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Discuss a population group that is facing greater challenges and barriers to accessing care in the United States.

Why does that segment of the U.S. population face greater challenges and barriers to accessing care?

What programs (local, state, or federal), if any, exist today to attempt to provide access to the vulnerable population you are discussing?

Answer -

United states of America do have population of large diversity. There are differences in terms of social, economic, ethnic, racial and other related diversities. All of them do not have the same resources and same privileges in accessing the health care in the country. There are disparities in terms of the access to the health care, differences in the quality of the health care being received. Also there are differences in the affordability. One of the most vulnerable population group facing serious problems in accessing health care is the group of young poor and uninsured population in the country. They do not have coverage and hence their access to the preventive services is limited, Further they are prone to get poorer health conditions due to limited health care facilities. There is a high mortality and disability rate in this sector of population. Due the sickness and disease conditions, the annual savings of this population group is also getting limited. The advanced stages of illness generally are getting reflected in this population group as access to health care services in this sector of population is limited. They are mostly from the racial and or ethnic minority groups in the country.

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The key reasons making this population refrained from getting health care is the fact that this population mostly are unemployed and they do not have any type of employer sponsored insurance coverage. Also they do not have sufficient financial sources to bear their own insurance coverage expenses. Some of the key reasons that are actually impacting the growth of the uninsured population in the recent census is the fact that the new Trump government has not addressed the weaknesses in ACA and further there are no attempts by President Trump to exacerbate the weaknesses in the policies (Spencer and Sayre, 2018). Hence the policies resulted in the growth of the overall uninsured population in the last two years.

As of now this sector of population is much bigger and there are considerable numbers of people falling in this category. As per the US census bureau estimations the total number of people falling in this category are about 45.6 million people in the united states, about 14.8% of the total under 65-populatio do fall in this category of uninsured population. However the government has taken up several measures, notably of the same are the ACA provisions in the year 2013, which radically revised the total number of uninsured in the country (Nickpay et al.,2016). The total number of uninsured population in the country got reduced by 18.3million or about 40% and further by 2016, the total uninsured population further reduced to 27.3 million which is 8.6% of the under 65 population (Garfied et al.,2016). However there is very marginal increase in the total number of uninsured population in 2017.

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Medicaid and Chip are some of the options available at present for covering the children in the low income groups. However the coverage of adults in this category is very limited. In the recent past, about 37 states adopted the Medicaid expansion under ACA programme. However the median eligibility for parents is just 43% of the poverty and adults that do not have dependent children are not eligible. There is need to focus on the population that fall in this category of the income gaps, whose earnings are higher to quality for the Medicaid coverage and at the same time not sufficient to pay the premium tax credits. This vulnerable section need to be focussed on to reduce the uninsured gap in the population. These recommended changes can work on to reduce the population percentage of uninsured in the coming years, otherwise there is scope for increased disparities in health care benefits outreach to the citizens.

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