Essay about Inefficiency and Lack of Quality in Healthcare

The U.S. Health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance.” (WHO, 2000, p. 1) Progression in the United States has not kept up with the advances in other wealthy nations dealing with the population health. Disease and chronic disability report almost 50% of America health problem (JAMA, 2013).

The United States has a very unique healthcare system. Does this mean that we are simply leagues ahead of the rest of the world in healthcare? Unfortunately, not at all. The ideal of American exceptionalism is apt to describe our healthcare system. That is, our current system is exceptionally bad. Per capita, the United States spends “twice the average of other developed countries” on healthcare ("United States Per Capita Healthcare Spending Is More Than Twice The Average Of Other Developed Countries"). Yet, in the World Health Organization’s ranking of healthcare systems by nation, the U.S. comes in at a dismal 37th place, despite spending the most per person of any country on Earth on healthcare ("World Health Organization’s Ranking of the World’s Health Systems").

The United States health care system ranks 37th in the world. Statistically, it’s bizarre how United States is amongst one of the most advanced nations in the world and the fact that it spends more on its healthcare

Many people believe that the current of health care in the United States is the best health care in the world however it has major shortcomings that has become more visible for the whole world to see. The United States has the most expensive health care system in the world based on health expenditure per capita and on

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.

According to the Garber & Skinner (2008), the United States spends more on health care than other nations but continues to score below other nations in numerous areas of measurement. These scores in, consideration with amount spent, suggest that healthcare is the United States is inefficient. Additionally, the United States has a significantly large portion of under

Amongst the other industrialized countries of the world, the United States has the worst healthcare system (Davis, Stremikis, Squires, & Schoen, 2014). This ranking does not come from a lack of funds, considering the United States spends more than twice as much per capita than the United Kingdom which is ranked at number one (Davis, Stremikis, Squires, & Schoen, 2014). A major problem is America is the health disparities that vary across the nation. Health disparities “refer to differences in access to or availability of facilities and services. Health status disparities refer to the variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups”("Health Care Disparities", 2009). Even though one RAND study suggests that virtually every demographic is at risk of not receiving needed care, there are definitely certain populations that are at higher risk of falling victim to these disparities ("National healthcare quality and disparities report 2014", 2015). A majority of Maine’s population falls into one of these riskier demographics, which is and will continue to affect the health and quality of life for Mainers if not addressed.

Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.Health care costs are far higher in the United States than in any other advanced nation, whether measured in total dollars spent, as a percentage of the economy, or on a per capita basis. And health costs here have been rising significantly faster

What does America have to show for all the money it is spending on health care? It wouldn’t be unreasonable to speculate that the U. S. would have the lowest infant mortality, the highest life expectancy, and the most efficient health care in the world. Unfortunately, however, that is not the case. The United States according to the same article, ranks 46th out of 48th in health care efficiency, Serbia and Brazil are the only two ranking lower. Infant mortality and life expectancy in the United States rank 167thand 44th out of 224 respectivelyaccording to the CIA World Factbook (2015). Additionally, approximately 15 percent of people in the U.S. are still uninsured. The return on investment in health care needs to have better results; a system that provides the highest quality care that leaves no one out.

According to data presented by Organization for Economic Co-operation and Development (OECD), the US health care cost exceeded $ 8,000 per capita, in 2010, comparing to the next most expensive system (Norway) $5,000 per capita (OECD Health Data, 2012). Despite being the most expensive system in the word, US healthcare system has failed on many areas of performance and quality. According to OECD data, US has much lower life expectancy than other industrialized countries, also the infant mortality rate is higher than those countries. Moreover, the US is the only industrialized country that does not provide its citizens a protection of a universal health care coverage.

The U.S. is an industrialized nation that continues to be behind on providing health care coverage to all citizens. However, the German health care system came up with a plan that ensured all citizens are provided with some form of health care coverage; nevertheless, the U.S. continues to dispute health care reform and how to provide coverage to all citizens. “Health spending per capita in the United States is much higher than in other countries – at least $2,535 dollars, or 51%, higher than Norway, the next largest per capita spender. Furthermore, the United States spends nearly double the average $3,923 for the 15 countries ("Health Care Cost," 2011, table 1)”.

Everybody talks about how bad the US healthcare system is, which it might be a little bad, but it is not all bad. In the last one hundred years, the life expectancy went from 47 to 78, and 3.5 years in the last decade. That is a huge difference. Since 1960 heart disease went down 56 percent. Doctor visits used to be for when people knew they were going to die, but now they will not die when they go to the doctor. Even though all of those good things have happened, there is still a lot of bad things about the US healthcare. There is an average of 101,000 preventable deaths per year in the US. Most of those deaths happened because of the way the healthcare system is organized. Race, income, and environment influences who gets access to healthcare and who does not, which is just wrong. Even though the life expectancy rate went up, it is still significantly lower than other countries. Over half of people who do not have healthcare are African-American. There are more hospitals in wealthier area, and public hospitals are closing where they are most needed.

Many would argue that here, in the United States, we have the best healthcare in the world. We benefit from the most up to date medical technologies, medications, and services. People come from every corner of the world to take advantage of our top notch physicians and facilities. But is this reputation warranted, and if so, at what cost? The average annual cost per US resident is $7,681; this comprises 16.2% of our gross domestic product. These costs rank us among the highest of industrialized nations (Lundy, 2010). Does this high expenditure equate to better outcomes? According to the National Scorecard on US Health System Performance (2008), the US received a 65 out of 100 possible points.

Some hospital trusts and health authorities consistently outperform others on different dimensions of performance. Why? There is some evidence that “management matters”, as well as the combined efforts of individual clinicians and teams. However, studies that have been conducted on the link between the organisation

The U.S. Department of Health and Human Services (HHS) stated that "The health of the individual is almost inseparable from the health of the larger community and that the health of every community in every state and territory determines the overall health status of the nation." It has now become clear that our economy in terms of healthcare insurance is not healthy; the healthcare system in the United States spends 1 cent of every healthcare dollar in the prevention of diseases and 99 cents on the cure. Our healthcare system is the most expensive and yet arguably among the least cost effective in the developed world. Despite the highest per person health care spending among the Organization for Economic Cooperation