there is some overlap in these figures).
  • Furthermore, the number of persons without health insurance coverage in the United States is one of the primary concerns raised by advocates of healthcare reform.
  • According to the United States Census Bureau, in 2009, there were 50.7 million people in the United States (16.7% of the population) who were without health insurance.
  • Outline the problems with American health care, primarily due to privatization

• Health Care Policy

  • The government primarily provides health insurance for public sector employees. 60-65% of healthcare provision and spending comes from programs such as Medicare, Medicaid, TRICARE, the Children's Health Insurance Program, and the Veterans Health Administration.
  • According to the World Health Organization (WHO), total health care spending in the U.S. was 15.2% of its GDP in 2008, the highest in the world .
  • Government programs directly cover 27.8% of the population (83 million), including the elderly, disabled, children, veterans, and some of the poor, and federal law mandates public access to emergency services regardless of ability to pay.
  • There are also various state and local programs for the poor.
  • In 1997, the federal government also created the State Children's Health Insurance Program (SCHIP), a joint federal-state program to insure children in families that earn too much to qualify for Medicaid but cannot afford health insurance.

• Health Care Policy

  • The debate over access to health care in the United States concerns whether or not the government should provide universal health care.
  • The government primarily provides health insurance for public sector employees. 60-65 percent of healthcare provisions and spending comes from programs such as Medicare, Medicaid, TRICARE, the Children's Health Insurance Program, and the Veterans Health Administration.
  • Numerous publicly funded health care programs help provide for the elderly, disabled, military service families, veterans, children, and the poor.
  • Although the federal Medicare program and the federal-state Medicaid programs possess some monopolistic purchasing power, the highly fragmented buying side of the U.S. health system is relatively weak by international standards, and in some areas, some suppliers such as large hospital groups have a virtual monopoly on the supply side.
  • Britain's health care system is an example of this socialized system, along with the Veterans Health Administration program in America.

• The Clinton Administration

  • The administration faced political opposition in 1994 when Republicans took control of both houses of Congress, but Clinton was reelected in 1996 after a failed attempt at health care reform.
  • His presidency saw the passage of welfare reform in the Personal Responsibility and Work Opportunity Act, which ended Aid to Families with Dependent Children and reduced the number of welfare programs.
  • Clinton saw the escalation of the War on Drugs, prompting a swell in the prison population from 1.4 to 2 million.
  • While many welfare programs were reduced, various measures were also introduced to improve the effectiveness of the social safety net, including an increase in the number of child care places, a significant expansion of the Earned Income Tax Credit (EITC) program, the introduction of new programs such as the State Children's Health Insurance Program (SCHIP), and a child tax credit.
  • Clinton oversaw the signing of the 1993 Oslo Accords between the government of Israel and the Palestine Liberation Organization in Washington, D.C., which aimed at establishing peace between the warring nations by granting limited self-government of Palestinians in parts of the West Bank and Gaza Strip.

• Social Insurance

  • The benefits, eligibility requirements, and other aspects of the program are defined by statute;
  • Social Security in the U.S. is primarily the Old-Age, Survivors, and Disability Insurance (OASDI) federal insurance program.
  • Social Security provides monetary benefits to retirees, their spouses and surviving dependent children, and disabled workers .
  • Medicare is a national program that guarantees access to health insurance for Americans aged 65 and older, younger people with disabilities, and people with certain chronic diseases.
  • FUTA covers the costs of administering the Unemployment Insurance and Job Service programs in all states.

• Health Care Reform

  • The issue of health insurance reform in the United States has been the subject of political debate since the early part of the 20th century.
  • The 2003 bill strengthened the Workers' Compensation Medicare Set-Aside Program (WCMSA) that is monitored and administered by CMS.
  • Barack Obama called for universal health care and the creation of a National Health Insurance Exchange that would include both private insurance plans and a Medicare-like government run option.
  • Obama's plan required that parents cover their children, but did not require that adults buy insurance.
  • The Federal Insurance Contributions Act tax (FICA) is raised to 2.35% from 1.45% for individuals earning more than $200,000 and married couples with incomes over $250,000.

• Medicaid and Medicare

  • Medicaid is a health program for people and families with low incomes and Medicare is for people over 65 and disabled.
  • Medicaid is the United States' health program for qualified individuals and families with low incomes and resources.
  • The health plan is then responsible for providing for all or most of the recipient's healthcare needs.
  • Some states operate a program known as the Health Insurance Premium Payment Program (HIPP).
  • This program allows a Medicaid recipient to have private health insurance paid for by Medicaid.

• Toward a Welfare State

  • The misery and poverty of the Great Depression threatened to overwhelm all of these programs.
  • This program was expanded several times over the years.
  • The Children's Bureau was established by President William Howard Taft in 1912.
  • It was the first national government office in the world that focused solely on the well-being of children and their mothers.
  • The Children's Bureau played a major role in the passage and administration of the Sheppard-Towner Act, the first federal grants-in-aid act for state-level children's health programs.

• Maternalist Reform

  • The Children's Bureau under Lathrop (1912-21) and her successors became an administrative unit that not only created child welfare policy but also led its implementation.
  • The Bureau expanded its budget and personnel to focus on a scientific approach to motherhood in order to reduce infant and maternal mortality, improve child health, and advocate for trained care for children with disabilities.
  • Prior to the reform era, children over the age of seven were imprisoned with adults.
  • The United States Children's Bureau worked extensively with state-level departments of health to advise them on how to use Sheppard-Towner funding.
  • Jane Addams would begin the maternalism movement in order to improve the health, education, and welfare of American children.

• Physical Health

  • Because most health services in the U.S. are paid for through insurance coverage, the low level of insurance coverage among the working and lower classes points to their low level of access to health services ranging from preventative screenings to routine medication to emergency treatment.
  • Social determinants of health are the economic and social conditions that influence individual and group differences in health status.
  • Health inequality refers to the unequal distribution of environmental health hazards and access to health services between demographic groups, including social classes.
  • Still, the affluent communities are more likely to have access to fresh produce, recreational facilities for exercise, preventative healthcare programs, and routine medical visits.
  • Describe how a low socioeconomic status (SES) can impact the health status of individuals