Healthcare
Problem
Insurance coverage is a complex system in American health care that is not always available a priori to all citizens. The lack of insurance is a severe problem, leading to worsening health, social and vocational adjustment, and development opportunities (Keisler-Starkey & Bunch, 2021). Moreover, people cannot always receive treatment on time, and pharmaceuticals are not available. The healthcare burden is growing, and the population’s social status is falling, leading to the disruption of many production processes.
Solution
Both solutions result from the federal government’s intervention in healthcare organizations and managing citizens’ social and economic capital ((Shrank et al., 2021). Even compulsory insurance may not be available to some individuals, and not all families fall under the low-income criterion. Local governments improve income levels, and the federal government does not have much influence. The executive and judicial branches of government do not have the power to make healthcare policies; there is a need for additional support mechanisms.
Expanding coverage is based on the principles of egalitarianism, which dictates that each patient be treated as an equal regardless of his or her insurance value. Having variability would allow as many families as possible to use insurance¸ because they could choose specific service plans: just a pediatrician or a general practitioner and dentist (Mazurenko et al., 2018). The enrollees would increase, and the overall uninsured population would decrease.
The Best Solution
Mandatory health insurance is not adequate compared to expanding coverage. It was introduced in 2010, but by 2019 no significant benefit had been established (Porretta, 2022). The ineffectiveness of the subsidies stems from the inability of two of the three branches of government to fully control the processes of legislation and organization of health insurance. In addition, there are difficulties in confirming the direction of the budget to help patients and health care providers.
Security
Problem
Terrorism, unfortunately, is widespread and is divided into internal and external. Domestic terrorism includes acts committed by individuals against their fellow citizens for profit or because of unfair treatment against them. External includes all acts committed by foreign nationals to disrupt the state administration and social structure. Terrorism entails destruction and violence; it cannot be unrecognized as a significant threat to the nation’s security.
Solution
Increased border control manifests the government’s brutal policy of responding to terrorists. Strengthened borders, military installations, and other laws result in severe difficulties in crossing U.S. borders. Even well-intentioned individuals from Europe and Asia find it difficult to enter its territory. However, aid programs for the poor are a soft policy that could work because it would run out of potential accomplices to terrorists inside the country.
Since terrorism comes in many different types, the security ministry is concerned about how to help its units identify these types (Preventing terrorism, 2022). Disseminating information and increasing access to surveillance of streets and administrative buildings helps to spot suspicious individuals and their deeds in time (National strategy for countering domestic terrorism, 2021). Although there is criticism of surveillance, new technology nevertheless makes the process ethical and lawful. Moreover, many citizens generally agree with the effectiveness of surveillance.
The Best Solution
In contrast to other solutions, establishing and developing security systems is not a unidirectional effort but includes several areas at once. This allows the security system to be integrated into the prevention of terrorist attacks and into the day-to-day protection of citizens. Improved training, cooperation, and mutually beneficial sharing of critical information will allow the USA to overcome the problem of terrorism. It will lead to additional improvements in other areas and change international relations by developing a foundation of trust.
References
Countering terrorism. (n.d.). U.S. Department of State.
Ibe, P. (2020). Trump’s attacks on the legal immigration system explained. American Friends Service Committee.
Kaiser Family Foundation. (2020). The effects of Medicaid expansion under the ACA: Studies from January 2014 to January 2020.
Keisler-Starkey, K., & Bunch, L. N. (2021). Health insurance coverage in the United States: 2020. United States Census Bureau.
Mazurenko, O., Balio, C. P., Agarwal, R., Carroll, A. E., & Menachemi, N. (2018). The effects of Medicaid expansion under the ACA: A systematic review. Health Affairs, 37(6), 944-950.
McRae, M. A. (2013). Education reform through the courts and why it’s necessary. EdSource.
National strategy for countering domestic terrorism. (2021). The White House.
Porretta, A. (2022). Does your state require you to have health insurance?. eHealth.
Preventing terrorism. (2022). Homeland Security.
Shrank, W. H., DeParle, N. A., Gottlieb, S., Jain, S. H., Orszag, P., Powers, B. W., & Wilensky, G. R. (2021). Health costs and financing: Challenges and strategies for a new administration: Commentary recommends health cost, financing, and other priorities for a new US administration. Health Affairs, 40(2), 235-242.
The far-reaching benefits of the affordable care act’s Medicaid expansion. (2020). Center on Budget and Policy Priorities.