Systems Thinking Intervention And The Health Status Of All Individuals, And Families

In “Is US Health Really the Best in The World?”, Barbara Starfield (M.D.) discusses health indicators that result in the poor performance of the U.S. health care. Starting by covering th mortality rates from neonatal to elderly ages. Establishing that a strong primary care infrastructure, where there is access to care, includes universal health insurance, and delivers efficient care, associates to better health ranking. Explaining how the U.S. neglects to take these factors in to consideration, averaging to almost 225,000 deaths per year, because of iatrogenic damage. She also mentions income inequality as being another indicator, socioeconomic status, with the way the health system works, leading to inadequate care or failure to recognize

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 of America, the self-proclaimed sole remaining superpower, often touts that it is the greatest nation in the world. Yet, when the data is analyzed, this claim is proven time and time again to be wrong, whether it is math or science, literacy or numbers, household income or workforce. Time and time again, and the numbers continue to slip. Healthcare is no exception. In 2012, the United States ranked thirty-second worldwide in life expectancy (Avendano and Kawachi 2014). Of the thirty-four Organization for Economic Co-operation and Development (OECD) nations in 2010, the United States ranked twenty-sixth in infant mortality (MacDorman et al. 2010). In a 1998 study of thirteen developed nations (Australia, Belgium, Canada, Denmark, Finland, France, Germany, Japan, Netherlands, Spain, Sweden, United Kingdom, and United States), the United States ranked, on average, twelfth. The rankings for the United States on each of the sixteen health indicators was: thirteenth for low-birth-weight percentages; thirteenth for neonatal mortality and infant mortality overall; eleventh for post neonatal mortality; thirteenth for years of potential life lost (excluding external causes); eleventh for life expectancy at one year for females and twelfth for males; tenth for life expectancy at fifteen years for females and twelfth for males; tenth for life expectancy at forty years for females and ninth for males; seventh for life expectancy at sixty-five years for

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,

According to Schroeder “ the United States spends more on health care than any other nation in the world, but ranks poorly on every measure of health status” ( Schroeder,1). Schroeder discussed the two main reasons why the United States ranks so poorly on every measure of the health system. One of the reasons for the low ranking in the American health system is “the pathways to better health do not generally depend on better health care” (Schroeder, 1); the fact that we have access to advance tools and technologies in our health care system does not necessary mean that we are healthier than other countries. Determinants such as behaviors patterns, environmental exposures and social circumstances also greatly influence our health.

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

Contrary to what many people believe, America’s health status is not quite “up-to-par,” to say the least. Over forty-seven million people in the United States lack health insurance; that is more than 15% of our nation’s population! At first this disturbing truth seems impossible to believe, being as America is one of the most technologically advanced and economically developed countries in the world. “We spend trillions of dollars per year on medical care. That’s nearly half of all the health dollars spent in the world. But we’ve seen our statistics. We live shorter, often sicker lives than almost every other industrialized nation. “We rank 30th in [global] life expectancy” (Adelman 2008). Knowing this brings rise to the question: why are

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.

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:

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.

In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.

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