After evaluating the case study, I concluded Mr. Smith fits the typical profile for an uninsured person in the United States. Many uninsured individuals are uninsured for several reasons such as their employer do no offer insurance, insurance may seem unaffordable, financial difficulties, individuals appear healthy and do not feel they need insurance, much like John’s case. One challenge for John included insurance was not offered through his employer, since he was only a part-time employee, another factor to consider is John’s age, since he is young he was probably more reluctant to obtaining insurance coverage.
The text indicates 50 million U.S citizens were categorized under the uninsured population in 2010 (Baack, Fischer, 2013; para. 2.1.). According to the National Center for Health Statistics, a survey completed in March of 2016 estimated 28.6 million Americans remain uninsured. Although this number has drastically decreases since 2010, still millions of individuals remain uninsured for various reasons. …show more content…
In many cases such as John’s, uninsured individuals result to ignoring signs and symptoms of mild medical issues, thus waiting until the issue becomes a huge which is a driver for high insurance premiums, cost, and expenditures on procedures that could have been avoided through preventive measures.
How will your hospital most likely be reimbursed for Mr. Smith’s medical care?
Since John does not have insurance and the hospital is a not-for-profit facility, there will be a few options for example:
• They could evaluate Johns income to determine the cost based on a sliding fee