Overview of US Healthcare 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).

As Americans we should all be afforded access to healthcare. Access to healthcare is an individual right according to the human rights amendment. The human right to health guarantees a system of health protection for all. The human right to health means that everyone has the right to the highest attainable standard of physical and mental health, which includes access to all medical services, sanitation, adequate food, decent housing, healthy working conditions and a clean environment (What is the Human Right to Health and Health Care, 2015). However there are strengths and weaknesses to every healthcare system and the U.S. Healthcare system is not exempt. I plan to discuss the strengths and weaknesses of the U. S. Healthcare system (What is the Human Right to Health and Health Care, 2015).

The U.S. health care system faces challenges that indicate that the people urgently need to be reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps even for those with access to insurance coverage.

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,

On March 23, 2010, the President Obama signed the Patient Protection and Affordable Care Act (PPACA) which represents the most significant regulatory that impacts the U.S. healthcare systems. With PPACA, 32 millions of Americans are expected the coverage and expanded access to health care and medical care. Due to the baby boomers and the downfall of the economics, there will be millions of people are seeking for low rates medical care which will create great impact on U.S. healthcare. According to Commonwealth Fund analysis, the U.S. healthcare ranks last on every cost-related. Therefore, healthcare becomes the top social and economic problem that American is dealing with. Like all other well-developed countries, there are both private and public insurers in the U.S. health care system. ‘What is unique about the U.S. healthcare system in the world is the dominance of the private element over the public element’ (Chua, 2006). Healthcare system in the Unites States can be divided into three different groups: Medicare, Medicaid, and Managed Care. Each plan provides different coverages for different groups of people.

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.

2. Here, the research shows that in many situations, healthcare professionals are urged to conduct unnecessary tests and procedures in order to rack up the bill for insurance claims to then

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

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.

When it comes to the U.S. healthcare system, there are two sides of the argument. Some Americans may argue that the U.S. healthcare system is the best in the world given the many state-of-the-art healthcare facilities and innovative and advanced medical technology available, and there are those who argue that it is too costly and inefficient on many different levels (Chua, 2006). Despite the large amount of spending invested on their healthcare system, the U.S. consistently underperforms on most indicators of performance compared to other countries (Davis, Stremikis, Squires, & Schoen, 2014). Healthcare costs such as doctor visits, hospital stays, and prescription drugs are more expensive in the U.S. than any other country in the world.

more than 16% of its gross domestic product (GDP) on health care, (the highest per person in the world), but ranks behind most countries on many measures of health outcomes, quality, and efficiency. In 2012, over 47 million people were un-insured and millions were under-insured⁴. The cost of health care is rising at least twice as fast as the rate of economic growth. Major companies are passing more of the cost of health care to their employees. Many small businesses cannot provide health insurance to their employees. Individuals as well as companies are getting bankrupt due to the cost of health care.⁷ According to the National Healthcare Quality Report (NHQR) one of the most significant contributing factor to poor quality of care for some of the core measures is health insurance². Uninsured people are less likely to get recommended care for disease prevention¹. Proponents of the right to health care say that healthcare should be provided to everyone in the United States. Opponents argue that a right to health care imposes socialism and that it should be an individual 's responsibility, not the government 's role, to pay for health care⁴.

Health care systems are organizations that are formed to meet the overall health needs of the population. Health care is regarded as one of the leading cause in promoting not only physical and mental health but the well-being of the population. Legislation is implemented requiring government to offer services to all members of its society. The role of health services and the organizations that provide aid is to focus on the health of an individual and to uphold their human rights. According to WHO (2013), a “well-functioning health care system requires a robust financing mechanism, a well-trained and adequately-paid workforce, reliable information on which to base decisions and policies, and well maintained facilities and logistics to deliver quality medicines and technologies (World Health Organization; 2013).

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

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: