Government Contracting Out Healthcare Services

The healthcare system in each country is intended to meet the best possible medical services needs of its citizens. One country’s healthcare system can vary from another. This is according to their administration strategy, training, education, technology, and spending plan. Social, economic, political, and physical parts of the nation also play huge role in defining a country’s healthcare system. There are many similarities in the delivery of medical services between United States and Nepal. For the middle class people, affording a good healthcare system is still an unresolved issue of these two countries. The issue of financing the system of healthcare has been the biggest challenge to the government of Nepal, and it is similar to the Medicare and Medicaid programs in the United States. Although Nepal and the United States have similarities in healthcare system, they also equally share significant differences in providers, spending and the medical professionals. Some people consider that the healthcare system in the U.S. is superior.

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

Although reducing costs and improving services have been cited as the most important reasons services are privatized by agencies, contracting out offers the attractiveness of hiring a contract employee over a public employee. This occurs because of the apparent advantages offered by such options (Dilger et al. 23). Some advantages of hiring a contract employee over a civil servant are as follows:

Health care systems are different in every country around the world. There are four main components that complete a health care delivery system, described by Shi and Singh (2015) as the quad-function model, which includes insurance, financing, payment and delivery of care (p. 5). Along with the components of the quad-function model it is important to analyze a countries access to care, their health outcomes and how public health is integrated into the health care delivery system. The United States has a unique health care system that is like no other country. Great Britian, in contrast, also has a unique system that is very different than the United States.

A Health care system of any country is an important consideration for the purposes of the overall development. One of the most important and essential feature of the human body is the health and the systems. In the same manner, proper management is also necessary. Furthermore, all the countries of the world have few targets and achievements to be made. On the other hand, it should also be noted down that, economic development and social welfare the two most are the two important factors. Economic welfare is connected with the increase in the wealth of the people at large (Niles, 2011).

Providing healthcare coverage to all citizens can be challenging to many countries and only the most developed countries have adequate resources to truly provide universal coverage to their citizens. Still, when coverage and resources are not sufficient, care is rationed through limited supply or limited access. Most countries have mechanisms in place, however, to insure that affordability does not limit access to necessary services.

The healthcare system has come under heavy criticism from experts from all over the world. According to Schroder, 44% of the population has no access to the healthcare system. (Schroder, 2003) There are many clinics which charge are free of cost or are charging lesser fees, but all of these are burdened and do not have the capability to meet the requirements. There are certain ethnic communities that are by enlarge poor who are of the opinion that they have been deliberately been left out of the healthcare system. These have led to the

One of the major problems facing our country today is the healthcare crisis. The inequality in our current healthcare system has created a huge gap in the difference between the level and the quality of healthcare that different people receive. Having an improved and reliable health care system available for everyone should be a priority that the government must make available. There are countries whose health care system meets the needs of the patients while there are countries whose health care systems need a great amount of overhaul for them to be able to attend to their patients. In this essay I will discuss the healthcare crisis and the differences in many countries

Healthcare financing is proven to be challenging. A balance between adequate access, acceptable quality and affordable cost are the main objectives of a healthcare system (Paterson, 2014, p. 13). The island of Tekram is finding extremely difficult to achieve a solution to the current crisis of their healthcare system. The objective to this case study is to recommend a new healthcare strategy to island government.

The healthcare system of USA has continuously evolved and matured over the years. With time, the healthcare system of USA has strengthened. Still, this system has certain weak points that have to be overcome in order to deliver excellent healthcare services. Providing, best of the healthcare services, should be the combined responsibility of public and private players (Robert, 2009). People would also have a role to play in order to ensure that healthcare services and delivered in an excellent way. In the postindustrial period, USA has

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

The major problem, they have within the healthcare industry is the lack of government funding and the total expenditure on health per capita is $109, compared to the $7290 per capita in the United States. Healthcare consumes 4.9% of India’s GDP versus the 16% in the United States. The outcomes equal long lines, fewer facilities and inefficient staff. The supply of healthcare in India is on par with that in sub-Saharan African countries. According to the World Bank, 75% of all health expenditures is in the private sector, where 90% of healthcare costs are paid out-of-pocket.

In this research paper I will discuss the process of contracting out, issues of cost, credibility, accountability, and quality and quantity of services. My discussion will also include reasons for contracting out, opposition, and advantages and problems of contracting out.

The need for financial stringency in public organizations due to budgetary pressures and tax resistance coupled with the need to Managing /balancing budget deficits and provide quality services with a reduction in revenue has always been a major challenge for public organizations. The need to save money and at the same time provide quality services, had forced government agencies to privatize and contract out. Recently, there is greater involvement of the private and nonprofit sector in public service delivery. More and more government functions in service delivery are now carried out by private and nonprofit organization. This is one part attributed to the belief that private organizations can provide services more efficiently and effectively than government operated services. And the other is the fact that it is cost effective and takes a lesser time frame. These two process are indeed unarguably beneficial to the government and private sector as well as the beneficiaries, but they can be also very daunting accompanied with huge challenges especially when not executed in the rightful manner. The case of the crummy contractor by Rainey depicts such a complex situation , where the process of contracting out was poorly conducted. The case highlights the demand for privatization and contracting-out and most importantly some of the challenges of privatization and contracting in government organization. it goes on further to identify some crucial pointed to be

In the present scenario achieving effective and efficient health care services is an acute issue that needs an immediate attention. In developing countries this problem is mostly common as the government alone is not fully capable in undertaking different challenges to meet the heath needs of fast growing populations. There was a need to develop an