...The US Health Care System Danny Gomez HCS/531 February 7, 2012 The healthcare system in the United States is very complex. Both its inherent composition and the external factors that shape it include a multitude of elements that add to its complexity. This paper will present a definition of the health care system in the US, describe the implications of beliefs and values on this system, and offer examples of the various health care delivery models that comprise it. A health care system can be defined, as a grouping of organizations, institutions, and resources functioning with the intention to fulfill the health care needs of communities and/or populations. Such a system includes components that cover four major functions – financing, insurance, delivery, and payment. In a functioning system one would expected to find its components carefully coordinated and interrelated. However, the US this system is comprised of independent components that work simultaneously but not always collaboratively to deliver and fulfill the requirements of health care. The reality of the US health care system is that its components function independently, in a loosely connected fashion, and without a single central agency governing and regulating it. This characteristic is contrasting to systems in many other countries that have a national heath care program designed to provide a set of equitable health services to all its citizens. Access to health care services in the US varies,...
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...The U.S. Health Care System Yusara Millan Phoenix University HCS/531 Kenneth Feldiman February 20, 2012 The U.S. Health Care System Today’s health care system is a constant focus of debate those who argue about the American system been the best health care system in the world but there is also the part that argues that the U.S. waste more in health care system than any other nation in earth and yet many Americans have not insurance coverage. The intention of this paper is to search the health care system of the U.S and identify as well as understand the structure of the health U.S. health care system. According to Chua, K. (2006) the United States has a very distinctive health care system; it is not like any other health care system in the world. The US health care system consists of private and public insurers in which the private component dominates the public component. Public Health Insurance Medicare is a federal program that covers disabled individuals as well as over 65 individuals, which is funding by federal income taxes, payroll tax shared by employers and individual premiums. According to Chua, K. (2006) the benefits of Medicare Part A covers all the hospital services, the Part B covers the physician services, and Part D offers prescription drug benefits. The Medicare Part C refers to Medicare Advantage, which is HMO’s that control Medicare benefits (Chua, K.2006). According to Chua, K. (2006) there is many breaches in the Medicare coverage, which...
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...and compare two health care systems in the USA, the GPs and NHS systems, the relation between expenditure on these systems and efficiency of them. Another aim of the essay is to compare heath care systems in different countries and find out whether the dominance of public or private spending is optimal for the society; here the comparison between UK and USA health care system will be appropriate. Question #2 In the USA nowadays the Private Health Insurance system is the major provider of health care cervices. Is this situation adequate to the demands of the tax payers and is it effective for different categories of people who need medical treatment? Should the ratio between private and public sectors in health care be changed and should the organization of both systems be reformed? Let us first of all define what is health. These can be two ways to define it: 1) Negative: the absence of disease 2) Positive: “a state of complete physical, mental and social well-being.” (World Health Organization, 1946). Therefore we can outline two aims of health policy: to improve health and to reduce health inequalities. In terms of the first definition, the US health care system is efficient. In terms of the world-accepted definition, the second one, the US health care system is expensive and in many cases not efficient. Let us analyze the relation between costs and effectiveness in this system. First of all let us trace the development and progress of both health care systems. The basis for...
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...Maria Hernandez Ms. Lily Healthcare System History The aim of the essay is to compare heath care systems in different countries and find out whether the dominance of public or private spending is optimal for the society; here the comparison between UK and USA health care system will be appropriate. Question #2 In the USA nowadays the Private Health Insurance system is the major provider of health care services. Is this situation adequate to the demands of the tax payers and is it effective for different categories of people who need medical treatment? Should the ratio between private and public sectors in health care be changed and should the organization of both systems be reformed? Let us first of all define what is health. These can be two ways to define it: 1) Negative: the absence of disease 2) Positive: “a state of complete physical, mental and social well-being.” (World Health Organization, 1946) Therefore we can outline two aims of health policy: to improve health and to reduce health inequalities. In terms of the first definition, the US health care system is efficient. In terms of the world-accepted definition, the second one, the US health care system is expensive and in many cases not efficient. Let us analyze the relation between costs and effectiveness in this system. First of all let us trace the development and progress of both health care systems. The basis for current health care system was established after the World war II, when private doctors were serving...
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...The U.S. health care system is the subject of much differentiating debates. On one side we have those who argue that Americans have the “best health care system in the world”, pointing to our freely available medical technology and state-of-the-art facilities that have become so highly symbolic of its system. On the hand we have those who criticize the American system as being fragmented and inefficient, pointing to the fact that America spends more on health care than any other country in the world yet still suffers from massive un-insurance, uneven quality, and administrative waste. Understanding the debate between these two diametrically opposed viewpoints requires a basic understanding of the structure of the U.S. health care system. This paper will explain the organization and financing of the system, as well as explain the U.S. health care system in a greater perspective. For most people, the frightening prospect of being unemployed, losing health insurance coverage, having inadequate insurance benefits, or living in a rural community without a physician raises one vital access-related question: Will I be able to get the care I need if I become seriously ill? Because of health care's special status, society has an ethical obligation to ensure that all people have access to an adequate level of health care including access to new technologies as well as existing ones, without facing excessive burdens in obtaining such care. Society's recognition and implementation of...
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...US Health Care Systems Strengths Tiara McDaniel American Intercontinental University HCM630-1205D-01 January 27, 2013 Introduction There is an opinion amid several Americans that regardless of coverage, price and other difficulties in the health care system, the eminence of health care in the United States is more superior than it is anyplace else in the world and there is a possibility that it may be threatened by restructuring of health care by President Obama. In addition to that, an article on Thomason Reuters, states that fifty-five percent of US citizens that was surveyed last year said claimed that American patients in American are provided with better care that people in other countries, but only forty-five percent of the participants stated that the US has the nation’s best health care system. (Reuters, 2008) Even though most Americans prodigiously back government tactics to raise the coverage and decrease the cost of health care, recent statistical evidence shows that sixty-three percent of American are afraid that there will be a decline in the quality of care that are given if the government were to make sure every citizen had health coverage. (Sack and Connelly, 2009) An additional study showed that eighty-one percent of Americans have the same worries. (Connolly and Cohen, 2009) Before one can make an educated assessment about the nature of care in one health system as opposed to another, it is essential to look at a varied array of indicators. Because health...
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...Implications of Health Economics Concepts for health Care Marcus Bright Strayer University Health Economics HSA 510 Dr. Jeff Kaluyu October 27, 2014 Abstract Income Inequality and Rising Health-Care Costs in the United States shows that health costs are the biggest driver of income inequality. This reason has made health care economics to go through multiple renovations leading from money which is the substance of health care economics and that has become vital to economists, policymakers, researchers, and organizational leaders. Today, most employers pay their workers a combination of wages and benefits, the most important of which is health coverage. This too has caused employer’s to hold back on salary increases to keep total compensation costs to cover the high cost of health insurance increases. In health care economics, the gross domestic product (GDP) is of paramount importance and in evaluation of, there is a remarkable rise in the GDP from 5.2% in the 1960’s to 16.2% in 2008, and an anticipation of 19% or more by 2019. It is based on those ongoing increases that this paper will reflect on the concepts that have impacted the world of health care economics in the US. Health Care Professionals and Understanding the Discipline of Health Economics The economics of health care methodologies for funding have continuously been changing since the 1800s. This started with the founding of the American Medical Association in 1847, which promoted scientific...
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...National Health System, established in 1978, is the primary provider of health insurance to all Italians. It is a decentralized model, most of which is being administered at the regional level. It provides low or no cost health care to all European Union citizens; it provides inpatient treatment which covers primary care visits, diagnostic testing, drugs and medications, surgeries during hospitalizations, out-patient treatments, pediatricians, dental treatments and other specialists. Private insurance is available and sometimes offered by employers, about 35 percent of Italians use private health care. The government covers the cost of all primary care and inpatient treatment, while drugs and advanced tests require co-payments of up to 30 percent. Children and the elderly do make these payments. You must have health insurance if you want to live in Italy. The government gets the resources to pay for this system from taxes collected at a national level combined with taxes collected at the regional sectors, the doctors and other medical care provider’s work for both the private and public sectors, where they received their payments from. If receiving public health insurance you sign up and you choose a doctor. Doctors will not have more than 1,500 patients. If you do not like your Doctor you can always switch to another; but that doctor can only take you if they have open slots available. The United States is based on imperfect market. It is a pluralistic system, which differs...
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...Standards of Evaluation: A Comparison of Health Care Standards Between the US and Canada The Canadian health care system is often compared to the US system. In 2007 a systematic review concluded that outcomes may be superior in Canada versus the United States. The US system spends the most in the world per capita, and was ranked 37th in the world by the World Health Organization in 2000, while Canada's health system was ranked 30th (Guyatt, 2007). In terms of access, more Canadians seem to be covered with a decent health care insurance than Americans. Canada employs the single-payer system, which is a type of healthcare that is financed by a single public body (the Canadian government) from a single fund. In some ways, it appears to be a monopoly of care, because Canadians do not enjoy a wide range of choices in terms of services. This can lead to long wait-times and delays in delivering quality healthcare (Nieves, 2009). According to Dr. Albert Schumaker, former president of the Canadian Medical Association, and estimated 75% of health care services in Canada are delivered privately, but funded publicly. The US, on the other hand, has a mixed private and publicly funded healthcare, with about 16% of the population being uninsured (Guyatt, 2007). This is why there is a lot of pressure on the government to implement universal healthcare, because of the stupendous amount of money being wasted and spent on paying expensive healthcare for the uninsured. There is a push...
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...Health Care Museum I. ATTENTION: Everyday, on the news, we always hear the US helping other nations fight for the liberty that they deserve. We see the US roaming the globe to feed the hungry. We see the US send out it's best doctors to attend the needy countries. America's mission towards other countries are very noble to be questioned, but what about the welfare of its own citizens? For years, the US is facing a medical emergency and as of today, the federal government hasn't enacted a long lasting and viable solution to the problem. There is no need to use medical or economic jargon to explain to an average American what the problem really is, as it is very evident. Individuals are paying more than the benefits that they receive. And to make the matter worse, the recession in the US economy is causing dramatic numbers of Americans be uninsured. The crisis affects greatly the unemployed and low-paid workers. The price of health insurance nowadays are just too high that it threatens to eat up even the everyday necessities of an average individual. As a matter of fact, according to the World Health Organization (WHO) the US health care system ranks 37th in the world behind Colombia and Portugal despite the fact that US health care system is the most expensive in the planet with expenses all drawn to administrative costs and advertising. Therefore, we are paying for a massive, inefficient. All of us are affected by this. No one is exempted. Effects may not be felt...
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...United States has a lot of work ahead of them to do with our health care system compared to other countries, such as Japan, Great Britain, Germany and the rest of the world with national health care coverage for all. I wonder what does it takes to get us there. I believe, if the President, Congress and the rich all come into agreement with some hard decision and realities they can come up with a solution. Since the rich is running the country, the little people have to suffer the consequences because it all boils down to the cost, The cost for health care is the biggest challenge that everyone has to come into agreement. If we have a standardized price and cost for everything, such as you premium insurance cost will be $1,500 a month and the specialties services $50.00 deductible, hospital stays $100.00 a day, and prescriptions drugs $10.00 for every script for everyone, this will make a difference for everyone. The Obama plan cost over a trillion dollars, if we can mirror the Pelosi/Reid plans and not have it stopped by the bipartisan majority we can make head way. We will have to compromise and fight until this time, or we will have big problems of everyone gouging on who can make more money, until we can get everyone on one accord with national health care plan as the Japanese has established. Nationalized Models United States Japan Components and structure of the selected models The US health care system consist of personal medical services, preventative, diagnosis...
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...Universal Health Care For The United States | | | | | | | | | |Nicole Jones | |April 2011 | |HS 544 Health Policy and Economics | |Fowler | | | Table Of Contents Page Section 1: Executive Summary …………………………………………….. 3 Section 2: Introduction …………………………………………….. 4 Section 3: Literature Review ……………………………………………… 5 Section 4: Problem Analysis ……………………………………………… 10 Section 5: Solutions and Implementations ………………………………………… 17 Section 6: Justification ……………………………………………… 18 Section 7: References ……………………………………………… 20 Executive Summary Almost four decades ago, Canada and the United States had very similar health care systems. Today, they are very different. The Canadian system is predominantly...
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...Evolution of Health Care and Timeline Kary Tobine, Raevan Martinez, Rebecca Ornelas, Michelle Veasley, Malissa Krause HCS/531 Health Care Organizations and Delivery System August 17, 2015 Dale Mueller Evolution of Health Care and Timeline Managed Care’s Impact on the Quality of Care Theoretically, managed care was created to cut costs and improve the quality of health care. Reinhardt (1998) states, it was “designed to make the providers’ of health care more accountable for the quality of the health care they deliver.” Thus, selective contracting was initiated. Selective contracting gives health insurance companies the power to decide which hospitals and providers they want in their network (Jiang, Friedman, & Jiang, 2013). This method prompted competition among hospitals and providers to ensure they were always providing and improving quality health care for their patients. Realistically, managed care developed into a very complicated system, leaving many individuals displeased. Studies conducted by Lepolstat, Goldbeck, and Kostelnik (2009) explain, “The quality of health care in the United States has been critically affected by managed health care.” We believe there are three components that measure the quality of care. They are cost, accessibility, and services provided. One of the largest issues with health care today is affordability. Individuals who need health care cannot afford it. Lepolstat et al. (2009) state a third of the population...
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...Running head: U.S. HEALTH CARE SYSTEMS Savetta Evans-Driffin Professor Mary Granoff HSA 500 April 28, 2013 Abstract In this paper I will identify and evaluate at least three forces that have affected the development of the health care system in the U.S. I will then speculate on whether or not the forces I identify and evaluate will continue to affect the health care system in the U.S. over the next decade. I will also include another force that I believe will impact the health care system of the nation. Lastly, I will evaluate the importance of technology in health care. 1. Identify and evaluate at least three (3) forces that have affected the development of the health care system in the U.S. Forces that have affected the development of the health care system in the U.S. are geography, language, and finances. One-fourth of the U.S. population lives in rural areas. Compared with urban Americans, rural residents have higher poverty rates, a larger percentage of elderly, tend to be in poorer health and face more difficulty getting to health services. The circumstance of where you live has a significant overall effect on the number of primary-care doctors, specialists, hospitals and other health resources available. In rural communities, lack of transportation and distance to an emergency room or a hospital can be important barriers to receiving prompt treatment. Specialty services, such as treatments for rare diseases or expensive diagnostic...
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...Universal Healthcare Systems Abstract In 2007, more than 45 million Americans did not have health care insurance. The United States is the only industrialized nation in the world without health care, and the debate about changing that has become a popular topic recently. The difference between the two sides is a difference in values; those for universal health care desire to see the government help others, and those who do not, wish that private companies be allowed to continue taking advantage of the status quo for profit. In this paper I will argue why the Government should put in place The Universal Healthcare Systems. Health care reform to provide universal coverage was first proposed by President Franklin D. Roosevelt's "New Deal" in 1938, then again by President Harry S. Truman's "Fair Deal" in 1945, by President Richard Nixon in 1971, and more recently by President Bill Clinton's administration in 1993 and during the second presidential debate on Oct 7, 2008, US President Barack Obama, then presidential candidate, said health care should be a “right for every American.” Each attempt faced staunch opposition from varying interest groups and did not result in the passage of universal health coverage legislation. www.healthcare.procon.org In my research it states, it’s no secret that health care costs are spiraling out of control in this country. On average, we now spend more per person on health care than both food and housing...
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