The United States : A Single Payer System Essay

The beginning of the article started off very strong with the Republican views on how replacing theAffordable Care Act/ Obamacare seems to be beneficial because Americans believe that the government needs to provide healthcare for all which is “Medicare for all.” Throughout government; the left and right sides do not see eye to eye but in this discussion, they both seem to acknowledge the likelihood of this new system.

In order to understand current health delivery services changes and formulate predictions, one must thoroughly comprehend the three developmental eras of the health care system. The evolution of our current health care system began in 1850, and has metamorphosed in three time periods, 1850 to 1900, 1900 to World War II (WW II), and WW II to 2009. Significant distinct and overlapping trends in disease prevalence, availability of health care resources, social organizations, and the public's knowledge and perception of health and illness and technology.

In the preindustrial era, 1800s, the United States fell behind other countries in health services. There was no medical training until around 1870 (Shi & Singh, 2013). Medical training began with students training under the supervision of physicians. Physicians saw patients by making house calls. Health care was delivered in a free market (Shi & Singh, 2013). No one had insurance so costs were out of pocket. For most Americans, this was a problem and some rural areas relied on folk medicine to heal the sick. The medical institutions during this era were not sanitized properly and nurses were not trained to practice safety and hygiene care. The government provided facilities for elderly, chronically ill patients, and clinics that offered free care.

In the late 1800's the Healthcare System was just in the infancy stages of becoming what it is today. The importance in relation to U.S is that if no one pioneered, created, and helped developed what the system is now we'd still be backwards in late 1800 thinking where bone saws were allowed ,

While campaigning for the 2016 presidential election, Senator Bernie Sanders of Vermont proposed that America should adopt a single-payer health care system. In Sanders’s plan, there would have been only one insurance program that would have covered everyone in the United States; in effect, other programs such as Medicaid, Medicare, and especially private insurance would be discontinued (Holahan, 2016, p. 1). If Sanders’s proposal were to be carried out, it would be a drastic change from the current system which predominately comprises of private insurance and hospitals under limited government regulations. The debate reopened on whether or not a single-payer system would be an effective system health care system or economically viable. Due to the contrasting nature of current health care system in the United States, policymakers should approach proposals of single-payer health care systems with caution and an understanding of the benefits and the drawbacks by examining the successes and failures of real-world systems.

This video showed me the healthcare system is confusing. Is there a possible way for everyone to receive healthcare without going in debt? In the video, it states that Japan spends less than 28% than the U.S. on healthcare expenses. Although, the U.S. spends more than other country, We, the people, get less benefits in return. I know there could be a way to adjust the system to accommodate everyone in each social class; however, I do know a single-payer system would have its difficulties.

In the late eighteenth century and early nineteenth century, the average person was treated within their own home for many of the illnesses that now send us rushing off to the doctor’s office or the hospital. Doctors were only called upon for extreme situations or epidemics, and for the most part, they made house calls. This was only possible because of low population densities in early America and the relatively primitive state of medical science. As time passed hospitals began to follow American settlement westward providing more centralized and

This article is a 2004 random survey of 1,787 Massachusetts physicians from the American Medical Association Masterfile with respect to views of single-payer health care financing and the effect on physicians. The majority of physicians in Massachusetts at the time found that a single-payer financing of health care with a universal coverage mandate would provide the best care for the most people compared with a managed care/fee-for-service model. At the time, the authors believed that such strong support from the physician community would "catalyze" a renewed push for adoption of a singe payer system. Specifically, "63.5% of physicians chose a single-payer system; 10.7%, managed care; and 25.8%, a fee-for-service system. Only 51.9% believed

As America became increasingly urbanized in the mid 1800s, hospitals, first built by city governments to treat the poor, began treating the not-so-poor. Doctors, with increased authority and power, stopped traveling to their sickest patients and began treating them all under one roof. Unlike hospitals in Europe where patients were treated in large wards, American patients who could pay were treated in smaller, often private rooms.

Healthcare industry in United States has been an important industry for a long time. It is one such industry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). The period of 1850 to 1969 is termed as postindustrial period which reflects the growth of organized medicine and systematic healthcare delivery.

Despite the different times in history, there is a similarity that is still ongoing today. Those who have little income or live in rural settings have trouble obtaining the health they need when an illness occurs. Hospitals are either too far to reach in time or the bills are too expensive to pay. Now, there are countries who offer free health care but it does not pertain to the land of America. America is based on money, and the old ways of paying back someone through bales of wheat or firewood just will not cut it.

quality of life of millions of men, women, and children and make the United States a more fair and just place to live.

Healthcare didn’t always exist in the United States. Before the 1920’s, most people didn’t have health coverage. Most people were treated at home and hardly anyone, except a few large employers offered healthcare. Everyone else paid out of pocket. As the population shifted from rural areas to urban centers, families lived in smaller homes with less room to care for sick family members (Faulkner 1960, p. 509). Increasing requirements for licensing and accreditation, in addition to a rising demand for medical care, eventually led to rising costs. By the end of 1920s, there was an increased demand for medical care and the costs of medical care increased.

America is without a question the leading country of medical and scientific advances. There always seem to be a new medical breakthrough every time you watch the news or read the paper, especially in the cure of certain diseases. However, the medical research requires an enormous amount of money. The U.S. spends the most money on health care yet many people, mainly the working class Americans are still without any type of health insurance and thus are more susceptible to health risks and problems. The concept of health insurance for Americans was formulated over a century ago. Most Americans obtain health insurance from

Advancements in practices has evolved greatly in the last century in health care. The United States during the 1900s American Medical Association has implemented laws and set standards on how hospitals doctors treat patients. Introduce the idea for health insurance to workers. All of these mandates has organized and reshape the quest for better medical treatments, the prevention of diseases, managing pain control.