Do Disruptions in Health Insurance Continue to Affect Access to Care Even After Coverage Is Regained?

In 2011, the Government committed to the introduction of Universal Health Insurance (UHI) ‘with equal access to care for all’ by 2016 (Government of Ireland 2011: 2). This chapter explores how proposals to implement a system in which every member of the population would be expected to take out health insurance – and mooted by politicians as a way to end Ireland’s two-tier health system – exhibited particular characteristics of advanced liberal modes of governing.Specifically, drawing on Rose and Miller’s (1992) conceptualisation of the ‘aspirations’ of advanced liberal government – governing at a distance, the management of risk, engendering individuals to take responsibility through choice, and the fragmentation of the social state into multiple communities – this chapter demonstrates how while a political rhetoric may have stressed the significance of UHI as a basis for promoting solidarity and fairness, it is hard to avoid the conclusion that the policy would have represented a further shift towards the marketization of Irish healthcare.

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27. Health insurance coverage and access to care among European elders: crossnational differences and social gradients

Ageing in Europe - Supporting Policies for an Inclusive Society ◽

10.1515/9783110444414-029 ◽

2015 ◽

pp. 301-312

Keyword(s):

Health Insurance ◽

Access To Care ◽

Insurance Coverage ◽

Health Insurance Coverage

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Health Conditions, Access to Care, Mental Health, and Wellness Behaviors in Lesbian, Gay, Bisexual, and Transgender Adults

International Journal of Chronic Diseases ◽

10.1155/2020/9094047 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Richard S. Henry ◽

Paul B. Perrin ◽

Ashlee Sawyer ◽

Mickeal Pugh

Keyword(s):

Mental Health ◽

Health Insurance ◽

Physical Health ◽

Access To Care ◽

Insurance Coverage ◽

Care Facility ◽

Health Care Facility ◽

Self Esteem ◽

Health Conditions ◽

Bisexual And Transgender

This study examined relationships among wellness behaviors, physical health conditions, mental health, health insurance, and access to care among a sample of 317 lesbian, gay, bisexual, and transgender (LGBT) adults. Participants completed a web-administered survey from May 2013 to April 2014. Of the sample, 41.6% of the participants reported having one or more health conditions. Most participants (92.1%) reported access to a health care facility and current health insurance coverage (84.9%), though 24.9% of those with health insurance reported being incapable of paying the copayments. Physical health conditions, age, and self-esteem explained 24% of the variance in engagement in wellness behaviors; older age, a greater number of health conditions, higher self-esteem, possession of health insurance, and ability to access to care were associated with increased wellness behaviors. Providing affordable insurance coverage, improving access to care, and properly treating mental health in LGBT individuals could improve wellness behaviors.

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