Problem: As a newly appointed Secretary of Health in Texas state, you are asked to analysis of current healthcare law and discuss the appropriate role of government involvement in providing healthcare for your jurisdiction's citizens and/or residents. Consider high-level current federal and state programs (e.g., Medicare, Medicaid, CHIP) and recent changes (e.g., ACA, subsequent tweaks) and be sure to address the following:
What biases and inequities exist in healthcare in TX state and in the United States? How are they seen and/or addressed in current governmental healthcare programs?
How did the Affordable Care Act affect access in TX state? How did it affect the health statuses of vulnerable populations?
As Secretary of Health in your state, you will have the ability to direct state resources and will have a platform from which you will be able to influence state- and federal-level officials and policymakers. What one change to existing laws or programs will best improve the health of those you serve and will be atop your list for advocacy?