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Affordable Health Care On March 23, 2010, President Obama signed the Affordable Care Act. The law put in place comprehensive health insurance reforms that will roll out over 4 years and beyond, with most changes taking place by 2014. At this writing, the law has been in effect for over 1 year and the following […]

How Do We Pay for Health Care? The sources for paying for care in 1960 were primarily personal, out of pocket or private insurance; Medicare and Medicaid did not yet exist until 1965. It is obvious that they now make over 50% of health care expenditures possible— coverage shifted from the private sector to the

Four questions then present themselves: 1. What are the costs of health care? 2. How do we pay for health care? 3. Is health care in America better than in any other place on Earth? 4. Why is health care so expensive? ■ Health Care Costs What Are the Costs of Health Care? This question

Health and Illness in Modern Health Care ■ 181 The following list outlines the more obvious aspects of the health care provider’s culture. In connection with later chapters, it can be referred to as a framework for comparing various other ethnic and cultural beliefs and practices. 1. Beliefs a. Standardized dualistic definitions of health and

Health and Illness in Modern Health Care ■ 179 The opening images for this chapter depict the inner depths of the mod- ern health care system’s culture. Figure 8–1 is an example of the doors to an emergency room or a surgical suite. These doors are closed to all except those sanctioned to enter. Few

Health and Illness in Modern Health Care ■ Objectives 1. Discuss the professional socialization of nurses, physicians, and other mem- bers of the health care delivery system. 2. Describe the “culture” of the health care providers. 3. Compare the growth of the gross domestic product and national health care expenditures over time. 4. Compare the

Explore MediaLink Go to the Student Resource Site at nursing.pearsonhighered.com for chapter-related review questions, case studies, and activities. Contents of the CULTURALCARE Guide and CULTURALCARE Museum can also be found on the Student Resource Site. Click on Chapter 7 to select the activities for this chapter.     176 ■ Chapter 7 Box 7–1: Keeping

Transference to Patients and Others The effects of such a verbal catharsis are long remembered and often quoted or referred to throughout the remainder of a course. The awareness we gain helps us understand the behavior and beliefs of patients and, for that matter, other people better. Given this understanding, we are comfortable enough to

Nation of Origin and Religion Birth Beliefs Death Beliefs Cape Verde—Catholic Baptism Death is a part of life England—Christian Baptism Body dying Natural event Everlasting life with Christ Funeral and prayer Person goes to heaven Germany—Lutheran Birth is sacred Body dies when we die— souls go to heaven and enjoy ever-lasting life Do not take

Recognizing Similarities In my experience, as discussion continues, people realize that many personal beliefs and practices do, in fact, differ from what they are being taught in nurs- ing or medical education to accept as the right way of doing things. Participants begin to admit that they do not seek medical care when the first