Editor’s note: César Grajales has 10 years of experience in various political camps. Founder of the consultant Bridge 305 INC. He is also the registered headliner and national director of public health organizations of the NGO La Initiative LIBRE. Participate simultaneously as a political analyst in various means of communication.
(CNN Español) – I was looking for someone to write a column for CNN titled “Si quiere ver reír a Dios, cuéntele sus planes”. Allí hablaba de como la pandemia cambio los planes de todos, muchos estos quizás para seempre It seems to me that I believe that this is another year, unfortunately, our wide eyes are turning already on this topic. The political exchanges in EE.UU. han sido enormes en los ultimos meses y cuando llega una nuue administración llegan nuevas ideas, aunque a veces no sean tan buenas.
One of the major issues that has plagued this pandemic for state legislators is, of course, the need to address health issues through legislation. With more than 28 million contagious confirmations in the United States this past March, we have surpassed the 500,000 deaths following Johns Hopkins University, enrolling us in a long and difficult road in our lighthouse against the covid-19. Currently, a massive evacuation program is being carried out, for the benefit of the residents, including the Latin community, a necessary mayoral access to equitable and quality medical care.
Unfortunately, decades of federal and state bureaucratic regulations and traumas have made medical attention more difficult, with reduced frequency, costly reduction. There are no exceptions, however, that always state audiences report a constant fascination with the medical and obstetric services that should be available to the obese, following a Gallup poll published in December 2020.
The solution, I believe, is not, as some have suggested, a public option, it is said, a federal uniform uniform for all states.
Latinos know well the costs of this envoque. The majority of our countries’ public health systems are affected by a series of problems that occur due to the lack of resources, corruption, or the lack of quality of service provided.
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In the case of a public option, the stadiums need a personal option. For this to be possible, lawmakers need to lead the way to eliminate many of the barriers that impede patient access to the services they need. The states may commence to derogate from the reform of the Certificates of Necessity (“Certificate-of-Need”) – which requires, for example, to fill a hospital, the hospitals need direct approval of the state, which alone he has a “sufficient public need” for it.
Various studies demonstrate that these certifications reduce access to medical attention, erosion of quality and increasing its price. No it is difficult to see why. These laws create intentionally local monopolies, a menu that prohibits new entrants from opening their doors to patients and restricting hospitals from buying critical examiners, including beds, without the approval of these bureaucratic parties. These states have been affected by the pandemic during 24 EE.UU states. opt for suspension temporarily. As a result, legislators need to vote to permanently derogate these goals in order to improve the results and prepare for the next sanitary crisis.
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The states also need to work to reduce their professional allowance rates for health workers (“scope of practice”). These are important impacts that nurses and other professional medical practitioners pay attention to, despite their advanced education and capacity, are more qualified to burn.
By the way, many states are rapidly suspending their readings at the beginning of this pandemic. Ahora deberían hacerlo de permanent forma. Reform these leagues drastically improve access to the medical attention of many stadiums.
El Gobierno de EE.UU. also has a paper on the creation of this personal option. The Congress can work to eliminate the barriers that impede the establishment of medical services and the need to increase the number of arrears. The Ley de Cuentas de Ahorros para Gastos Médicos, for example, could have eliminated the need to have a security policy with deductible alto to become the owner of a charter account for medical guests (HSA, by its English seals).
The project will also increase the limit of contributions for account holders and permits to buy additional types of attentions for them and their families. The benefits of these reforms are not the only theory. It has shown itself to be a bit of a change in federal law, which allows HSA property owners to purchase direct rights to their accounts, has been denied more parking access within 24 hours of the state’s main drug dispatches.
The pandemic has been discovered in many of the cases of our medical attention system. Between them, the bureaucratic mandates.
The Congress of EE.UU. and the states acted expeditiously at the beginning of this health crisis in order to suspend much of this bureaucracy that impedes that the states grant individual options of medical security. Many of our legislators are praising it.
Pero the obstructions to the access of the medical attention volverán when the pandemia ends. Therefore, legislators need to look for permanent reforms in our health care system, instead of implementing a dysfunctional federal solution with a uniform approach to all states.
Our legislators can do more, without bureaucratic processes, to increase the medical attention of the public. The pandemic has proven to be puede.