Overview of the United States Healthcare System
Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014, there has been a steady decline in the uninsured population of the United States of America. According to recent data from the Census Bureau , the number of uninsured Americans fell from 33 million in 2013 to 29 million in 2014, a drop of about 4-percentage points. Accordingly, the ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition. Coverage achieved through direct purchase on the marketplace, and Medicaid, accounted for the biggest gains in the health insurance rates. Despite these gains, the Affordable Care Act is still experiencing a multitude of challenges. For instance, some states like Texas refused to expand Medicaid eligibility for low-income individuals below the poverty rate, undocumented immigrants not covered under the open marketplace and Medicaid options and the increasing cost of health insurance premiums. According to Rovner, (2016), the main objective of the Affordable Care Act was to reduce the number of Americans without health insurance coverage. Referencing the Census Bureau, she argues that the rate of the uninsured has dropped from 10.4% to 9.1% in the first year of implementation. Also between 2013 and 2015,the uninsured rate dropped by 4%. The total number of uninsured
The U.S. healthcare system is remarkably complex, and even healthcare workers struggle to understand it. The U.S. population gets health coverage by government programs, employers, and private insurance. Notably, because of the complexity and fragmentation of the health care system, there is a percentage of the population that remains uninsured. According to CNN Money, the uninsured rate in the U.S. dropped from 18.2% in 2010 to 10.3% in 2016, this drop was under Affordable Care Act(ACA) (). The goal of the ACA was not to give health coverage to all the uninsured population, rather it was to try to decrease the percentage of the population that remained uninsured(). There is a lot of inequality in the distribution of health among the U.S. population
The U.S. health care system is way more complex than what meets the eye. A major difference between the health care system in the U.S. and other nations, is that the U.S. does not have universal health care. Lack of a universal health care opens up the doors for competition amongst insurance, physicians, technology, hospitals and outpatient services.
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.
as defensive medicine practice, new technology, malpractice lawsuit and the uninsured. New technology is the biggest factor of the rising cost of healthcare to treated patient of their illness. New technologies have seemed to be the driving force of high healthcare cost in America. The technology accounts for 38 to 65 percent of healthcare spending in America (Johnson, 2011). The annual spending of health care increased from 75 billion in 1970 to 2.0 trillion in 2005 and is estimated to reach 4.0 trillion in 2015 (Kaiser Foundation, 2013). U.S. citizens spent 5,267 per capita for health care in 2002- 53 percent more than any other country” (2005). “America spent 5267 per capita and in Switzerland they spent 3074 per capita” about 1821 cheaper than ours (Starfield, B 2010). Controlling the technology isn’t easy thing to do because of technology prices are set by manufacturing and the installer of the new medical equipment’s. However, there other way
The US has recently adopted a healthcare policy aimed to get more Americans insured. This policy is named the Affordable Care Act in 2010. “In 2013 there were 42 million uninsured individuals in the United States. “(The Common, pg. 153) There has since been increase in individuals who are covered either by private insurance or by Medicaid/Medicare which had a coverage increase with the new policy. It is believed that millions of people will now have health insurance compared to previous years.
Large populations of Americans are uninsured mainly because of the high cost of insurance. Majority of the uninsured are the low-income working families’. The adults represent a higher percentage of the uninsured than children. Before the law, you could be denied coverage or treatment because you had been sick in the past, be dropped mid-treatment for making a simple mistake on your application, hence, the Affordable Care Act was implemented into law on March 23, 2010 by President Barrack Obama to make sure that every American irrespective of their status will be insured and have full access to proper health care benefits, rights and protection(1). To understand the
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.
rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People
As an international student, this complete semester is a great learning experience for me. Various things I have learned in this four month period such as education system in the USA, learning and teaching culture in GVSU, last but not least United States health care system. Before enrolling for this course, I thought I would assimilate what makes USA healthcare system one of the best in the world. To my surprise, I learn more about why it is struggling in some aspects and how can we improve. Both India and USA attempting to fortify their health care system and approaching towards universal health coverage plan. Working as a medical professional back in my country permitted me to comprehend this entire semester by comparing healthcare back in my country and the USA. The thing which excites me more is to see the other side of the health sector, functioning as a dental practitioner never gave me such an open door in past. Learning this course really matters because things are working outside the doctor’s cabin are really very intricate and to run a healthcare setup effectively is extremely challenging and need an extensive knowledge and skills and everybody need to perform their respective roles.
Reducing the number of uninsured Americans: Nationwide, since the Affordable Care Act’s coverage expansion began, about
ACA has helped over twenty million people get insured. Twenty-nine million people lack proper healthcare. The Uninsured are less likely to receive medical care as quickly as when they are sick, compared to people who are insured. Cost is higher when they get treatment, APHA say “40 percent of health costs of the uninsured are passed on to consumers who do have coverage, in the form of higher premiums”. Health care cost for each family can be more than a thousand dollars per year.
An issue that is widely discussed and debated concerning the United States’ economy is our health care system. The health care system in the United States is not public, meaning that the states does not offer free or affordable health care service. In Canada, France and Great Britain, for example, the government funds health care through taxes. The United States, on the other hand, opted for another direction and passed the burden of health care spending on individual consumers as well as employers and insurers. In July 2006, the issue was transparency: should the American people know the price of the health care service they use and the results doctors and hospitals achieve? The Wall Street Journal article revealed that “U.S. hospitals,
The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.
Healthcare in the United States is rooted in the private sector. The private sector directly funds 56% of the expenditures through private health insurance, household expenditures and copays, and other private expenditures. (CMS, 2014) The US healthcare system can thank the private sector for providing much strength such as new diagnostic technologies, innovative treatments and procedures, and dynamism. American hospitals and physicians are regarded internationally as being of high quality. Americans can also be proud that the physician- patient relationship is among the most trusted and valued relationships in the country. By allowing the private sector to take a lead role in the healthcare system, the United States values
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