Health Policy Case Study

Good Essays
1) From the case study, provide one example of each of the forms that public policies can take: laws, rules or regulations, other implementation decisions, and judicial decisions.
Law: Social Security Amendment of 1965 is a public law 89-96. It was created to aid senior citizens with health insurance (Medicare) and to provide health care to indigent population and disabled (Medicaid).
Rules/Regulations: Title VI of Civil Rights Act of 1964 forbid all racial, color, and national origin discrimination. It is a regulation that is enforced by the administrative agency (OCR).
Implementation decisions: Denying Medicare reimbursement to the facilities that do not comply with the Title VI of the Civil Rights Act was the implementation decision. Judicial
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Medicare and Medicaid are allocative policies where one group of individuals gets services at the cost of others.
Title VI of the Civil Rights Act is the example of the regulatory policy. It poses certain restrictions on the medical facilities to secure the public needs.

3) Why is the Civil Rights Act a health policy as well as a civil rights policy?
The Civil Rights Act is the federal law against discrimination and segregation by the “public accommodations.” Since many hospitals rely on the financial support by the federal government, the Title VI of the Civil Rights Act is a health policy as well. It forces facilities that acquire federal funds to accept all patients regardless of the color, sex, or nationality.

4) What environmental forces influenced enactment of the Civil Rights Act?
The success of the case, Brown vs. Board of Education, contributed to the first lawsuit against “separate-but-equal” provision of the Hill-Burton Act. Eaton vs. Board of Managers of the James Walker Memorial Hospital was unsuccessful, however made enough “noise” for others to think about it.

5) Discuss the role played by the courts in the Civil Rights
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For example in Simkin vs. Moses H. Cone Memorial Hospital the district court ruled against Simkin, African American dentist. Simkin won after the appeal to the Fourth Circuit Court of Appeals. The verdict stood after the Supreme Court declined to review the case. Supreme Court interprets and decides weather the law is constitutional and it has played a major roll in the Civil Rights Act.
6) Discuss the impact of the Civil Rights Act on American hospitals.
The end of the “separate-but-equal” provision of the Hill Burton Act, the Civil Rights Act of 1964, and federally funded Medicare and Medicaid have changed the way hospitals operate forever. Even privately owned hospitals could no longer continue the segregation and discrimination of people. They simply couldn’t afford loosing Medicare and Medicaid reimbursements, as well as the Blue Cross and Blue Shield plans that would no longer pay for patients unless the hospitals agree to comply.
Title VI of the Civil Rights Act improved care for minorities in hospitals throughout the U.S. However even today not many hold high management positions in the healthcare industry and even are still being discriminated on the job.

7) Discuss the role of private sector in implementing the Civil Rights

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