Healthcare in the United States in the context of "RAND Corporation"

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⭐ Core Definition: Healthcare in the United States

Healthcare in the United States is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, county indigent health care programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and, as of 2023, 7.9% of the population does not have health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. In 2022, the United States spent approximately 17.8% of its Gross Domestic Product (GDP) on healthcare, significantly higher than the average of 11.5% among other high-income countries. Coverage varies widely across the population, with certain groups, such as the elderly, disabled and low-income individuals receiving more comprehensive care through government programs such as Medicaid and Medicare.

The U.S. healthcare system has been the subject of significant political debate and reform efforts, particularly in the areas of healthcare costs, insurance coverage, and the quality of care. Legislation such as the Affordable Care Act of 2010 has sought to address some of these issues, though challenges remain. Uninsured rates have fluctuated over time, and disparities in access to care exist based on factors such as income, race, and geographical location. The private insurance model predominates, and employer-sponsored insurance is a common way for individuals to obtain coverage.

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👉 Healthcare in the United States in the context of RAND Corporation

The RAND Corporation, doing business as RAND, is an American nonprofit global policy think tank, research institute, and public sector consulting firm. RAND engages in research and development (R&D) in several fields and industries. Since the 1950s, RAND research has helped inform United States policy decisions on a wide variety of issues, including the Cold War space race, the U.S. involvement in the Vietnam War, the U.S.–Soviet nuclear arms confrontation, the creation of the Great Society social welfare programs, and national health care.

RAND originated as "Project RAND" (from the phrase "research and development") in the post-war period immediately after World War II. The U.S. Army Air Forces established Project RAND with the objective of investigating long-range planning of future weapons. The Douglas Aircraft Company was granted a contract to research intercontinental warfare. Project RAND later evolved into RAND, and expanded its research into civilian fields such as education and international affairs. It was the first think tank to be regularly referred to as a "think tank".

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Healthcare in the United States in the context of Racial segregation in the United States

Facilities and services such as housing, healthcare, education, employment, and transportation have been systematically separated in the United States based on racial categorizations. Notably, racial segregation in the United States was the legally and/or socially enforced separation of African Americans from whites, as well as the separation of other ethnic minorities from majority communities. While mainly referring to the physical separation and provision of separate facilities, it can also refer to other manifestations such as prohibitions against interracial marriage (enforced with anti-miscegenation laws), and the separation of roles within an institution. The U.S. Armed Forces were formally segregated until 1948, as black units were separated from white units but were still typically led by white officers.

In the 1857 Dred Scott case (Dred Scott v. Sandford), the U.S. Supreme Court found that Black people were not and could never be U.S. citizens and that the U.S. Constitution and civil rights did not apply to them. Congress passed the Civil Rights Act of 1875, but it was overturned by the U.S. Supreme Court in 1883 in the Civil Rights Cases. The U.S. Supreme Court upheld the constitutionality of segregation in Plessy v. Ferguson (1896), so long as "separate but equal" facilities were provided, a requirement that was rarely met. The doctrine's applicability to public schools was unanimously overturned in Brown v. Board of Education (1954). In the following years, the court further ruled against racial segregation in several landmark cases including Heart of Atlanta Motel, Inc. v. United States (1964), which helped bring an end to the Jim Crow laws.

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Healthcare in the United States in the context of Modern liberalism in the United States

Modern liberalism, often referred to simply as liberalism, is the dominant ideological variant of liberalism in the United States. It is most synonymous with the ideology of social liberalism, which is a variant of liberalism that moves beyond classical liberalism to account for poverty, seeking a balance between civil liberty and social equality via a social safety net. U.S. modern liberalism also takes inspiration from cultural liberalism and progressivism, and some (but not all) modern liberals explicitly identify with the contemporary U.S. progressive movement. Writing in 1993, American academic writer Ian Adams argued all major U.S. parties up to that point were "liberal and always have been. Essentially they espouse classical liberalism, that is a form of democratized Whig constitutionalism plus the free market. The point of difference comes with the influence of social liberalism."

Economically, modern liberalism accepts a role for government to protect against market failures, protect competition and prevent corporate monopolies, and supports labor rights. Its fiscal policy supports sufficient funding for a social safety net, while simultaneously promoting income-proportional tax reform policies to reduce deficits. It calls for active government involvement in other social and economic matters such as reducing economic inequality, expanding access to education and healthcare, and protection of the shared natural environment, in large part on the contention that advances in those areas create a thriving economy in the long run. Modern liberalism was formed in the 20th century in response to the Great Depression. Major examples of modern liberal policy programs include the New Deal, the Fair Deal, the New Frontier, the Great Society, the Affordable Care Act, and the Build Back Better Plan.

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Healthcare in the United States in the context of Rochester, Minnesota

Rochester is a city in Olmsted County, Minnesota, United States, and its county seat. It is located along rolling bluffs on the Zumbro River's south fork in Southeast Minnesota. It is the third-most populous city in Minnesota, with a population of 121,395 at the 2020 census. The Rochester metropolitan area has an estimated 230,000 residents. The city is the home and birthplace of Mayo Clinic.

Rochester first developed as a stagecoach stop between Dubuque, Iowa, and Saint Paul, Minnesota. With the creation of the Mayo Clinic in 1864, Rochester became a national center for healthcare, as well as a hub for regional agriculture. For higher education needs the University of Minnesota Rochester, Rochester Community and Technical College, and Mayo Clinic Alix School of Medicine are located in the city.

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Healthcare in the United States in the context of Affordable Care Act

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and informally as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with amendments made to it by the Health Care and Education Reconciliation Act of 2010, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. Most of the act remains in effect.

The ACA's major provisions came into force in 2014. By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional people covered. The law also enacted delivery system reforms intended to constrain healthcare costs and improve quality. After it came into effect, increases in overall healthcare spending slowed, including premiums for employer-based insurance plans. The increased coverage was due, roughly equally, to an expansion of Medicaid eligibility and changes to individual insurance markets. Both received new spending, funded by a combination of new taxes and cuts to Medicare provider rates and Medicare Advantage. Several Congressional Budget Office (CBO) reports stated that overall these provisions reduced the budget deficit, that repealing ACA would increase the deficit, and that the law reduced income inequality.

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Healthcare in the United States in the context of Torture and the United States

There are cases, both documented and alleged, that involve the usage of torture by members of the United States government, military, law enforcement agencies, intelligence agencies, healthcare services, and other public organizations both in and out of the country.

Torture is illegal in the United States. The United States came under scrutiny for controversial practices, both from foreign and domestic sources, following the Military Commissions Act of 2006.

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Healthcare in the United States in the context of Pre-existing condition

In the context of healthcare in the United States, a pre-existing condition is a medical condition that existed before a person's health insurance went into effect. Before 2014, some insurance policies would not cover expenses due to pre-existing conditions. These exclusions by the insurance industry were intended to mitigate adverse selection by potential customers. Such exclusions have been prohibited since January 1, 2014, by the Patient Protection and Affordable Care Act.

According to the Kaiser Family Foundation, more than a quarter of adults below the age of 65 (approximately 52 million people) had pre-existing conditions in 2016.

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