{"id":9128,"date":"2024-11-22T03:00:00","date_gmt":"2024-11-22T08:00:00","guid":{"rendered":"https:\/\/curiara.com\/?p=9128"},"modified":"2024-11-15T08:09:18","modified_gmt":"2024-11-15T13:09:18","slug":"united-states-healthcare-system","status":"publish","type":"post","link":"https:\/\/curiara.com\/en\/sistema-sanitario-de-estados-unidos\/","title":{"rendered":"How does the U.S. healthcare system work?"},"content":{"rendered":"<p>The <strong>U.S. healthcare system<\/strong> is one of the most confusing and at the same time most important issues for those who have found themselves in need of<strong> start a new life outside of Venezuela.&nbsp;<\/strong><\/p>\n\n\n\n<p>The fact is that in <strong>United States<\/strong>the <strong>health care system is not universal. <\/strong>This means that the <strong>medical attention<\/strong> depends to a large extent on <strong>private insurers, state and federal programs<\/strong>The insurance coverage is based on the individual's ability to pay for his or her own insurance.&nbsp;<\/p>\n\n\n\n<p>A situation which, as you can imagine, generates doubts and concerns, especially when it comes to<strong> our health and that of our families.<\/strong><\/p>\n\n\n\n<p>Therefore, in this article we will explain <strong>how the U.S. healthcare system works<\/strong> and what <strong>health insurance options exist,<\/strong> from public programs to insurance <strong>private<\/strong>.&nbsp;<\/p>\n\n\n\n<p>Our goal is to give you <strong>practical and accessible information<\/strong> so that you can make informed decisions about the<strong> health care in your new life in the United States.<\/strong>&nbsp;<\/p>\n\n\n\n<p>We know how complicated it can be to adapt to such a different reality, and we hope that this <strong>guide to be useful in your adaptation process<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the U.S. healthcare system model like?<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"533\" src=\"http:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Facturas-medicas.jpg\" alt=\"Medical bills\" class=\"wp-image-9132\" srcset=\"https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Facturas-medicas.jpg 800w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Facturas-medicas-300x200.jpg 300w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Facturas-medicas-768x512.jpg 768w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Facturas-medicas-18x12.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>The <strong>U.S. healthcare system<\/strong> is very different from that of other countries, especially for those of us who come from <strong>Venezuela<\/strong>where the <strong>access to public health<\/strong> is more common (although it also has its problems).&nbsp;<\/p>\n\n\n\n<p>At <strong>United States<\/strong>medical care <strong>is not a universal right <\/strong>and most people should look for <strong>health insurance<\/strong> to cover their medical needs, either through their <strong>insurance companies, or through special public programs.<\/strong><\/p>\n\n\n\n<p>This system is composed of a mixture of <strong>public and private health insurance.<\/strong>&nbsp;<\/p>\n\n\n\n<p>Some of the best known health programs are <a href=\"https:\/\/www.medicare.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Medicare<\/strong><\/a> y <a href=\"https:\/\/www.medicaid.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Medicaid<\/strong><\/a>which are <strong>government-funded<\/strong> to help <strong>low-income persons, persons over 65 years of age or persons with certain disabilities.\u00a0<\/strong><\/p>\n\n\n\n<p>However, most of the population obtains its income from the <strong>medical insurance<\/strong> through <strong>employers, <\/strong>that offer<strong> private plans.<\/strong><\/p>\n\n\n\n<p>For someone moving to <strong>United States<\/strong>understanding how this system works is key, because it is important to know from the outset that <strong>without health insurance<\/strong> it is very difficult to cover the <strong>costs of medical consultations, hospitalization or treatment<\/strong>The cost of these products can be extremely high.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Some key features that will help you understand how it works<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" width=\"800\" height=\"533\" src=\"http:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Sanidad-en-Estados-Unidos.jpg\" alt=\"Healthcare in the United States\" class=\"wp-image-9130\" srcset=\"https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Sanidad-en-Estados-Unidos.jpg 800w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Sanidad-en-Estados-Unidos-300x200.jpg 300w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Sanidad-en-Estados-Unidos-768x512.jpg 768w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/Sanidad-en-Estados-Unidos-18x12.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>The <strong>U.S. healthcare system<\/strong> has several characteristics that make it <strong>only<\/strong> and for those of us who come from <strong>Venezuela<\/strong>may seem very different or even complicated at first. Here we tell you in a simple way how it works.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">It is a mixed system<\/h3>\n\n\n\n<p>This means that there are <strong>government-financed public insurance and private insurance<\/strong> that are contracted through <strong>employers or directly with insurers.&nbsp;<\/strong><\/p>\n\n\n\n<p>Although this combination may sound interesting, the reality is that the <strong>private sector has a much greater weight<\/strong>leaving public programs with certain limitations.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">No universal coverage<\/h3>\n\n\n\n<p>Unlike in many other countries, where the <strong>public health is guaranteed <\/strong>for the entire population, in <strong>United States<\/strong> does not exist <strong>universal coverage<\/strong>.&nbsp;<\/p>\n\n\n\n<p>Which means that<strong> not all citizens or residents have access to basic medical care<\/strong> regardless of their economic situation.&nbsp;<\/p>\n\n\n\n<p>And this is because the <strong>U.S. health care system<\/strong> is very focused on the<strong> research and innovation<\/strong>which has led to<strong> impressive advances in medicine and cutting-edge treatments<\/strong>.\u00a0<\/p>\n\n\n\n<p>However, this focus on technology and innovation is often <strong>leaves out the most vulnerable communities<\/strong>s, who may have difficulties in accessing the<strong>access to adequate medical care due to high costs.<\/strong><\/p>\n\n\n\n<p>In an attempt to <strong>improving access to health care<\/strong>in <strong>2010 <\/strong>was approved<strong> <\/strong><a href=\"https:\/\/www.hhs.gov\/answers\/health-insurance-reform\/what-is-the-affordable-care-act\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Affordable Care Act<\/strong><\/a> <strong>(ACA)<\/strong>also known as <strong>Obamacare<\/strong>during the presidency of <strong>Barack Obama<\/strong>.\u00a0<\/p>\n\n\n\n<p>The purpose of this law was to <strong>expanding health insurance coverage<\/strong> for Americans who did not have any type of insurance, and<strong> improving accessibility to treatment<\/strong> for those who were already insured.<\/p>\n\n\n\n<p>Since its implementation, there has been a <strong>increase in the number of people who have health care coverage<\/strong>but even so, there are still large <strong>accessibility gaps<\/strong>especially for the most disadvantaged.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Variety of insurance<\/h3>\n\n\n\n<p>At <strong>United States<\/strong>the <strong>health system<\/strong> is composed of <strong>various types of insurance<\/strong> and each has its own <strong>own rules, costs and coverage<\/strong>.&nbsp;<\/p>\n\n\n\n<p>Choosing the right one will depend on your <strong>personal situation, such as your age, income and whether you have a job that offers health insurance<\/strong>.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medicare:<\/strong> this insurance is intended for persons over the age of <strong>65 years of age or those with disabilities.\u00a0<\/strong><\/li>\n\n\n\n<li><strong>Medicaid:<\/strong> this program is intended for people with <strong>low income<\/strong>including some families, people with <strong>disabilities and children.<\/strong>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicaid.gov\/chip\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>SCHIP (State Children's Health Insurance Program):<\/strong><\/a> This program covers children from families whose income level is too high to qualify for the program. <strong>Medicaid<\/strong>but too low for<strong> pay for private insurance<\/strong>.\u00a0<\/li>\n\n\n\n<li><strong>Private health insurance: <\/strong>This type of insurance is common among those who have a job that offers a health plan, but it can also be purchased independently.\u00a0<\/li>\n\n\n\n<li>P<strong>lanes in the short term: <\/strong>these plans offer a <strong>limited coverage for a short period of time<\/strong>. They are a <strong>temporary option,<\/strong> for example, for those in a transitional employment situation or between jobs.\u00a0<\/li>\n\n\n\n<li><strong>Long-term care plans:<\/strong> this type of insurance is designed for those who need <strong>extended care or special care<\/strong>such as the elderly or people with chronic diseases.\u00a0<\/li>\n\n\n\n<li><strong>Tricare: <\/strong>is a coverage specifically for the<strong> active or retired military personnel <\/strong>and some of their relatives.\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.va.gov\/COMMUNITYCARE\/programs\/dependents\/champva\/index.asp\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)<\/strong><\/a>This program is intended for spouses, widows, and children of veterans who are not eligible for <strong>Tricare.\u00a0<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Many people are left out<\/h3>\n\n\n\n<p>Despite the variety of options, they are more of the <a href=\"https:\/\/es.statista.com\/estadisticas\/634119\/porcentaje-de-estadounidenses-sin-ningun-tipo-de-seguro-medico\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>8% of the population (25 million people) who do not have any type of coverage.<\/strong><\/a>. This includes both <strong>citizens as well as immigrants<\/strong>especially if they have <strong>low-income or do not qualify for public programs.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">High costs<\/h3>\n\n\n\n<p>The <strong>health in the United States<\/strong> is really expensive and this is one of the reasons why it is <strong>have health insurance<\/strong> here is fundamental.&nbsp;<\/p>\n\n\n\n<p>Costs can vary greatly depending on what you need, but to give you an idea of what you can expect if you don't have insurance, we will give you some examples that, unfortunately, are quite common:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medical consultation with a primary care physician:<\/strong> if you need to see your general practitioner, the consultation usually costs around <strong>$100<\/strong> or more. This is only for a basic visit, not counting additional procedures. If you need to see a specialist, such as a c<strong>ardiologist or dermatologist,<\/strong> the query can be easily uploaded to <strong>$300 <\/strong>or more for just a few minutes of attention.<\/li>\n\n\n\n<li><strong>Medical examinations and tests:<\/strong> if you are sent for a blood test or some basic medical exams, be prepared to spend around <strong>$500<\/strong> or more. At <strong>Venezuela<\/strong>Those exams are usually much cheaper or, in many cases, are covered by social security. Here, if you don't have insurance, you have to pay for all that yourself.<\/li>\n\n\n\n<li><strong>Hospitalizations:<\/strong> However, if things get complicated and you need to be hospitalized, the figures are even higher. A <strong>appendicitis surgery<\/strong>which is a fairly common emergency intervention, can cost you around <strong>$50,000 <\/strong>y<strong> <\/strong>a <a href=\"https:\/\/www.bbc.com\/mundo\/noticias\/2015\/02\/150213_economia_costo_parto_mundo_\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Natural childbirth can cost around $30,000.<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p>Can you imagine having to pay for all this without insurance? The <strong>medical costs in the United States<\/strong> are so high that they can leave anyone in a <strong>difficult financial situation. <\/strong>Therefore, having a<strong> adequate health insurance <\/strong>here is not an option, but a necessity.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Is there any assistance for immigrants?&nbsp;<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" width=\"800\" height=\"533\" src=\"http:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/ayudas-a-familias-inmigrantes.jpg\" alt=\"aid to immigrant families\" class=\"wp-image-9131\" srcset=\"https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/ayudas-a-familias-inmigrantes.jpg 800w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/ayudas-a-familias-inmigrantes-300x200.jpg 300w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/ayudas-a-familias-inmigrantes-768x512.jpg 768w, https:\/\/curiara.com\/wp-content\/uploads\/2024\/11\/ayudas-a-familias-inmigrantes-18x12.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>If you are <strong>legal immigrant<\/strong>i.e., you have the <a href=\"https:\/\/curiara.com\/en\/green-card-application-for-venezuelans\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>green card<\/strong><\/a><strong> <\/strong>or a valid visa, don't worry because you will be entitled to the visa.<strong>health coverage in the United States<\/strong> in the same way as a<strong> U.S. citizen.\u00a0<\/strong><\/p>\n\n\n\n<p>But, if you are not entitled to a <strong>public insurance<\/strong> or if you can't<strong> afford private insurance,<\/strong> there is a <a href=\"https:\/\/www.cuidadodesalud.gov\/es\/immigrants\/lawfully-present-immigrants\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>program to help immigrants<\/strong><\/a><strong>.<\/strong><\/p>\n\n\n\n<p>This is administered by the <strong>Centers for Medicare &amp; Medicaid Services <\/strong>and is intended to provide coverage to those who do not qualify for other programs or cannot afford private insurance.<\/p>\n\n\n\n<p>At <a href=\"https:\/\/curiara.com\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Curiara<\/strong><\/a>We know that leaving our country is not easy and that arriving in a new place can be a challenge, especially when it comes to <strong>understand how the health care system works.\u00a0<\/strong><\/p>\n\n\n\n<p>That's why we want to do everything we can to make it possible for your <strong>transition as smooth and easy as possible <\/strong>possible. We hope this article has helped you to <strong>better understand the healthcare system in the United States<\/strong> and feel more prepared to face any health situation that may arise.&nbsp;<\/p>\n\n\n\n<p>Remember that you are not alone, and we are always here to support you in every way we can. <strong>step of your new life outside Venezuela<\/strong>.&nbsp;<\/p>\n\n\n\n<p><strong>Curiara, uniting families.<\/strong><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>El sistema sanitario de Estados Unidos es uno de los temas m\u00e1s confusos y a la vez m\u00e1s importantes para quienes se han visto en la necesidad de empezar una nueva vida fuera de Venezuela.&nbsp; Y es que en Estados Unidos, el sistema de salud no es universal. Esto significa que la atenci\u00f3n m\u00e9dica depende [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9129,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-9128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tramites"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00bfC\u00f3mo funciona el sistema sanitario de Estados Unidos? | Curiara US<\/title>\n<meta name=\"description\" content=\"En este art\u00edculo hablaremos de c\u00f3mo funciona el sistema sanitario de Estados Unidos y qu\u00e9 opciones de seguro m\u00e9dico existen.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/curiara.com\/en\/united-states-healthcare-system\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfC\u00f3mo funciona el sistema sanitario de Estados Unidos? 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