Advocacy Project: Healthy People/THOMAS

Healthy People 2010 Goal of Interest
I chose to do my advocacy project on the Access to Quality Health Services 

Objective: "To reduce the proportion of families that experience difficulties or delays in obtaining health care or do not receive needed care for one or more family members" stated by Health People 2010

Target Goal: 7% 
Baseline: difficulties or delays in health care occurred in 12% of families and thus these families did not receive the needed care. This information was from 1996, over 13 years ago .

Progress Quotient Chart
Using the Progress Quotient Chart for those with difficulties or that delay in obtaining the needed health care, is moving towards its target, currently  at 20%. This percent was calculated by taking the most recent value minus the baseline value divided by the year 2010 target minus the baseline value, all multiplied by 100 to get this percentage. The most recent year this was tracked was in 1999, which makes the data about 10 years old.

Opportunities and Challenges 
 As many as 47 million Americans are without health care, which is about 15.7% of the total US population. The Institute of Medicine (IOM) reported that as many as 18,000 deaths per year are linked to that person not having health insurance. Most who are uninsured delay treatment for health issues or do not have a regular physician, this results in poor health and increased costs when they do seek treatment. By educating people on the need for seeking treatment you can reduce some of these issues. Challenges then begin to arise as people get older because they sometimes end up in a long term care facility, which Medicare does not always cover in full. This puts the remaining costs on the person staying in the home or their family. This results in a greater demand for home health care and more challenges in meeting the target.


Disparities
White non-Hispanic had the best rate within race and ethnicity, followed by Black non-Hispanic and America Indian or Alaska Native at a most favorable group rate but without having all criteria met. Males had the best rate within gender, followed by females with a 50-99% rate difference from males, females also have an increase in disparities by 10-49 percentage points. Middle/high income, urban or metropolitan, and persons with disabilities had the best rate within income, location, and disability.

Emerging Issues
Primary care and preventative care are current issues surrounding health care. To improve on preventative care The Medicare Prescription Drug Improvement and Modernization Act added treatment for cardiovascular screening blood test and diabetes screening tests. Another issues are that when people do seek care they go to the emergency room, there are long waiting times which make some people leave before receiving treatment. Long term care is another issue that include workforce issues; such as who is going to take care of those in long term nursing homes as our baby boomers get older. Insurance is another big issue, who is going to cover long term care for elders who need someone to care for them 24 hours a day. 

H.RES.271 : Health Care Reform Referred to House subcommittee
Title: Recognizing the need to support the development and enforcement of a well-informed national long-term care strategy to solve the problems of cost, quality, and access to long-term care in the home and community, and the imperativeness of including long-term care in the comprehensive health care reform agenda. 
Sponsor: Rep Hastings, Alcee L. [FL-23] (introduced 3/19/2009) Cosponsors (24)
Latest Major Action: The latest major action was taken on May 14, 2009 in which it was referred to the House subcommittee. The current status is that it is being referred to the Subcommittee on Health, Employment, Labor, and Pensions. 
Recommendation: Vote Yes, for H.RES.271:Health Care Reform Referred to House subcommittee.
My Political Representative on this is Congressman John Kline.