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One of the primary responsibilities of medical social workers is to ensure that patients have access to health care services and essential resources. Given the excessive cost of health care in the United States, health insurance is essential in providing access to care for patients of all socioeconomic classes.

n the United States, private insurance and government-funded insurance are available. Private insurance may be offered by employers or paid for by individuals out of pocket. Medicaid is a state-run health insurance program for individuals of low socioeconomic status, and requirements vary from state to state. Medicare is a federal health insurance program that is offered to senior citizens and disabled individuals who have contributed to the Social Security system through employment taxes.

In addition to providing health insurance options, the U.S. government also provides two of the largest disability insurance programs in the world. The Supplemental Security Income (SSI) program provides financial assistance to adults and children who are disabled and have limited income and resources. The Social Security Disability Insurance Program (SSDI) pays benefits to disabled individuals who have worked and paid social security taxes. SSI is a means-tested program, whereas SSDI is not.

To prepare for this Discussion, think about the resources needed by an individual for his or her health care. Consider health insurance as a resource that covers health care for an illness.

Post an explanation of the differences between the public and private health insurances as well as the difference in access to care based on one’s insurance. Explain the differences between Medicare and Medicaid in terms of eligibility, cost, benefits, services provided, and limitations in services. Finally, describe special programs that Michigans Medicaid program offers to increase access to care for vulnerable populations, such as pregnant women, children, single mothers, or immigrants.

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