Change is Coming for Healthcare

President-Elect Donald J. Trump campaigning, June 18, 2016, in Phoenix, AZ. (Source: Gage Skidmore)

Healthcare is constantly changing, whether involving the advancement of technology, modernization of medicine, or political reform, and with 2017 just around the corner and Donald Trump as President-Elect means major changes are coming for healthcare, nursing, and medicine in the United States.

With these changes, healthcare administrators are forced to place themselves to manage a rapidly changing industry. These changes are the driving force to new ways of management, care, quality, safety, efficiency, and customer satisfaction.

“Change is imperative, not an option,” said Lucille Lore, RN BSN, Advance Practice Nurse and Nurse Executive Candidate. “In today’s healthcare, caregivers are facing challenges and must adopt to various care models in practice and it is due to biomedical and information technology advances.”

(Infographic by: Victoria Lore)

Healthcare has become increasingly virtual and convenient for patients through shorter hospital stays, remote monitoring, mobile apps, digital pharmacy solutions, home deliveries, etc. With the positive changes in healthcare have come the negatives. There has been a dramatic increase in healthcare prices and demand for access, quality, and affordable care.

“With shorter hospital stays, it calls for more healing time management and rehabilitation in the home, which brings another issue of safety factors and skilled practitioners outside of the institution to the home,” said Lore. “The future will include telehealth, care practice, and reimbursement from insurance carriers.”

Tom Price, R-Ga. speaks on Capital Hill, March 17, 2015, in Washington, DC. (Source: AP)

This growth is attributed to the expanding adoption of various healthcare IT solutions by healthcare providers in order to meet increased regulatory requirements for patient care and safety, need to restrain increasing healthcare cost, and need to improve quality of care while keeping up with operational efficiency of healthcare organizations, according to referralMD.

Health insurance premiums on the Affordable Care Act, also known as Obamacare, are expected to increase rapidly in 2017 due to considerable losses by insurers in the market along with the phasing out of ACA’s reinsurance program. Because of these losses, Aetna announced their withdrawal from the ACA marketplaces and the individual market in some states, according to the Kaiser Family Foundation website.

(Infographic by: Victoria Lore)

It is clear that the Affordable Care Act will be repealed with a Trump presidency and Republican-led Congress,and now Tom Price, Trump’s choice for Secretary of Health and Human Services. The orthopedic surgeon and six-term Republican congressman has made it a goal to dismantle Obamacare for last six years, according to the New York Times. It is still unclear what new policy will replace it.

Pyramid chart showing a way to create plans for implementing change in healthcare. (source: Rising Stars, LLC)

“Policy and practice is waiting for change in healthcare from the government to see what’s in store for our healthcare leaders,” said Al Lore, Medical School student. “Now we are just left with questions of are we forced to change the way practice, how big do we have to be, what kind of forces do we have to pull together, and the fact that our leaders need to be highly skilled practitioners.”


Correlation of Unemployment and Millennials in the U.S.

As of July 2016, the unemployment rate had dropped to 4.9%, according to the Bureau of Labor Statistics. This is the lowest rate since 2008, which caused Congress to enact the Recovery Act in 2009. The job growth in government appointed jobs declined in 2010, but through private employers have created 15.1 million jobs in the matter of 78 months since February 2010, which is an average of 194,000 jobs a month. Combining both government and private jobs has averaged 191,000 over a month period. But this hasn’t benefited every demographic in the United States.

According to the CIA statistics, the 2008 recession in the United States had caused the onset of global unemployment rates around the globe. Global unemployment climbed about 2 percentage points in 2011 reaching to 9.1%. The United States had reached to 9.3% and was ranked 103 globally for unemployment.  

Unfortunately millennials, the largest generation in the U.S. representing one-third of the total U.S. population is the demographic in America who still continue to struggle from unemployment and underemployment at exceptionally alarming rates. According to the Bureau of Labor Statistics, the unemployment rate was 16.1% for people between the ages of 16 and 24.

In the United States as of 2014, a total of 13.4% of youth ranging in the ages of 15 and 24 were unemployed. 14.5% of that being male youth, and 12.2% female according to the CIA statistics.millennial-unemployment-infograph

 4.6 million young people are out of work in the United States and those millennials who are employed are making less than $25,000 a year. This salary has become much more common within the last 25 years in the United States for millennials who are employed.

Along with these alarming statistics, it has been harder for new graduates to find good jobs and unemployment among recent graduates remains higher that it was before the Great Recession. According to the Pew Research Center only 44% of college graduates had a job that was related to their field of study and many of those graduates are working in jobs that didn’t require a college degree.

 With the rates in unemployment, underpayment, and overqualified employment climbing higher it is uncertain when this trend will change for millennials in the United States. This has left many young Americans feeling discouraged with our government along with feelings of
uncertainty for their futures and with just reason.

In the 15 Economic Facts About Millennials, which was provided by The Council of Economic Advisers predicted that millennials will be feeling the effects of starting their careers during a historic downturn for years to come.