The Issue Of Health Care Systems

Every developed country around the globe is going through a lot of difficulties in providing better healthcare to its citizens. As stated by Norris (2002) the causes are universal and the increase in the percentage of elderly people which require better healthcare, the increasing cost of medical technology, patients' expectations of services and quality, and economic and social changes that reduce the state's ability to fund healthcare while increasing its involvement. All of these factors drive up costs and reduce equity of access (Norris, 2002).

As the healthcare system prepares to select a outsource company as its vendor for this project, what types of information should it give to and gather from each vendor under consideration?

Universal Healthcare sounds appealing, but it actually lowers the quality and quantity of healthcare services that are rendered to patients, thus downgrading the healthcare system as a whole.  Not having to pay, with everyone having coverage leads to longer wait times for medical service and many people overusing health care services. Implementation of Universal Healthcare in the United States would lead to a detrimental crippling of the nation’s health system. For those countries that have implemented Universal Healthcare or a system similar to it, all or most aspects of the coverage such as cost and care is generally provided by and tightly controlled by the government, a public-sector committee, or employer-based programs, with most of the funding essentially coming from tax revenues or budget cuts in other areas of spending. This paper will conclude with comparing the US healthcare system to others and how the US has one of the most advanced systems in the world.

A national health care system in the United States has been a contentious topic of debate for over a century. Social reformists have been fighting for universal health care for all Americans, while the opposition claims that a “social” heath care system has no place in the ‘Land of the Free’.

The United States health care system is lacking the needs to create a reliable system to achieve quality, access, cost, and educate for the consumers. Despite the efforts of the government to find a common ground to meet the standard for the societies, the system has yet to have a major improvement. These issues must be reexamined to fix the broken system. The United States health care expenditure is another issue that needs to be addressed to achieve the future goals of the healthcare system in the United States. Healthcare societies will need to interact differently by incorporating consumer’s empowerment, technology, and education to meet the future goals of the health care system. Also, the consumer must be highly educated on the purpose of preventive care to lower the risk of chronic diseases which account for a lot health care spending. The process of correcting the United States health care system will take time and effort from all individual to achieve greatness.

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,

As some people were skeptical about the basis for the ranking, several studies were conducted, this time including “amenable mortality” in the criteria. France was first in the ranking. One good thing about France’s health care system is that everyone has health care. The country is also reported to rely on private and government insurance. Unlike the United States, France lets its citizens to have freedom in choosing hospitals, doctors, and care. Additionally, the health care system does not put much constrain on doctors with regards to making medical decisions. The same situation is evident on German health care system, where everyone has fully portable health insurance which comes with package of benefits. Like France, Germany lets its patients have freedom in choosing doctor and hospital during illness. A survey showed that patients and physicians in Germany are both satisfied with their health care system (Reinhardt, 1994, p.22).

An alternative lies in the Bismarck model of healthcare. In this system, employers and employees jointly finance insurance through payroll deductions (PNHP, 2010). In contrast to the U.S. insurance industry, insurance plans in this model do not make a profit but must include all citizens. This option may provide a better choice for the U.S. because doctors and hospitals remain private and people still have the freedom to choose their own plans (Wallace, 2013). According to Michael Borowitz, a senior health policy analyst at the Organization for Economic Co-operation and Development in Paris, “What makes it most interesting from a U.S. perspective is that it uses private insurers, [instead of Medicaid and Medicare] the public insurance is actually covered through private insurance, thorough the government regulating private insurers” (PBS, 2009). This model is what the United States should emulate in the future to ensure the better health of a nation. The system in the Netherlands provides a success story of Bismarck system implementation.

The cost of care has been a growing problem throughout developed nations during the last 15 years. For example, across 34 nations that make up the Organization for Economic Cooperation and Development (OECD), the average per capita health care expenditure increased by more than 70 percent between 2000 and 2010. However, the biggest spenders — such as

Out of the nineteen candidates running for president, Ben Carson, Hillary Clinton, Bernie Sanders, and Donald Trump were chosen for the analysis of their plans for the United States health care system. The United States health care system has been in need of adjustment for years, with prices being paid over double per capita compared to other countries. While they have some similar views on current issues, there are drastic differences in the candidates’ ideas for change.

This presentation provides an overview of healthcare, and also health insurance to give an understanding of what the basis of this PowerPoint will show . I also use this presentation as an opportunity to incorporate key factors in the decreasing costs of healthcare. Additionally, I provide the audience with two main care plans, which are traditional and managed care plans. Discussion topics will include:

The American current health care system is in the middle of big changes. With the emerging of new expensive and highly designed technologies, old and new professionals especially ones in managerial positions will need to understand the impetus for this change. Also, Patient Protection and Affordable Care Act (PPACA) is Emerging to the current health care system. ACA was approved with the goals of increasing the affordability and quality of health care insurance. It is also aiming to decrease the number of the uninsured citizens.

The United States as compared to Bismarck Model and other universal health care systems is lacking control and so fragmented especially to other nations. Bismarck Model or as stated in the text book “the insurance model” is known as the oldest health care model (Kovner & Knickman, 2011). Although, every employer and employee (payroll deductions) contributes according to income (Kovner & Knickman, 2011). Bismarck varies in the “basic coverage” from one country to another (Kovner & Knickman, 2011). Found in Germany, France, Belgium, Netherlands, Switzerland, Latin America, and Japan (Kovner & Knickman, 2011). This is not quite like the United States, where the funds go to the government (Kovner & Knickman, 2011).

A health care system is a framework of interrelated, interacting, and interdependent descriptions of human development in a given country, region, or community. This system of human development functions as an organized measure to promote and provide treatment in which individuals reach their highest attainable level of physical, mental, and social well-being. All health care systems are grounded in the concept that genetic and biological factors must be taken into account to understand the problems and behaviors of a specific population. The interconnected factors that determine an individual’s health status includes personal features, social status, culture, environment, educational attainment, health behaviors, childhood development, access to care, and government policy. International collaboration of ideas on the progression of transnational health is greatly endorsed for the benefit of complete global health care. Health care has social, governmental, and financial implications that affect all members of the health care system and in countries within the Central American region specially, citizens have fallen victim to health disparities that have resulted from long-term neglect of the underlying factors that perpetuate this issue.

EU Policymakers have started shifting their focus in recent years to the main cost drivers in healthcare, which are inpatient hospital services and chronic disease management. The birth of private sector health care companies are being welcomed due to lower overall costs. Comparative data also shows that a monopoly of public health insurance, like the ‘Gebietskrankenkassen’, the regional health insurance in Austria, with its excessive bureaucracy, is much more costly and rigid than privately managed health insurance schemes. (Duering, 2015) Formalized cost savings health care organization proposed could increase the wanted private uniformity desired in the European Union.