Health Reform in the United States
Who should make the decision about whether to provide coverage and reimbursement for a particular good or service? Use the Discussion / Writing Rubric.
Sample Solution
The decision about whether to provide coverage and reimbursement for a particular good or service should be made by a combination of stakeholders, including healthcare providers, insurance companies, government entities, and patients. Healthcare providers are typically responsible for making recommendations regarding the type of care that should be provided based on their clinical expertise (Mann et al., 2020). Insurance companies then assess these proposals against existing standards in order to determine if it is feasible to reimburse providers for services rendered taking into account factors such as cost effectiveness, overall benefit to society, and potential risks associated with it (Dixon et al., 2017). Government entities like Medicare also play an important role in this process through setting up guidelines which define what types of treatments are deemed medically necessary while establishing limitations on how much can be charged(U.S. Department of Health & Human Services 2018). Finally, patient input is also invaluable when making decisions related to coverage and reimbursement since they have direct experience dealing with the issue at hand thus providing valuable insight regarding what would work best from their perspective (Crisp & Andersen 2016).
pace Transition Theory concludes seven key postulates, (1) person, with repressed criminal behaviour (in the physical space) have a propensity to commit a crime in cyberspace which they would not commit in physical space, due to their status and position. Due to Rosica being an ex-cop restricted him committing a behaviour in physical space, as he had to maintain his status and position of being an ex-cop. (2) Identity flexibility, dissociative anonymity and the lack of deterrence factor in the cyberspace provides offenders with the choice to commit cybercrime. Rosica had the accessibility to create a fake online identity in which he did (Katy Jones), this was the identity flexibility factor. This meant that his real identity was hidden/anonymous (dissociative anonymity). And he also knew there is no certainty of punishment, especially with an unknown identity (lack of deterrence). (3) Criminal behaviour of offenders in cyberspace is likely to be imported into physical space, vice versa. Information was not given about Roscia’s physical stalking but he was charged five years for this being one of the reasons. (4) Intermittent ventures of offenders into the cyberspace and the dynamic spatiotemporal nature of cyberspace provide the chance to escape. Roscia knows that in cyberspace there is no continuous risk in getting caught, as the changing of space and time can contribute to the offenders’ escape. (5) (a) strangers are likely to unite together in cyberspace to commit a crime in the physical space and (b) associates of physical space are likely to unite to commit a crime in cyberspace. This claim does not apply to this case study, as Roscia was the only offender involved. (6) Persons from closed society are more likely to commit crimes in cyberspace than persons from open society. The fact that Roscia was an ex-cop meaning that he could have continued living in a closed society as being so used to it from his job; this theory can relate to the reasoning behind his offence. (7) The conflict of Norms and Values of Physical Space with the Norms and Values of cyberspace may lead to cybercrimes. The last key point is an overall statement of most online crimes.
There are five key postulates in ‘liquid modernity’ which are based on interactions online, four of which relate to this current study.
(1) A lack of morality, in this case, Rosica’s stalking behaviour is morally wrong.
(2) To promote instantaneous gratification, in order for Rosica to continue the harassment of his ex-girlfriend and several others suggest that he was receiving some pleasure from it, hence why his repetitive behaviour continued.