The History Of Us Healthcare System

Published Date: 02 Nov 2017

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US Healthcare System

Introduction

According to some of the residents of America, the health care system of U.S. is giant money making scam that is prepared to waste as much money as they can out of everything before people die. In the America currently, the industry of health care is entirely dominated by bureaucrats of government, pharmaceutical corporations and health insurance companies. The pharmaceutical corporations spend most of their earnings to convince every individual to become reliable on their legal drugs, the health insurance companies are making billions of dollars by offering as little health care as they can, and they both spend millions of dollars to ensure that their politicians in Washington D.C. keep the easy money rolling. In the meantime, large numbers of doctors are going on strike and patients are not the desired care that they are looking for (Gundersen, 2005, 26).

Discussion

"The issue of offering satisfactory service of medical to every individual of the America at costs which they may meet is an adjuring one. Currently, several individuals do not get the desired service which is not enough either in quality or quantity, and the service’s costs is in equably distributed. The outcome is a wonderful quantity of preventable mental anguish and physical pain, economic inefficiency, needless deaths and social waste. Moreover, these situations are, as the following pages will demonstrate, broadly unnecessary. The America has the better economic resources, the technical experience and the organizing ability to figure out this trouble (Gundersen, 2005, 26)." This proposal discusses 3 main problems, 3 principles for covering them, and possible solutions.

Problem 1: Uninsured

The plans meant to improve the healthcare system in futrue should be focused on universal coverage, and the "2010 plan" guarantees all of the American registration in a basic health plan of her or his selection (not inevitably maintenance of health organization). Similar to automobile insurance, healthcare coverage would be needed. Family members might utilize different and changing plans yearly. Formerly uninsured citizens would also be included in the plan through the provision of sme vouchers etc. (Mannion, 2004).

Problem 2: Restriction in Selection of Health Care and Opportunities of Job

Currently, employer-based system of insurance restricts individuals’ insurance’s choice, and several individuals are bound to continue their job unwillingly just due to the fear of losing the main coverage. The proposal offers options for changes.

Employees should be made obliged to accept the job-based insurance or they can ask their employers to send their part of premiums to local agencies that would offer variety of plans. The subsidies based on income of federal tax would cover the premiums due on insurance and the people and their families living below the poverty line should be made eligible to get complete subsidies. Citizens would then set up their personal insurance the similar way they set up automobile insurance (Mannion, 2004).

(2) Employers with around 10 employees should be needed to either to pay the healthcare charges to the regional agency and to provide coverage for every employee working in the country.

(3) Employers would have no concerns with the healthcare business totally, which would enable them to focus mainly towards their business. They will have to pay the regional organizations the premiums (Mannion, 2004, 69).

Problem 3: Health Care Quality not measured Systematically Measured, Reported, Used or Understood while making a Decision

After 2010, patients will be capable to making thei personal reports from the Internet, the people who could not perform this tasks, a newly "quality interpreter" business—same to H & R Block—has to be prosper. In the upcoming 10 years, results for ordinary situations will be more and more across plans. Subsequently, plans would contend on the basis of inventions in care and prevention. More important, they will contend on the relationships of physician-patient. Quality would be a two-way street: healthy behavior can easily win patients lower premiums or co-payments (Stavans, 2010, 92).

Problem 4: Financing

The assurance of the basic health care for everyone will be expensive. Dealing with the uninsured would cost around estimation of almost $88.6 billion in currently rates of dollars.. In the 2010 healthcare plan, 4 possible sources of revenue might increase as compared with the costs; most of them are palatable than others (Stavans, 2010, 92). These contain the following:

State and federal governments is already paying around $23.5 billion for the non-Medicaid services to the uninsured people across the country.

Almost two-thirds simplification in charity care and bad debt that is currently spent on the uninsured could be saved to get $17 billion.

The premium of insurance paid by employers with almost 10 employees that presently may not offer health care might fund $43.9 billion.

Automation, evacuation of preapproval needs, and some other innovations might get better with the efficiency of billing by 50% and might save the insurers sum of almost $27.2 billion, physicians $6.9 billion and hospitals $17 billion (Lloyd, 2004, 273).

In America currently, several executives of hospital make absolutely absurd quantity of money. Actually, Safyer observes everything to be crying wolf to the tune of almost $196.8 million, in accordance with the hospital’s latest publically available return of tax. That was his hospital’s managing profit, in accordance with its 2010 return. With $2.586 billion in complete revenue — of which 99.4% came from the bills of patient and 0.6% from fundraising occasions and some other charitable events — Safyer’s business is around six times bigger than the Bronx’s well known company, the New York Yankees. Certainly, instead of cutting services to doneness, Safyer might cut what have to be few of the Bronx’s better salaries of non-Yankee: his personal, which was $4,065,000, or those of his chief officer of finance ($3,243,000), his CEO ($2,220,000) or the head of the department of dental ($1,798,000) (Wolper, 2010, 445).

US Health Care Programs Compared to Other Countries

In accordance with the World Health Organization (WHO), the US spends most of his growth money part its gross domestic product on health care annually than any other country in that region. Yet, the America ranks 37th out of 191 nations in the WHO are ranking of the systems of health care. It's hard to suppose any consumer expending that much more money on a product just to be handed incredibly that ranks 37th in quality as well. To observe how some other nations offer health care, you need to check out 10 Health Care Systems around the World.

When we talked about US health care and other countries health care program, the U.S. performs worse on the expectancy on life and infant mortality (Wolper, 2010, 445). It also tops the list of deaths held "preventable" with enough early diagnosis and care. The typical American citizen has far more a couple of doctor appointments every year than citizens of some nations, frequently pays more for the exclusive right. When a citizen of US spends the night in the hospital, it overheads 5.6 times around it would cost an individual in Japan. And at the top it all off, the America is spending $2,797 more on every individual every year than any other industrialized nations, although 47 million of those people are even uninsured.

Most of the people look for the brighter side here as well. The U.S. has been recorded as country that leads the world community in terms of research of health care and treatment of cancer. The rate of five-year survival for breast cancer is even more prominent in the America than in some other OECD nations and is it also a positive sign that the people survived from colorectal cancer are also in great number in US as compared with any other country (Wolper, 2010, 445).

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Healthcare Model of France and Compared with US healthcare model

Over the last few years some countries including Japan and France have exhibited their dedicated efforts towards the creation and practice of an effective and highly efficient healthcare model. These countries have shown that it is possible for the people to get healthcare facilties at low cost while they pay the clinicians through the same tools that have been used in US. There are some core distinct features of their healthcare model that could be picked and includedin the US healthcare system for the resolution of the identified problems and issues.

In France, there used to be a commonly implemented fee schedule within the system due to which almost all the hospitals, doctors and the healthcare professionals get almost similar payments for their services wherever they serve patients across the country. On the other hand, in US the healthcare charges and fee depend upon the kind of insurance that the patience has acquired and the doctors also get different fee from different patients. In this situation, the hospitals have the choice to choose the patients who can pay them high fee as compared with the other patients due to their high level insurance. The low paying insurers like Medicaid suffer in this situation and the acquisition of premium class healthcare facilities just remain a dream for them (Yee, 2006).

The quality of healthcare is strongly affected due to this difference because the healthcare professionals become very flexible in terms of responding to the issues of the patients as they will consider the cost and fee associated with the treatment of the patients. Contrary to this, in France, when fee for any particular area of healthcare increase they take the charges of healthcare in any of the area of create balance in the healthcare expenditures. They have established an organization CNMATS that has been authorized to closely monitor all the spending related with the healthcare services and whenever it came to their notice that the service charges in any particular area of healthcare are increasing, they take necessary measures to keep it within certain limits. Moreover, several healthcare facilities and tools are made available to the people at very low cost like generic drugs etc.

The monitoring is also done by sending people as patients to different hospitals and clinics and then their medical cost is checked with the standard medical cost. If there are differences found in both of these values, then the authority comes in action and find out the reason behind the difference. Moreover, they also use to send the representative of the drugs companies to the physicians and hospitals so that they can encourage them for using low privce general drugs because when they will prescribe low cost drugs to the patients, the healthcare bill will eventually go down. On the other hand, US has very flexible system of drug rates. Cost containment is not very easy here because every change in the medical care has to get approval from the congress.

Implementing France healthcare system in US – Interventions needed

As discussed above, there are some basic differences in the healthcare model of US and France and based on these differences it could be said that the French healthcare model is more effective and efficient as compared with that of US. The implementation of this type of healthcare model in US needs some basic and major reforms within the US healthcare system. The major transformations required in the US healthcare system are as follow:

Improving the US healthcare program

The healthcare system of the United States has been facing some major changes in terms of value and quality of the services. These challenges clearly show that the system seends immediate and major changes. It is imperative to focus upon the 46 million of American people not covered by the insurance policies whereas many other Americans are getting healthcare services on the basis of their insurance policies for which the premium has become too high that it has become difficult for them to afford that insurance.

The government has identified the ways to reduce the number of uninsured people by providing funds to the healthcare system however, it is also an important point to notice that insurance is not the solution of the people but the US has to make sure that the quality of care and service delivery of its healthcare system will improve along with time and people will get professional healthcare facilities in the country.

There are several shortfalls in the quality as well as efficiency of the healthcare system. The major issues are higher healthcare cost of poor quality of health outcomes. This gapcould be filled by focusing on the quality of healthcare services through the provision of improved training and working facilities to the professionals.

The variations within the healthcare system also needs to be addressed because at present there are many variations exist on the bass of regional and small areas. Due to these variations the healthcare system is not complying with the ongoing changes in the technologies related with healthcare field. These variations have to be minimized through the implementation of a uniform healthcare administration model across the country.

It is also found that many of the people in the country fail to get the necessary care due to which they have to suffer from complications and eventually the cost of healthcare is increase for them. Every year several people die in the country due to not having timely and effective healthcare facilities. It is imperative that the system must be fast and efficient to address the needs of the patients immediately without adding extra burden on their pockets.

Conclusion

The e tire discussion could be sum up with the conclusion that the healthcare system in US is in immediate need of major transformational changes and the current healthcare model has been identified with several flaws. These flaws have led towards low quality of healthcare and high cost to the people. The healthcare model in France could be taken as example for brining improvement in the US healthcare system because they have set some basic principles of equality and quality care that can guide the US healthcare system towards the path of efficiency and effectiveness.