The Structure Of The US Health Care System

United States is the largest and most diverse society on the globe. It spends almost 2 trillion dollars every year on health care, which is one in every seven dollars in the economy. U.S is one of the very few nations where all its citizens do not have medical coverage. Although it spends heavily on per capita on health care, and it has the most advanced medical technology system in the world, still it is not the healthiest nation on earth. The system performs so poorly that it leaves 50 million without health coverage and millions more inadequately covered (Garson, 2010).

Health care spending in the United States of America as a percentage of the economy has reached astonishing heights, equating to 17.7 percent. This number is shocking when compared to other counties; in Australia health care is 8.9 percent, in United Kingdom 9.4 percent, in Canada 11.2 percent. If the American health care system were to hypothetically become its own economy, it would be the fifth-largest in the world. While these statistics sound troubling, they lead us to look for answers about the problems surrounding our system. The first health insurance company was created in the 1930s to give all American families an equal opportunity for hospital care and eventually led to a nationwide economic and social controversy that erupted in the 1990s and continued to be shaped by the government, insurance companies, doctors, and American citizens. In this paper, I will go in to detail about the various opinions regarding the controversy, the history behind health insurance companies, and the main dilemmas brought out by the health care crisis. Greedy insurance companies combined with high costs of doctor visits and pharmaceutical drugs or the inefficient hospitals all over America can only describe the beginning to this in depth crisis. Recently, the United States health care industry has become know for the outrageous costs of insurance models, developments of various social and health services programs, and the frequent changes in medicinal technology.

The first characteristic of the US health care system is that there is no central governing agency which allows for little integration and coordination. While the government has a great influence on the health care system, the system is mostly controlled through private hands. The system is financed publically and privately creating a variety of payments and delivery unlike centrally controlled healthcare systems in other developed countries. The US system is more complex and less manageable than centrally controlled health care systems, which makes it more expensive. The second characteristic of the US health care system is that it is technology driven and focuses on acute care. With more usage of high technology,

The United States health care system is unique among other advanced countries. This system does not have a central governing agency, it is delivered under imperfect market conditions, there are multiple players and payers, and there is no universal health care coverage (Shi & Singh, 2015, p. 9). In a time where healthcare reform is being discussed, it is important for the United States to consider what is proactive as well as what is failing the system. That is what Sick Around The World did; the documentary compared five other countries’ (United Kingdom, Japan, Germany, Taiwan, and Switzerland) healthcare systems to see how they stacked up against the United States.

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

The U.S. healthcare system is entirely private, but the modes of payment for their services are of two kinds: private and public. Healthcare insurance of the U.S. is something that is a dream for people in the developing countries who are dying in huge numbers due to inadequate facilities and insufficient funds for their treatment. It seems like a fantasy for someone sitting outside the U.S. to be able to pay for a million dollar operation just through your insurance even if you do not earn a lot. A common man to be able to afford any healthcare treatment is the biggest security for anyone. With the number of diseases in the world rapidly increasing and our exposure to them becoming more and more frequent, healthcare is a major concern in anyone's mind. (Chua, 2006)

However, prior to the existence of the ACA, the American healthcare system left a lot to be desired and still today leaves room for improvement. The basic issues underlying efforts to improve the United States (US) health care system remain, as they have for decades, concerns for costs, access, and quality (Sultz, 2006). Even though knowledge, technology, and

The cost of healthcare has and will continue to rise in the United States. Some factors that contribute to those hikes are due to the consumer demanding more complex services from health care providers. Things such as new technology, equipment, research and testing procedures, along with pharmacy, and the number of uninsured are all dynamics of the increased cost in health care. The U.S. health care system relies heavily on third-party payers; these payers include commercial insurers and the Federal and state governments. According to the Centers for Medicare and Medicaid Services, or CMS, the National Health Expenditure grew 3.6% to $2.9 trillion in 2013, or $9,255 per person, and accounted for 17.4% of Gross Domestic Product (GDP). Id.

Primary care is the backbone of many industrialized nations, but is the US one of them? Unfortunately, the answer is no. The US lags behind such developed nations in its accessibility of primary care by a huge difference. The United States healthcare system fails to ensure the timely preventative and primary care for its residents. The current estimates indicate that there is merely one physician for every 2,500 patients. Not only Medicare beneficiaries, but also privately insured adults struggle in accessing the right primary care physician at the right time. Moreover, maldistribution of physicians only exacerbates the problem, especially for those residing in health professional shortage areas (HPSA).15 Approximately, sixty-five million Americans live in designated primary care shortage areas.13 Such underserved population faces higher disease and death rates and health disparities that then result in higher rates of hospitalizations and emergency department visits—in other words, expensive medical bills.21 More governmental control on the geographic location of primary care physicians can be a first-step to fixing the shortage problem.

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

In America, health care has become a big controversy. Recently politicians have tried to create the perfect health care system that works for everyone. As one can imagine it is pretty hard to find a single health care plan to work for over 300 million people. Since our country began the states, not the federal government, have been given the challenge of finding a healthcare system that will work for everyone. Prior to the colonial era colonist and native americans handled domestic

Everyone has their own views on what they think the United States healthcare system should consist of. Consequently, the healthcare system has been flawed for many years and does not plan to change anytime soon. According to Luft (2006), “rapid and wide-reaching technological innovation, the ready access to care for the insured, and clinical and patient autonomy” (p.1). These are some of the strengths the US healthcare system are proficient in providing. In contrast, the weaknesses of the healthcare system outweigh the system’s strengths. Luft (2006) examined and acknowledged the following:

In this paper there will be a brief discussion of three forces that have affected the development of the U.S healthcare system. It will observe whether or not these forces will continue to have an effect on the U.S healthcare system over the next decade. This paper will also include an additional force, which may be lead to believe to have an impact on the health care system of the nation. And lastly this paper will evaluate the importance of technology in healthcare.

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).

Given the fact that the United states of America and Canada are linked together sharing a border which is open basically to and from both sides, their health care systems are highly different from each other and how the services are financed, organized and given to the citizens.