John Q’s Blues

The business of health care insurance is more about making the most amount of money possible while making the patients believe that they are valued. Let’s not confuse value with importance because they are different. People are necessary for health care insurance companies to make money, but that does not mean that the health care providers care. This paper will illustrate the picture of a man John Q, who is suffering from high blood pressure and has Medicaid but is forced to deal with unreasonable circumstances. There is a steady decline of doctors who will accept new Medicaid patients. Location, location, location is the most important factor at this point. For example, new Medicaid patients would have an easier time getting accepted in Wyoming than in New Jersey (Galewitz, 2012). This produces a significant problem because new Medicaid patients who need vital medical attention or even preventive measures may not be able to get the care they need. The next option for these individuals would be to go to a free clinic. Even though in some cases this may be their only options, but this does not guarantee the patient will be seen or get the care that is needed. According to Andersen (1995), there are three important elements when looking at a health services utilization model: predisposing, enabling and need. Predisposing concerns makes the patient away ahead of time concerning the care that can be received. Enabling is the ability given to the patient to receive that care. The need is based on the patient’s degree of needing medical attention. No patient regardless of insurance or lack of insurance should be denied medical attention.

Factors Disrupting Medicaid having limited acceptance policies if the first disrupting factor in Mr. Q’s situation. He is eligible for the insurance; however, none