As the healthcare system has grown and evolved to the entity we know today, it has been developed into a multifaceted being indeed. Though what appears to be our national healthcare system, a unified and aligned system, it really is not. Americans enter and are cared for by various spokes of the wheel that is truly our healthcare system. These Americans hail from all walks of life, Middle-Income America, the unemployed and uninsured, military men and women, as well as, those who have already served, Veterans (Torrens & Williams, 2002). How their healthcare is provided ranges from privately funded, insurance driven care, to care provided for the impoverished by local government, and healthcare provided to the current and retired military …show more content…
The emergency room serves as an important point of entry to healthcare for those who are poor, have no insurance, or governmental coverage as provided to the military and veteran population (Torrens & Williams, 2002). Obviously an important component, it is one that treats the acutely ill and if necessary, acts as a ferry into inpatient treatment that is often needed. Once a patient enters the world of healthcare and their condition at times requires more specialized or intensive care. The component of healthcare is known as tertiary care. Tertiary care includes services provided by highly specialized providers (e.g., neurologists, neuro-surgeons, thoracic surgeons, intensive care units). These services frequently require highly sophisticated equipment and support facilities. The development of these services has stemmed from diagnostic and therapeutic advances attained through basic and clinical biomedical research (Academy Health, 2004). This area of healthcare is necessary to treat illness that may lead to chronic conditions or death. Unfortunately these services are more easily accessed by the insured Middle-America sector. The last two components that only since the end of World War II have been necessary in completing the healthcare circle: Restorative and Continuing care. Restorative care includes home health services, as well as, rehabilitative hospitals. As our population becomes older and scientific
A visit to the emergency department (ED) is usually associated with negative thoughts by most people. It creates preconceived images of overcrowded waiting rooms and routine long waits for treatment (Jarousse, 2011). From 1996 to 2006, ED visits increased annually from 90.3 million to 119.2 million (32% increase). During this same time period, the number of EDs has declined by 186 facilities creating the age old lower supply and greater demand concept (Crane & Noon, 2011). There are many contributing factors that have led to an increase in ED visits. A few of these key drivers include lack of primary care access, rising of the uninsured population, dwindling mental health services, and the growing elderly
Despite the great accomplishments and many changes the United States health care payment system has made over the years, it is not a surprise that the system still continues to face serious challenges. Our country offers advanced technology and medicine, but it still has millions of Americans who do not have proper coverage to meet their medical needs or are uninsured and therefore cannot benefit from our advanced system. This raises a serious concern in population health, which makes us questions the country’s current system. The United States has commercial and government insurance options with different premiums and levels of coverage for its citizens. However, our complex system presents many flaws that lead Americans to live
When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the
If there is one thing that most Americans are in agreement with, it is the vile shape of our U.S. health care system. There is no argument that the U.S. health care system is in need of an overhaul, however, there is much debate over just how to effectively go about the process. The public have voiced greatest concern in the health care areas of costs, quality and access. Many presidents have pondered the idea of health care reform; a few even made attempts to start the ball rolling. The first
Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.
The healthcare system of the United States was established as a system of health and welfare programs created to provide affordable treatment to the citizens of the United States. Recently, the Affordable Health Care Act was passed changing the structure of the system (Mulvany, 2012). While in theory the new arrangement works, it has its flaws due to the resulting cost, slowness, and the government interfering with religious and personal beliefs. These problems have led many people to question the role of the government in the life of the individual.
Additionally, urgent care centers have been able to offer patients an alternative to the significantly higher cost of emergency room visits. Following an emergency room visit, patients are charged according to the level of care they are receiving which is rated from minor to major injuries and illnesses. Insurance companies may reject coverage of patients who sought care for a low level injury or illness in an emergency room setting leaving the patient with a large bill for a moderate condition. In addition to the cost of the treatment, insurance companies charge patients an additional fee just for utilizing an emergency room. Furthermore, the cost of seeing an urgent care provider versus an emergency department provider is significantly cheaper.
One of this health care’s programs objective is to limit the number of uninsured (Shi & Singh, 2015). This controversial healthcare plan incorporates a privately funded insurance which is paid for through employment and solely by the patient and a publicly funded insurance by the government. Medicare is provided for senior citizens 65 and older, and Medicaid is provided for low income citizens. The federal government and state government both partake in the funding of Medicaid. Although insurance is provided to the low income through Medicaid, the United States continues to suffer from cost escalation spending 17.1 percent of GDP on healthcare in 2013, a 50 percent more than the second nation (Commonwealth, n.d.) The high cost and limited coverage continues to spark up the conversation for a
The U.S. health care system consumes a huge amount of the U.S. Gross Domestic Product, and is a massive system that provides essential and world-class care to millions of people (Niles, 2016). As a result of this huge burden of cost associated with it, the U.S. healthcare system has been critiqued, and has played a major role in sparking debates about changes to the way the U.S. healthcare system is run and organized. Thus, healthcare has been on the forefront of many American and politician minds over the last decade and beyond, and many proposals and attempts have been made to change and adapt the complex and influential U.S. healthcare system. One such attempt, that brought about incredibly influential change to the U.S. healthcare
Healthcare in the United States is facing numerous issues within the current and future turbulent times. I believe that two major issues are the disparity of provision of healthcare to varying societal groups as well as the projected shortfall of healthcare providers to adequately service the population in general.
As implemented throughout communities, Americans have struggled with the rising cost of health care for many years from low income households to upper and middle class individual groups. These groups have had insurance or obtained by any means of the working purposes for most and at
The United States has a unique system of healthcare delivery, it is complex and massive. Twenty-five years ago; American citizens had guaranteed insurance, meaning the patient could see any physician and the insurance companies and patients would share the cost. But today, 187.4 million Americans have private health insurance coverage (Medicaid, 2014). The subsystems of American health care delivery are Managed care, military, vulnerable populations and integrated delivery
US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of
As a matter of fact Wise and Yashiro, 2006 assert that there some individuals who describe the America’s system as being fragmented and inefficient, considering the staggering statistics regarding how Americans spend more on health care compared to other countries in the world. Additionally, they suffer from massive insurance costs and uneven quality of care, and thus understanding the debate about the two diametrically opposed viewpoints requires an in-depth understanding of the current health care issues in the United States (Rashidian, Joudaki, Vian, & Baradaran, 2012).
The emergency room has become the new primary care facility for the millions of uninsured in the United States. Thanks to an “unfunded mandate passed into law in 1986,” hospitals that participate in the Medicare program must “screen and treat anyone with an emergency medical condition” (Stephens & Ledlow, 2010). This unfortunately leads to emergency rooms full of people who may have something as simple as a sinus infection which then makes it really difficult for someone with a real emergency that did not require ambulatory transport to be seen in a timely manner. Another unfortunate result of this is that “over 1,100 emergency departments closed over the past decade” (Stephens & Ledlow, 2010).