What is the difference between a social insurance approach and a public assistance approach to government financed health insurance and which do you prefer and why?

Paper instructions:
Part 1: Answer the following question in the Drop Box below (short answers please): What is the difference between a social insurance approach and a public assistance approach to government financed health insurance and which do you prefer and why? Part 2: list and read at least 3 files (I will attach the 3 articles) Summarize them in the Discussion Forum with your comments and questions. Your summary of the articles should be 2 paragraphs: 1.) The article stated….(a brief restatement of the article’s message) and 2.) I think that…(tell me if you agree, disagree, learned something, were surprised, etc. Just demonstrate that you are thinking!) Provide reference 9/8/2014 How Healthy Is Your County? A New Data Trove Can Tell You – Health Blog – WSJ http://blogs.wsj.com/health/2012/04/03/how-healthy-is-your-county-a-new-data-trove-can-tell-you/tab/print/?blog_id=10&post_id=49143 1/2 April 3, 2012, 5:26 PM ET ByMelinda Beck Wikimedia Commons Curious to know which counties are the healthiest—and least so—in every state? How about where your county ranks in terms of smoking and obesity rates, physical inactivity, air pollution, numbers of fast­food restaurants, and other contributors to public health? The 2012 County Health Rankings report, the third annual, is out today and provides a treasure trove of such data—29 measures in all—for each of the 3,005 counties in the U.S. The report, which draws on data from the CDC, the Dartmouth Health Atlas, the U.S. Census Bureau and other sources, is user­friendly and free. Information junkies, beware: you can spend hours on this site.
The project, a collaboration of the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation, aims to help local leaders and residents see not only where they rank on factors that determine health, but also specific ways to improve. “Our goal is to move the conversation from asking the question, ‘Why is my county unhealthy?’ to ‘What can we do about it?” says Patrick Remington, Associate Dean for Public Health at the University of Wisconsin School of Medicine and Public Health. A new section this year, called County Health Roadmaps, suggests specific measures counties can take to improve. For the first time, the program is offering up to six prizes of $25,000 to reward communities that make changes to improve public health. In many ways, the rankings reflect socioeconomic conditions. How Healthy Is Your County? A New Data Trove Can Tell You 9/8/2014 How Healthy Is Your County? A New Data Trove Can Tell You – Health Blog – WSJ http://blogs.wsj.com/health/2012/04/03/how-healthy-is-your-county-a-new-data-trove-can-tell-you/tab/print/?blog_id=10&post_id=49143 2/2 Copyright 2014 Dow Jones & Company, Inc. All Rights Reserved This copy is for your personal, non­commercial use only. Distribution and use of this material are governed by our Subscriber Agreement and by copyright law.
For non­personal use or to order multiple copies, please contact Dow Jones Reprints at 1­800­843­ 0008 or visit www.djreprints.com Wealthy counties tend to be healthy, and vice versa. Counties with large urban areas also tend to be healthier than those that are rural, as I wrote about in a Health Journal in July. But there are exceptions. Some border counties in Texas, for example, have high rates of poverty and low rates of education, but very long­lived residents. “Even healthier counties may have high rates of smoking, excessive drinking and high rates of teen birth,” says Mr. Remington. “There is still room for improvement, no matter where you live.” Making a community healthier can start with small changes. Chip Johnson, mayor of Hernando, Miss., (population: 6,812) says that as a response to the rankings, his community removed vending machines from city hall and made sure that the local farmers market was located within walking distance of some poorer neighborhoods. He also challenged local fourth­graders to run a marathon, one mile at a time, with him and the local police captain, and convinced a local bank to donate 37 acres of foreclosed land to make a park. Mayor Johnson says he looks at the data, in part, as an economic­development tool. (Hernando is in DeSoto County, ranked No. 1 in health outcomes in Mississippi). “We’re seeing that people are very literally moving to our county and our town because they perceive it to be a healthy town.
That’s the best compliment you can get,” he says. (http://www.chicagotribune.com) 4 Recommend Tweet 0 2 Making the burden of childhood obesity all the more heavy In Georgia, public service ads that spotlight young victims incite a backlash January 31, 2012|By Bonnie Miller Rubin, Chicago Tribune reporter When a Georgia health care organization recently launched a series of childhood anti-obesity ads, they had no idea they’d be accused of attacking rather than advocating for kids. The commercials, in stark black and white, feature a series of despairing kids talking about their weight problems. There’s Bobby asking poignantly, “Mom, why am I fat?” or Jaden telling us that he’d rather play video games by himself because other children “pick on me.” A tag line follows: “Stop sugarcoating it, Georgia” or “Being fat takes the fun out of being a kid.” Children’s Healthcare of Atlanta, one of the partners in the Strong4life campaign, defended the ads, saying a bold message was needed to convey urgency in a state with the second-highest obesity rate in the nation. 224 “We’re at the point where we really have to do something,” said Dr. Stephanie Walsh, medical director of the pediatric health care system. “We have to speak candidly or we’ll never get to the root of this problem.”
But some critics find the approach too blunt, insisting that the ads further stigmatize kids who already have a target on their backs. “Why are we trying to blame the victim?” asked Natalie Caine-Bish of Kent State University, who directs a weight management program for children. “Scare tactics and name-calling will not help kids get healthy and fit.” This whole issue, she said, has degenerated into “some kind of circus.” Certainly, the online discussion has been anything but civil. On Strong4Life’s Facebook page, people attacked not just the ads but the clinicians behind them. “How many of you have had to deal with the way society treats fat people?” asked one poster. Another accused the doctors of violating the Hippocratic oath by doing “more harm than good.” A third vented: “You justify this disgusting attack on children by … hiding behind intentions.” Walsh admitted surprise that the ads — which have attracted thousands of hits on YouTube — elicited such a visceral response. Considering that 75 percent of Georgia parents whose kids are overweight do not even recognize that their offspring have a problem, the time for diplomacy is over, she said. “This is a medical crisis … not about looking good for the prom,” the pediatrician explained. It’s not the first time that such a campaign has triggered a backlash.
In November, St. Mary Medical Center in Hobart, Ind., angered many motorists on Interstate 94 with a billboard featuring a scale and the headline: “Obesity is a disease. Not a decision.” As in Georgia, the tone got ugly. But unlike people in the Peach State, Indiana callers blasted the hospital for giving the plus-sized population a pass. “There’s no disease that causes your body to drive to McDonald’s to get fries,” said one woman via email. “They thought we were making an excuse for bad behavior,” explained Lorri Field, head of bariatric services at St. Mary. To be sure, Americans are aware that youth obesity is a major public health concern, ranking ahead of tobacco, teen pregnancy and Internet safety, says a survey by the University of Michigan’s C.S. Mott Children’s Hospital. And there’s no denying that the statistics are unbearably grim: In 1971, only 4 percent of 6- to 11-year-olds were obese. In 2008, that figure had shot up to 19 percent. While the numbers have leveled off, physicians everywhere are seeing kids with ailments once associated only with middle-aged adults: hypertension, diabetes and fatty liver disease. Featured Articles Without some course correction, they say, this may be the first generation to have a shorter life expectancy than their parents’.
But the two polarizing reactions only underscore how Americans have lost their way on this topic. While we agree we have a problem, the carrot-vs.-stick rhetoric is growing more shrill. I cringed when I heard about a child’s weight wielded as a weapon in a recent custody battle. Ditto the talk-radio guy who berated a distraught mom, suggesting that her son’s BMI would come down if only she’d step up her snooping. “Just do it,” he admonished. I had visions of her dropping the phone and immediately scouring his backpack for Cheeto dust. Weight loss is a complex, deep-rooted problem that doesn’t lend itself to bumper sticker slogans. But ostracizing the obese is one of the last acceptable forms of discrimination. “We’d never do this to kids with another medical condition, such as cancer or asthma,” Caine-Bish said. One point is certain: The youngsters didn’t get here by themselves, and they can’t dig out alone, either. Only a multifaceted assault — from schools to lawmakers to stretched-too-thin parents, who find it easier and cheaper to buy a pizza than make a healthier meal — will help reverse the trend. I don’t know the solution, but I do know this: The lunch table, playground and locker room are already lonely enough without adults piling on more pain. [email protected] (mailto:[email protected]) (/2011-08-22/news/ct-met-northwestern-als-breakthrough-20110822_1_als-patients-proteins-northwestern-research)
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