The United States Healthcare System

Medicare's finances are in peril for two main reasons. The first is steadily rising health-care costs. In 1996, Medicare spending, at 12.2% of the federal budget, was the third-largest budget item. Only Social Security (the federal government's pension plan for retirees) and defense spending consumed a larger share. Medicare spending totaled $196 billion in 1996, and according to estimates from the Congressional Budget Office (CBO), it will reach $312 billion in 2002.

In today’s world, healthcare is provided in one of two ways. Most developed countries provide it free. Either the required care itself is free or one pays for it with free insurance provided by the government, known as not-for-profit. The alternative is obviously for-profit. In such systems, individuals pay for services either out of pocket or using private insurance provided by their employer. In which case, part of the payment for policy premium is generated through payroll deduction. Furthermore, the healthcare system can be considered either as a closed or an open system, for which the United States (U.S.) has both. The U.S. healthcare system when compared to the French system has its similarities and differences. Funding for healthcare

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.

Healthcare costs in the United States have been rising for several years and show no sign of stopping. In 2008, the United States spent on 2.3 trillion on healthcare, more than three times the $714 billion spent in 1990, and over eight times the $253 billion spent in 19801. Although the large amount of money invested in healthcare does translate to better care for Americans, the worsening economic situation, rising costs, and federal government’s deficit have placed a great strain on the system. This includes private employer-sponsored health insurance coverage and public insurance programs such as Medicare and Medicaid. According to the Henry J. Kaiser Family Foundation, a private and non-profit healthcare analysis organization, “in 2008, U.S. health care spending was about $7,681 per resident and accounted for 16.2% of the nation’s Gross Domestic Product (GDP); this is among the highest of all industrialized countries”1. Concerns for the enormous strain on the financial systems that fund healthcare and the desperate need to provide adequate healthcare for Americans have driven many a President since Theodore Roosevelt in 1912, to seek some type of healthcare reform and universal healthcare for all Americans. President Barack Obama succeeded where many had failed and on March 23, 2010, a national health reform law, the Patient Protection and Affordable Care Act was signed into law. On March 31, 2011, the Department of Health and Human Services (HHS) issued new rules

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 delivery system is very complex because it is not a universal health system governed solely by the federal government. Only Americans with health care insurance coverage receive routine health services. Health insurance can be purchased in the private market or provided by the federal government. The uninsured and poor population acquire health insurance by government funded health care called Medicare and Medicaid. Medicare and Medicaid is the largest payer of health care services in the United States with Medicaid providing health services to about 72.5 million and Medicare provides health coverage to more than 55 million (CMS, 2015).

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

One of the issues that is widely discussed and debated concerning the United States economy is the healthcare system. Unlike in the majority of developed and developing countries, the healthcare system in the United States is not public, meaning that the state does not provide free or cheap healthcare services. This paper addresses many of the factors contributing to the rising cost of healthcare.

It is no secret that the US healthcare has many issues in its system. Especially, when you compare it to other countries like: Great Britain, Japan, France, Canada etc. According to Sultz and Young states that “The United States ranks eighth behind all of these nations in life expectancy at birth, highest in infant mortality rate, and highest in the probability of people dying between the age of 15 and 60 years.” The US healthcare system has many issues like a large number of uninsured According to Sara R. Collins, Munira Gunja and Sophie Beutel in the 2014 census 33 million people were uninsured. Other issues are medical professional shortage, medical error or infection, people using apps to diagnose themselves, and rising cost of care. The main focus in these paper will be the rising of cost. The cost of current health care explains for most of the issues that is happening in this country.

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).

Healthcare is a major topic that is constantly being brought up in the news. It is often discussed within categories such as economics, politics, and policy. The reason that is, is because of healthcare's crucial role integration as part of each of these things. With that said, the United States has received back and forth opinions on the healthcare services that it offers. Karl Polanyi defines embeddedness as a way in which economic activity is constrained societies set of institutions (Tuttle 2018). So this implies that there are two main elements that are 'embedded' into the American culture, individualism and capitalism. These two elements shape the way the healthcare system is set up. Capitalism