The Health Care Of America

Healthcare in the United States is a constant struggle. For generations the country has been in heated debate over the best approach to this unsettling issue. While many changes have been made, none seem to be effective enough to please and serve the country effectively. No matter what course is taken there is always a group, or groups of individuals who are left out and underserved. As a country we need to provide for all of our citizens to ensure healthy living and overall quality of life. Unfortunately, our society is based off of socioeconomic class. This becomes an issue in regards to healthcare requirements due to the fact that many poverty stricken families go throughout their lives with little or no coverage at all. For those in good financial standing healthcare is easily accessible, while the poor struggle and deal with illness in inhumane ways. Millions of American citizens are uninsured; this number includes all walks of life from children through the elderly. In order to overcome this devastating issue the American people have to come to a decision on how to care for all of our citizens so that no one is left out. In today’s society this has become an even more difficult task as we face an ongoing struggle within our economy, leaving many families in financial hardship.

Health care in America is a serious issue as it involves families that are unable to receive accessible, affordable and quality medical treatment. Middle class or impoverished families are unable to receive the benefits of health care due to low income levels and a volatile economy. Politicians discuss the reformation of the health care system, but people who are uninsured suffer the consequences of a system that overlooks middle class families in favor of wealthy families, a dominant issue for conflict theorists. Some argue that the health care system is not in need of reform and state that

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,

Because the United States spends the most on a health care system, one would think that most people in the U.S. would be healthy. This is not the case. Surprisingly, the United States does not have a particularly high life expectancy rate. Within this paper I will discuss heath issues in the United States including how heath effects behavior, economics, and social structure. I will also include key stages of medical technology development and population demographics.

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.

According to Joe Conason, "America 's current health care system wastes considerably more than a trillion dollars every year. We know that because countries such as France, Germany, Japan and Finland, with comparable standards of living to ours, spend roughly half what the United States spends annually on health care per citizen, while covering everyone and achieving better results." (Conason, 2009) The United States healthcare financial systems are severely flawed - affecting the overall cost control, services, and care made accessible to its clients. The rising costs in healthcare are reaching new highs, and with rising costs, there doesn 't seem to be much change in the quality of the care being given. Clients coming in and out of these

Improving the access and affordability of health insurance coverage for all Americans should be a primary concern for those who help create the laws of the land. At this date, there are roughly 44 million Americans without any type of healthcare coverage. Another 38 million people have inadequate health insurance (PBS, 2012). What this all means is that the people who need it the most are putting off seeing a doctor until last moment and then usually end up visiting an emergency room. If they cannot pay for the visit, the cost of that ER visit falls back on the taxpayers, people who have health

The future of America’s health care system looks bright with new innovations coming about. Advancements in technology, patient care, and access to care are all important factors to create a health care system suitable for American citizens. New health care reforms help shape our health care system to provide better care to all citizens. To implement these new reforms, the plan must be financially viable and be understood by those it effects. To improve the current health care system, new reforms should include ways to insure more citizens in a cost effective manner, offer insurance at an affordable rate, improve efficiency of the health care system, and provide higher transparency to the public.

The United Sates economy has been deemed unsatisfactory by its politicians and citizens alike. However, instead of attacking the problems that have been plaguing the American economy, Kensian and trickle-down economics are used as a bandaid for short term economic downturns. In order for the United States to improve its economy in a dramatic, longlasting way, major issues such as excesive health care costs, reliance on foreign fossil fuels, and illegal immigration and outsourcing must be faced and solved through dynamic, innovative methods.

Besides assessing the current state of America’s healthcare system, the historical perspective of America’s healthcare sector demonstrated how it evolved to be this way and it allows the public to understand the potential impediments to reform. The professionalization of medicine and the emergence of insurance companies has been a long and gradual process. Several previous Presidents have developed blueprints for healthcare reform with varying degrees of success. This section explores the growth of healthcare in America from its colonial days throughout the twentieth century.

The United States health care system is the most expensive in the world. It spends

The United States health care system is problematic. On average the U.S. has 440,000 deaths a year from care in hospitals due to accidents and hospital acquired infections; harming patients and the pocket books of families and insurance companies with unnecessary cost and procedures (Allen). With the Affordable Care Act (ACA) the government is hoping to decrease these unnecessary cost; cutting down on medication administration, providing more preventive care, and merging many different healthcare members’ jobs into one position in order to cut cost on staff. There has been great strives with the new reform of health care, but there has also been downfalls and uncertainty. Preventive care has come to the forefront; this will help save patients and money for all those in the market for healthcare, so everyone. While preventive care is great, it is leaving many health care members are questioning what is next for them. The ACA is moving into the general public, but with immunizations already being taken over by drug stores, people are worried about the stability of job opportunities outside the hospital. As a nursing student myself I have concern of what the job market will be when I graduate; because when I started it was in high demand and now many student are struggling to find jobs. Therefore, I have concerns with the ACA and that some provisions will need to be reevaluated.

The United States health care system may be unique in being a true melting pot of cultures, ethnicities, and races. Health care and maintenance of one’s health is a necessity of life, regardless of ethnic, social, or cultural background. The cultural landscape of America is a constantly changing as evidenced by some projections stating by the year 2045 that non-Hispanic Caucasians will represent less than 50% of the U.S. population for the first time (Alba, 2015). However, this estimate may actually be inaccurate due to the numerous American families that already incorporate multiple racial, cultural, and ethnic backgrounds. Nurse anesthetists that provide anesthesia for surgery are exposed to a myriad of cultures and all the differences that come with them. These many differences may affect how an anesthetist interacts with their patients, may cause a simple procedure to become a more challenging one, or it may also affect an anesthetist own beliefs and how that approach a case.

There are more than 43 million people right now in the U.S. that live below the poverty line (Poverty Talk, 2016). There are 43 million Americans who struggle to make ends meet, provide for their families, and receive adequate health care. Those under the poverty line have a difficult time maintaining specific needs; I am especially interested in the effect that socioeconomic status has on the health of an individual, particularly those in a lower socioeconomic status. Socioeconomic status focuses on either an individual or a group within a hierarchical social structure; it focuses on a combination of variables including occupation, education, income, wealth, and place of residence (Dictionary, 2005). The variables I will mainly be focusing on are income and wealth. While most working Americans have their healthcare paid for by employers, what about the 4.9% of unemployed Americans? The American health care system works on two different plans, Medicaid and Medicare, these plans were designed with the elderly, disabled, poor, and young in mind; I will be focusing specifically on factors of health for those with little to no income. Access to healthcare is another important factor that has a direct relationship to overall health of an individual. Research has shown that those with a lower socioeconomic status have a lower overall physical and mental health. The argument can be made that health is directly impacted by socioeconomic status with income being the biggest

“Today, many if not most obstetricians do not attend births: they perform fetal extractions through the vagina or through an abdominal cut.” Faith Gibson (p.37)