This assignment builds on the previous components of this research project, where you identified a social problem and selected a federal policy that affects it.
Once social workers have located a policy that addresses a social problem, the next step is to analyze the policy’s development and potential impacts. In other words, does the policy resolve or mitigate the issue? Looking at China’s one-child policy, you would want to know whether it is indeed reducing fertility rates. Next, you would want to know if the policy has any unintended consequences that need to also need to be addressed. For example, China’s one-child policy has led to significant labor shortages in the country.
In this assignment, you will analyze the federal policy you chose to address your social justice issue, including providing background of the development of the policy and evaluating its effectiveness and feasibility. Remember that the feasibility of a policy relates not only to its economic feasibility, but also to its political and social impact. You will also identify the policy constraints that inhibit the policy from most effectively reaching your targeted population.
Continue to consult Congress.gov, the Government Accountability Office, public policy analysis research and reports, and other peer-reviewed research to support your analysis. Also, use your Social Work Speaks Policy textbook and the “NASW Code of Ethics” website to guide your analysis.
For this assignment:
Analyze the development of your chosen federal policy.
Analyze the historical background that led to the development of the policy.
Define the goals of the policy and how these goals are intended to be met, including services and programs intended to achieve the goals.
Evaluate the effectiveness of the policy with respect to the target population.
Consider how well the policy has met the needs of your target population and to what extent it improves the social justice problem you initially researched. Does the policy seem to ignore, impede, or strengthen the social functioning of the target population?
To what extent does the policy meet or improve the social values of the target population?
To what extent does the policy adhere to best practice ethics and best practice standards?
If the outcome of your analysis is that best practice ethics and standards are not being adhered to, include that information in your analysis as well.
Evaluate the feasibility of the policy.
Is the policy politically, economically, and administratively feasible? Provide details and rationale.
Identify the policy constraints that inhibit the policy from fully addressing the problem for the chosen population. Have other constraints arisen since the passage of the policy that have made conditions worse or better for the chosen population?
Support your claims and recommendation with clear rationale and support from scholarly, peer-reviewed literature.
Refer to the scoring guide that will be used to grade your work, before completing this assignment.
Reference feedback you received from the previous assignment to improve the quality of your submission. Further feedback from this project component will help you improve your work for the final Federal Policy Analysis and Recommendations course project.
Example assignment: You may use the assignment example, linked in the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
The assignment you submit is expected to meet the following requirements:
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA style and formatting standards.
Cited resources: Minimum of eight scholarly sources. All literature cited should be current, with publication dates within the past five years.
Length of paper: Six to eight double-spaced, typed pages.
Font and font size: Times New Roman, 12 point.
Medicaid is a federal healthcare policy in the United States designed to ensure that people with low income receive medical care. The policy was developed to see to it that no individual in the country dies due to the lack of proper healthcare. It came to be courtesy of the social security amendments of 1965 where the federal government was to provide funds to every state for the medical care of its population. It ought to be analyzed as far as its dynamics are involved in the country. Even though the Medicaid program is health-oriented, it has uplifted many low-income people from a holistic standpoint.
Medicaid has undergone numerous shifts over time to become what it is presently. It was begun in 1965 with the intention of providing monetary assistance to families who had dependent children (Ballreich et al., 2020). It also had the intention of ensuring that the disabled, elderly, low income, and blind individuals receive medical care through funding. However, congress ensured that there were federal minimum requirements as far as the policy is involved. It accomplished the fete by providing new options of coverage for disabled people, pregnant women as well as children.
Congress went ahead to ensure that children right above the cut off point for the eligibility of Medicaid were considered in the children’s health insurance program (CHIP). The move was income based and the children in the CHIP program as well as Medicaid were included in the federal coverage (Duru et al., 2020). It is in 2010 that the Medicaid program included non-elderly individuals whose income was up to $17,236. In the preceding years, such individuals did not meet the income requirements for Medicaid and they were therefore denied access to proper healthcare. There are instances where low-income individuals who had no dependent children were denied Medicaid coverage.
Effectiveness and feasibility
It is true to assert that Medicaid is instrumental when it comes to the improvement of healthcare. The statement originated from an observation where different states were compared and it came out that those that had adopted Medicaid were ahead medically. For instance, Arkansas and Kentucky had a better health system as compared to Texas because the latter had not adopted Medicaid (Mayer et al., 2020). The former saw an increase of 42% whereby the percentage represented individuals that have excellent health. It was discovered that the number of individuals struggling with medical bills also declined significantly.
It is good to note that Medicaid brings about an improvement of health in the long-term. There are communities whereby health conditions have improved and death has reduced significantly. For instance, the African American community has seen the reduction of teenage death by 20%, which resulted from the enjoyment of Medicaid from an early age (McGee-Avila et al., 2020). Research also showed that children who enjoyed the benefits of Medicaid at an early age had higher chances of joining college. Their improved healthcare status gave them a competitive edge in education and hence the improved performance. On the other hand, children that enjoyed Medicaid grew up to become adults that earn more as far as the financial sector is involved.
The benefits of Medicare have been equated to those reaped from private sector insurance. The advantages acquired from Medicaid are premium and they less costly ensuring that low-income people enjoy great health services. The services they acquire are like of their counterparts who are employed by large corporations that provide excellent healthcare insurance (Duru et al., 2020). As a matter of fact, research has proven that the beneficiaries of Medicaid are more likely to enjoy their health care insurance as compared to their counterparts in the private sector. The major reason is that they are less likely to be referred to a specialist unlike those in the private sector or uninsured individuals.
Among the greatest advantages of the Medicaid program is that it helps low-income families to avoid financial strain. People that enjoy the benefits of Medicaid are less likely to enter into debt as compared to those that are uninsured. These individuals can never forgo important financial needs just to cover their medical expenses. The reason is that their medical expenses are fully covered and they do not require spending their money just to maintain good health (Ballreich et al., 2020). It is good to note that many people in the United States have experienced catastrophic medical expenditures that they had to cover from their pockets.
Medicaid is efficient and has ensured that there is equality in society. Courtesy of the program, social injustice has reduced significantly because low-income families have been assisted because health care is a human right. Medicaid is better than private insurance because of its cost-effectiveness where it saves money by 22% (Mayer et al., 2020). Its provisions are even better than those of private insurance meaning that it is even better than the latter. Over the years, the cost of Medicaid has grown slower as compared to that of the private sector.
The program is feasible owing to its flexibility as far as the federal-state relationship is concerned. The federal government works very closely with the state administration to ensure that the costs for Medicaid are settled. The former also ensures that there are laws governing the administration of Medicaid so that the program can be properly maintained. However, it does not prevent state governments from administering it in different ways in consideration of certain factors (Ballreich et al., 2020). States have the authority to determine the degree to which the program is put into use as far as issues like vision care or dental services are concerned.
States are allowed to ensure that they design their Medicaid strategies in a way that favors their people. In case they find that federal policy cannot work well in their region, states have the power to make a small change provided they do not compromise the precepts of Medicaid. They have the option to pay institutions that have the mandate of providing Medicaid services or they could even set up organizations to provide the service (Ballreich et al., 2020). The latter has proven to be very economical in the state of Missouri where the region’s health homes have provided good health at a low cost. The innovation has called for a lot of funds because it is costly for state governments.
Medicaid has ensured that many families are rescued from debt and poverty. It is good to understand that healthcare is among the factors demanding a lot of money from Americans. People spend a lot of money on issues regarding health because healthcare services are expensive in the United States. Therefore, Medicaid provides great relief to many people and families in the country by ensuring that they do not have to worry about the high cost of healthcare (Mayer et al., 2020). Vulnerable people in the past have been left homeless and unable to educate their children because all their money went to healthcare. Therefore, in the long-term equality will be achieved and the gap between the rich and the poor will be lessened.
It is good to understand that regardless of the benefits guaranteed by Medicaid, there are policy issues that oppose its legitimacy. The republican party of the United States has been against the Medicaid program and demand for it to be cut. The reason is that they feel that the Medicaid program is biased against rich Americans and therefore it should not exist. On the other hand, the rich in the United States feel that the Medicaid program is a form of oppression based on their wealth status. Therefore, they are on the frontline of advocating for its removal from the healthcare system of the United States (Duru et al., 2020). They feel that the United States should not take money forcefully from the rich to give to the poor.
The policy problems have led to the cut of Medicaid by $1 trillion to ensure that rich Americans have a tax cut. The idea was voted into effect by 51 senators from the Republican Party in a move that was said to be immoral and inconsiderate. They were termed, as being insensitive to the needs of low-income Americans considering the fact that good health care is a basic human right (Ballreich et al., 2020). Therefore, no human being should be denied good medical attention because they do not have enough money to pay for the services they need. The issue of Medicaid funding has been a very divisive issue in the politics of the United States.
It is estimated that the cuts on Medicaid will affect over 23 million people in the United States by 2026. On the other hand, it will also increase the medical expenses of millions of many more Americans. People who are unemployed will be denied Medicaid because the Republican Party argues that they are using the hard work of other Americans to live a comfortable life (Ballreich et al., 2020). Many elderly people who depend on Medicaid will be removed from the program because the age of eligibility is set to rise from 65 to 67. The government of President Donald Trump has been on the frontline of protecting large corporations and wealthy individuals by cutting spending on Medicaid.
Medicaid is a medical program that ensures low-income people receive health insurance even when they cannot afford the services. It has a history from 1965 when it was first included in the constitution of the United States. Over the years, it has undergone changes to become the program it is in contemporary times. The program is effective and feasible because it has improved the lives of numerous low-income Americans greatly and has reduced the number of childhood mortalities. The program has ensured that there is equality in the United States because low-income families can now access premium health insurance that is even better compared to that enjoyed by wealthy people in the private sector. The program has faced challenges as far as policy is concerned because it is facing opposition from the Republican Party and some wealthy individuals. It is good to ensure that people embrace the idea of sharing and helping others who are in need.
Ballreich, J., Ezebilo, I., & Sharfstein, J. (2020). Affording Genetic Therapies in the Medicaid Program. JAMA pediatrics.
Duru, O. K., Harwood, J., Moin, T., Jackson, N. J., Ettner, S. L., Vasilyev, A., … & Mangione, C. M. (2020). Evaluation of a national care coordination program to reduce utilization among high-cost, high-need Medicaid beneficiaries with diabetes. Medical care, 58, S14-S21.
Mayer, V. L., Siscovick, D., Goytia, C., Brown, D., Hanlen, E., Flory, J., … & Horowitz, C. R. (2020). “Not Alone Anymore”: The Experiences of Adults With Diabetes in New York’s Medicaid Health Home Program. Medical Care, 58, S60-S65.
McGee-Avila, J. K., Doose, M., Nova, J., Kumar, R., Stroup, A. M., & Tsui, J. (2020). Patterns of HIV testing among women diagnosed with invasive cervical cancer in the New Jersey Medicaid Program. Cancer Causes & Control, 1-11.
Wright, B., Jung, Y. S., Askelson, N. M., Momany, E. T., & Damiano, P. (2020). Iowa’s Medicaid Healthy Behaviors Program Associated With Reduced Hospital-Based Care But Higher Spending, 2012–17: An examination of whether Iowa’s Health Behaviors Medicaid program reduces hospital-based care and lowers health care costs. Health Affairs, 39(5), 876-883