A big sociological issue that America faces today is the impact made by people mistreating the authorities aid plan. Medicaid was developed as a plan to help those who are genuinely in demand of aid in order to last. Healthcare costs can be a load to both the rich and the hapless. Those costs can frequently do it impossible for some to seek medical attention due to the fact that they can non afford it. Medicaid was set up to assist these people who need aid but unluckily there are many people who are utilizing and mistreating this system when they are non genuinely in demand. So frequently. I see people who are on Medicaid driving Mercedes. This is an oxymoron and a shame to the people who truly necessitate this. As a nurse working in the health care system. I see this maltreatment on a day-to-day footing and it can be really frustrating and a stressor on the supplier. When researching this subject. it is really hard to happen statistics that account for members of Medicaid mistreating the system. Most research has been done with a focal point on suppliers such as doctors and infirmaries registering deceitful claims. This goes to turn out a dire demand for probe into those who are seeking the aid from this plan.

There are really small if any precautions or follow up in topographic point to supervise the continued demand for this service amongst its members. Medicaid is a system that covers it carriers really loosely. Ambulance service is included in these services every bit good as good cheques. hospitalization. etc. Often maltreatment is seen within the first respondent sphere when EMS is called to react to a call yet find that there is non an exigency but person demands to sit to the doctor’s office and Medicaid will cover that. Patients frequently get admitted to the infirmary on a frequent footing claiming to hold complaints with no etiology and come to happen out that patient merely wanted a topographic point to remain for awhile. So many times members of Medicaid work the system and actively chose non to travel out and happen employment that allows them to populate better. They get comfy with holding medical demands “given” to them and them non holding to work hard to pay for them or to afford insurance. Proving this or providing Numberss that show the statistics of such maltreatment is near impossible. A infirmary will non measure in a mode that reflects this patient did non necessitate medical attention. a diagnosing will be provided from the go toing doctor and so the infirmary measure is sent. Tracking the figure of deceitful admittances is non possible at this clip. It comes down to the health care workers seeing this each twenty-four hours in the infirmary.

The same goes for ambulance services. After talking to an EMT. they stated that they see this maltreatment on a regular footing but when the measure is sent. it paperss medical necessity hence. Numberss are unknown. A premier illustration is traveling on in my infirmary presently. There is a patient ; we will name him Mr. X. He has been in our infirmary during this current stay for approximately two hebdomads. This is his twenty-first admittance this twelvemonth. He is admitted to our infirmary when he tells his Mendelevium he wants to be in the infirmary. He openly tells the staff of this. He does endure from chronic unwellnesss but non at the degree of him necessitating acute hospitalization but would be appropriate for a nursing place as he chooses non to care for himself but demands it from others. His MD. Dr. H. prescribes him trouble Master of Educations each clip he is admitted based on his petition. Last hebdomad. he fired 3 nurses caring for him and called the constabulary 3 times because the staff did non acquire him his hurting Master of Educations fast plenty. When Dr. H was approached in respects to this. she openly admitted to being terrified of him and stated she will order him whatever he wants to maintain him happy. Another illustration is another chronic patient that admits on a regular footing due to sickle cell anaemia. Now of class this disease can be really painful and can necessitate hospitalization.

This patient. Ms. S. takes these admittances to a whole new degree. She comes in for hebdomads at a clip. abuses the staff. demands degrees of hurting medicines that are non safe but manipulates the same MD. Dr. H to order them. so when she feels it’s clip to acquire a pedicure. she checks herself out. gets her nails done. and comes straight back and gets re-admitted. Both of these patients are utilizing authorities aid to pay for their attention. The first of these patients. Mr. X. he is frequently non admitted for a true ague demand hence medical necessity is non met. But. a measure is sent out with a diagnosing and therefore Medicaid pays even if it was non needed attention. The other. Ms. S. she may show in a acute province needing attention but two yearss subsequently she is stable to be discharged but remains for another 3 hebdomads. This is another illustration of deceitful maltreatment of the system. It puts the health care installation in a really hard state of affairs as they deserve to be reimbursed for the attention provided but Medicaid should non hold to pay for a patient that abuses the system. It’s an eternal defeat for medical suppliers. Medicaid maltreatment impacts the state every bit whole every bit good as single provinces. Some are impacted more than others.

Georgia for illustration. has a annual budget of over $ 19 billion. 22 % of this is dedicated to healthcare costs. This is all revenue enhancement payers’ money. Most would hold that we all work really hard for our money and to see such a hazard of it being abused. it’s distressing. The shortage that this state is confronting because of hapless direction over plans such as this is doing American citizens to oppugn governmental strength. Many members are in legitimate demand for these services but it’s the many that are non that creates this really negative impact on this state. Another really important issue of this maltreatment lies within prescription drugs. Patients have learned how to “work” the system and physician store in order to acquire multiple prescriptions filled of narcotics. They so go to multiple pharmaceuticss to make full these prescriptions. Medicaid has seen a immense sum of pharmaceutical fraud and abuse do to this go oning. There are state of affairss that even prescriptions were filled from physicians who had long been deceased. This is merely farther impact to this already fighting plan.

It is thought that Medicaid costs this state into the 100s of one million millions in revenue enhancement remunerator dollars. An illustration of the battles that happen on a day-to-day footing has taken a personal labor in my life. My parents were among the fighting Americans seeking to work hard to do terminals run into yet non able to seek governmental aid when it was so urgently needed. My parents were affected when the economic system crashed. My male parent was non able to happen work after his occupation was eliminated. My female parent was bullied in her occupation so severely that she had to go forth in order to be treated reasonably. In bend. they were non able to afford their house any longer and were forced to prevent on the place they one time were able to afford. My female parent found employment and was able to work plenty to maintain nutrient on the tabular array but paying the bing measures was really hard and they were harassed daily by creditors. It besides meant that insurance was non possible as her occupation merely offered benefits for her and non my male parent and brother.

For two old ages. my female parent had unequal coverage and my male parent and brother had none. Each twenty-four hours that went by. I worried that something would go on and they would be submerging in medical measures on top of everything else. My brother had to hold knee surgery during this clip and they will be paying off that measure for old ages to come. As American citizens. how can this go on? How can hard working citizens who need assist non be granted that aid? Isn’t this why a system such as Medicaid was designed? These are inquiries that need replies but it seems that the current authorities would instead turn a blind oculus and attempt and put up a socialized medical system alternatively. This is non the reply. we need to repair the jobs we have before we can seek and take on an wholly new system that this state has ne’er embraced before. I have lived with socialised medical specialty before and it is far from a perfect system. I believe if we can take a steadfast manus and start to measure Medicaid and the people who partake in this aid. we can do this state better. Society needs to be steadfast in that those who take advantage of governmental aid demand to truly hold a demand for it and necessitate to endeavor everyday to go able to come off of it. Citizens should be evaluated every three months and should demo cogent evidence of continued demand.

We need to necessitate drug testing and cogent evidence that all members within the household are being cared for decently. The American people need to stand up and prophesy that we can make better than this and everyone should endeavor to learn their kids. populating off this system is non the reply. It’s painful to see coevals after coevals being taught that you can merely populate off this system and non endeavor to be better. This is the ground that people. who genuinely need the aid. can’t acquire the aid. The in-between adult male is left to submerge in measures or wellness crisis when others are mistreating a system that is out of control. This sociological struggle is impacting the unity every bit good as the economical stableness of this state. Critical theorizing can play a immense function in assisting to do a alteration in society as a whole. It can assist us in understanding the underlying ground as to why this system is neglecting at dismaying rates. It can bring out the truth and perchance assist in doing a positive alteration. In looking into this issue. the struggle theory comes into head.

The definition of this theory is based on Karl Marx. he theorized that that persons and or groups of people in society have differing sums of wealth and the wealthiest usage this power over the hapless. I can see these playing a function into the socialistic issue affecting Medicaid as the hapless are the 1s that are in demand of this plan and look to be at the clemency of the authorities for aid. There are many people who are so profoundly reliant on this system. they know non another manner to populate. The issue appears that many have learned how to use this system designed for the hapless even when they may non be in that societal category. So. it seems that society has found a manner to rip off the system. America is the strong clasp of this universe. We are a super-power. yet this super-power has so many profoundly woven issues that are being ignored by our leaders. There comes a point when the narration can easy acquire tangled and this state is seeing some really big tangles that are acquiring bigger. A new system of health care awaits us and the deductions of that seem even greater than our current system. We face quavering times within the hereafter of health care. I hope that one twenty-four hours. we can acquire it right.

Mentions:

Marx. Karl. 1971. Foreword to A Contribution to the Critique of Political Economy. Tr. S. W. Ryanzanskaya. edited by M. Dobb. London: Lawrence & A ; Whishart. DEBBIE DLUGOLENSKI ALFORD. ( 2012 ) Governors Budget Report Fiscal Year 2013. retrieved from opb. Georgia. gov