requires a visit to the primary care physician (PCP) to obtain a referral to see a specialist ("Get 2019 health coverage. Health Insurance Marketplace", n.d.). Medicare members are required to visit their PCP for a referral before visiting a specialist ("Getting started with Medicare”, n.d.).A2C. Coverage for Pre-existing ConditionsGreat Britain residents have the benefit of not being denied health care coverage due to health care being a right, not a privilege. Thanks to the NHS covering all citizens, the claim of pre-existing conditions does not exist ("US vs UK: Comparing Medical and Allied Healthcare Services", 2016). Prior to the ACA, insurance companies were able to deny or charge higher rates due to pre-existing conditions or health status. This issue was eradicated with the enactmentof the PPACA leading to members having the eligibility to being insured without stipulation.
A3. Finance Implications for healthcare deliveryThe financial implications for healthcare delivery appear far worse in the United States incomparison to Great Britain. In the United States, even with health insurance, the financial implication for healthcare are the cost of insurance and the consequence for not paying medical bills. Unfortunately, having medical coverage is very expensive for Americans due to co-pays, deductibles, medications, and illness. Moreover, any past unpaid balances are sent to collection companies creating poor credit histories and possible bankruptcy. Some states place a property lien for medical bill collection (McLaughlin, 2018). Even though the PPACA provided the gateway to universal healthcare, many Americans are still uninsured due to the inability to affordthe plan and will be penalized for not purchasing Marketplace healthcare plans and do not qualify for government assistance ("Individual Mandate Penalty You Pay If You Don't Have Health Insurance Coverage").Due to Great Britain’s national healthcare system, British are exempt from the heavy burden of medical financial implications due to social insurance system. The citizens pay higher income taxes rate than Americans, at least 9 percent of citizens gross income in 2008 allowing minimal or next to zero dollars contributed to healthcare (Davis, "Copay vs.
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