Transcript 7. Health Blog

Lesson Starter
• List as many different aspects of
life in a ghetto as you can.
• List the main features of a middle
class suburb.
• You have 5 minutes to complete
this task.
• Help each other!
Today we will…
• Identify groups who face health
inequalities in the USA.
• Examine how the government
attempts to solve these problems.
Success Criteria
• I will be able to explain the health
inequalities that exist in the USA.
• I will be able to describe what Medicaid
and Medicare are.
• I will be able to identify Obama’s
planned reform.
Task
Look at these two logos. What do you
think each of them are? What do they
represent?
Clue: they are linked to health.
Health Insurance
• The USA does not have a National
Health Service like Britain.
• In Britain the money for the NHS is
taken directly from everyone’s wages
each month.
• In the USA people have to take out
private health insurance for themselves
or their families
Why are there Inequalities?
• There were 49.9 million uninsured
Americans in 2010 making up 16.3% of
the total population.
• It is estimated that 26.9% of people
earning less than $25,000 a year were
uninsured.
• Many may be unemployed and therefore
do not get cover from an employer.
• Not all employers provide insurance.
Task
• Using your ‘placemat’,
– On your own, write down the consequences of not having
health insurance.
– Now in your groups, choose 3 and note these in your
jotter.
• Answer:
– Lack of routine care – health problems may not be
detected before they become serious.
– Reluctance to use medical services – not getting medical
care until things become serious.
– People with no insurance are more likely to die before
seeking medical help than an insured person.
– Less access to new technology which could save your life.
Task
Social Target:
Listening
Academic Target:
To understand the
consequences of
poverty.
1.
2.
3.
4.
5.
Think-Pair-Share
• Thinking about what you
have learned in previous
lessons:
– Individually come up with
as many reasons how
inequality in other areas
of life may make Black
and Hispanic Americans
more likely to face health
inequalities? – 1 min
– Now share with your
shoulder partner – 1 min
– Now share with the rest
of your group – 1 min
Blacks and Hispanics are 3 times
more likely to have no medical
insurance cover.
Black and
Hispanics face
greater health
problems. There
is also a very high
infant mortality
rate.
Obesity- 30% of
Blacks and 25% of
Hispanics are obese.
Black and Hispanic children are less
likely to visit the doctor. 7.3 million
children without insurance
Health Problems
Facing Black and
Hispanic Americans.
Linked to drug abuse
is the incidence of
AIDS. This is on the
increase.
Drug and gang
related
problems mean
Blacks and
Hispanics are
more likely to
die from guns
and drugs.
Government Healthcare Schemes
Medicaid
•
•
•
•
Medicare
• provides health cover for:
Provides healthcare for
– people age 65 or older,
low-income adults.
– people under 65 with certain
Children receive health
disabilities.
coverage through
• In 2010, Medicare covered about 48
Medicaid and the state
million Americans. One in five is a
Children’s Health
member of an ethnic minority group.
Insurance Program
• Most people will have paid monthly
(CHIP).
contributions throughout their
More than 58 million
working lives to cover the scheme.
Americans rely on
• 3 main parts:
Medicaid services.
– Hospital insurance
These people could not
– Medical insurance (GP,
afford adequate
Physio,etc.)
healthcare without
Medicaid.
– Prescription drug coverage.
The Affordable Care Act
• In 2010, President Obama and Congress signed
the Affordable Care Act into law. Opponents
nicknamed the act ‘Obamacare’.
• We will now watch a clip about the Affordable
Care Act. You should answer the following
questions as you watch:
1. Under the act, what four ways can people be
covered?
2. What benefits might people see?
3. What happens if people don’t buy insurance?
4. Where does the money come from to fund the
scheme?
Obamacare
• Major features of the new law include:
– young adults will be covered by their family's
insurance plan until they turn 26.
– more help for people who can't afford insurance.
– insurance companies cannot deny coverage to people
with pre-existing conditions.
People not covered by insurance by 2014 will
need to get it or pay a fine. In 2014, uninsured
people will face a fine of $95 or 1% of their
income.
Opposition
• Those who opposed the bill
challenged it in the Supreme Court
claiming it was ‘unconstitutional’.
• In June 2012, the Supreme Court
ruled that the Affordable Care
Act was constitutional.
• In 2013, people who make more than $200,000 have to
pay an additional 0.9 % tax for the Medicare Hospital
Insurance.
• In 2014, businesses with more than 50 employees will
have to insure their workers or pay a $2,000 fine per
uninsured worker.
• Why might these people oppose the Affordable