Health Care Reform and Comparisons between 2 States

Health Care Reform and Comparisons between 2 States





Question 1

The health insurance coverage in the United States of America has been influenced greatly by the affordable care act policy enacted by the legislature. This Act has enabled more than 25 million of the American citizens to have coverage under the policy in the recent times. Moreover, it perhaps encompasses the validity to enroll under the parents plan for the young teenagers who are under the age of 26 years, the reduced private plans bought in the health insurance market and also the growth of Medicaid eligibility. The survey carried out by the Commonwealth Fund on the health insurance states that the rate of the insured adults has reduced tremendously from 20% in the year 2010 to 16% in the year 2014. Therefore, the states like California and Texas are one of the largest states in the United States of America which can aid in making the comparison (The Commonwealth Fund, 2017).

There are differences and similarities between the two states based on the health insurance factor. The states of California operate its health insurance marketplace and have managed to conduct eligibility Medicaid available to the adults’ personnel earning 138% or below whereas Texas in using the federal marketplace to enroll the residents to the health plan and have reduced the expansion of the Medicaid eligibility. Moreover, the people of California experience lower rates of the health problems that are compared to cost whereas the ones in Texas they are associated with the insurance coverage. Despite the difference, there are some similarities in the health insurance among the two states. In both states, the medical insurance coverage is aimed at effecting or perhaps making the life of the people better. Moreover, in both states, the unauthorized immigrants are not supposed to access or get any health insurance coverage. In conclusion, it is clear that California is doing better than Texas through making an affordable health care (The Commonwealth Fund, 2017).

Question 2

The health population statistics in the United States of America is compared to the two states. The adult population in the two states has been discussed, and it is found that 36% of the residents have always gone for treatment in one of the hospitals in that particular state. It is clear that the adult and that is both the female and the male have some health issues like the diagnosis of cancer. It has been recorded that the adults have a higher risk is getting sick and hence having routine medical visitation. It was established that half the population of the adults has been seeking medical care as compared to the youths and the young people in the states (The Commonwealth Fund, 2017). The states like California and Texas were subjected for comparison.

There are differences and similarities based on the healthy population. It California, the adults, have a greater tendency of having health problems and this may be traced to the age factor. The people of age 65-78 years tend to have health problems like cancer, heart diseases that make them be frequent visitors of the health care (Berenson, Ginsburg, & Kemper, 2010). On the other hand, Texas has a higher age bracket of the adult population which was found to be between 75-80 years who are vulnerable to any attack of some diseases and disorders. However, despite the differences, there are some similarities that can be traced between the two states. In both states, the adults’ populations are vulnerable to health attacks as compared to the youths in the same community. It is clear that health factor of the adults are questionable and that is why the government has tried to create some aid elements to help the adult to access the health care easily through the affordable act policy.

Question 3

There have been various health care reforms that have been enacted through the Affordable care act to make the health care of more quality as compared to before. This has been achieved through the establishment of various health programs like training for the nurses and other doctors to equip them with the right knowledge and skills to attend to clients efficiently. On the other hand, there have been some issues like the introduction of health care coverage to help the patients in the payment of the bills and other medical costs. For example the creation of the low-income health program section 1115 waiver in California which assisted in the health coverage of the adults who could not afford to pay for the health care for up to 200%. The health care reforms are different in the states of California and Texas (Berenson, Ginsburg, & Kemper, 2010).

There are differences and similarities in the health reforms among the two countries. In California, the health Medicaid is have been made to be available to the adult population and therefore improving the health care provider and does not require some waiting period while in Texas, the citizens are associated with the insurance coverage as compared to the Medicaid in the other state. Despite the difference, in both states, the most enacted health reforms are in the department of insurance, and this has taken place in all of the two countries

Question 4

The health care reforms have affected or rather has influenced the professional nursing programs in the health care systems. The training programs enacted in the states of California and Texas has improved the nursing profession. In California, the policy of having the right credentials before being hired has made it possible for the nurses to get the right skills to meet the requirement. The states have established various organizational programs for checking the proper credentials other than the one that is done in the college.

The California nursing association has a side examination before being employed to work in the health care. In Texas, the major health reform is only enacted in the health hospital through that organization. Contrary to the Californians, they don’t have a side training session for equipping the health practiced. However, in both states, there is an education forum happening to help in training the nurses though they do occur at different geographical location (Berenson, Ginsburg, & Kemper, 2010).


Berenson, R. A., Ginsburg, P. B., & Kemper, N. (2010). Unchecked provider clout in California foreshadows challenges to health reform. Health Affairs, 10-1377.

The Commonwealth Fund (2017). Health Care Coverage and Access in the Nation’s Four Largest States. The Commonwealth Fund. Retrieved from:

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