Final Research Paper – The Value of a Doctor
In recent years, greater and greater emphasis has been placed on meeting the demands of the growing population. In regards to the American health care system, the nature of medicine is shifting from treating the individual to the management of many patients, resulting in physicians influenced to be more focused on curing the disease than healing the patient. In order to follow the expectations of the progressively mechanized medical system, these doctors are more and more pressured to limit the time with each patient to maximize efficiency. The increasing compartmentalization of a physician’s time has changed the occupational structure of the field, and has consequently depersonalized patient
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And time in the hospital is the most precious of commodities…Whenever I was trapped in some patient’s room, I could feel the next clinical task pushing at me” (Chen, 172-3).ii In such a fast-paced environment, while doctors would most rather take their time in fully getting to know the patient, they must instead consciously compartmentalize their time in order to adhere to the procedures and regulations mandated by the hospital. Working in more managed health care settings also contributes to the dilution of physician-making authority. Prescriptions and treatments are increasingly monitored and regulated by insurance companies, and often by those without formal medical training. In his documentary, “Sicko”, Michael Moore interviews patients denied care because they had inadequate coverage from their insurance plans, and former employees of insurance companies who described cost-cutting methods that encouraged insurance company physicians to deny medical treatments. Moore exposes the distressing fact that treatments are increasingly dependent on insurance company policies than what the physician believes is truly the most beneficial for the patient. As a result of this insensitivity of the American medical system, physicians in such managed health care settings are constantly forced to provide inferior care – both in terms of quality treatments and the amount of time spent –
They serve as pillars of wisdom and guidance while exhibiting communication adroitness with care teams and patients to engineer top-notch medical care. To maintain high standards, effective medical professionals are constantly taking in new information through continuing education, placing providers at the pinnacle of knowledge. Moreover, physicians require affective aptitude as they must convey empathy during patient interactions. All these attributes draw me to seek the personal challenge and resulting responsibilities that are demanded. I desire to become an important contribution to society in a field I am passionate
"In the past two decades or so, health care has been commercialized as never before, and professionalism in medicine seems to be giving way to entrepreneurialism," commented Arnold S. Relman, professor of medicine and social medicine at Harvard Medical School (Wekesser 66). This statement may have a great deal of bearing on reality. The tangled knot of insurers, physicians, drug companies, and hospitals that we call our health system are not as unselfish and focused on the patients' needs as people would like to think. Pharmaceutical companies are particularly ruthless, many of them spending millions of dollars per year to convince doctors to prescribe their drugs and to convince consumers that their specific brand of drug is needed in
Michael Moore depicts the American health care system as one that contains many flaws. He goes on to show different people who have not been able to afford the ridiculous sum of money to perform certain procedures. While scrutinizing the American health care system Michael ventures to Canada, France, Cuba and Great Britain in an attempt to compare health insurance and pharmaceuticals.
The documentary "Sicko" provides an extensive analysis of the different drawbacks of the American healthcare framework. Michael Moore, the director, is upfront with regards to the dissipation of statistical data and portrayal of real-life stories of the healthcare in other nations is better in comparison to that of the US. It is interesting to see the director careful utilize experiences from the Cuba, France, and the UK. A lot of film critics have issued a lot of reviews regarding the significance of the movie in highlighting the real image of the healthcare framework (Zaccagnini & White, 2015, p.110). For example, the illustration of Cuba's health system seems a bit far-fetched to the critics. All in all, Michael Moore does an adequate job in drawing comparisons from the other significant healthcare plans as a way of depicting the ailing form of America's health system.
Moreover, the office visit length will be shortened due to the high demand of customers making it harder to provide good quality of care to patients as well . On the other hand, from the physician point of view it is predictable that doctors will change practice patterns from private offices to hospital services because the facilities pay salaries with less expectations in the number of patients seen per day. Furthermore, due to the elevated number of patients, time left for clinical documentation and record keeping will be nulle.
There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.
A common goal all healthcare providers share, is the desire to provide excellent patient care. The delivery of care is constantly changing in healthcare, however, the patient will continue to remain the focus of care. The success of nursing care thrives off the ability to fulfill patient needs and to maintain patient safety and satisfaction. When patients are admitted to the hospital, their need for an increase in their level of care and attention, due to the decline in their health status, and inability to preform normal daily activities of daily living. The loss of independence places the patient in a vulnerable state of mind, causing the individual to rely on members of the healthcare team to assist with basic self-care needs while in a stable and well-organized environment. A structured environment can be accomplished through the practice of hourly rounding on all patients.
Critics believe that the present functioning of managed-care is degenerative to health care. Managed-care firms control costs by requiring patients to use a “network” of approved doctors and hospitals, and by reviewing the actions of doctors. Patients have to pay more to visit a doctor who does not participate in the “network.” Managed-care firms second-guess doctors, considering only the costs. Patients are often prevented from visiting specialists to reduce costs. A managed-care company might insist that its doctors prescribe inexpensive generic drugs instead of commercial products. Many patients must, also, receive the insurer’s approval before undergoing treatments or operations. HMOs have been criticized for refusing to pay when a patient goes
“Sicko” is a documentary produced by Michael Moore that focuses on health care in America.The documentary provides an in depth understanding and analysis of the unceasing health care problems in America. Most of these problems result from the corruption present in the American health insurance industry. The message that Michael Moore is trying to get across to his audience is that of the immortality within the American health care system. Michael Moore is able to get his message across to the public by incorporating the three rhetoric techniques of logos, pathos, and ethos. He uses logos by comparing America’s health insurance to those of other countries,
One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare
Sicko, a documentary film by Michael Moore, describes the medical issue in which many people who live in the United States have to suffer their sickness due to the high treatment costs. Many people in the U.S. do not have health insurance because they can afford for that. However, not only people that do not have health insurance but also the people who have health insurance struggle for health care coverage when they have an illness. Moreover, compared to other countries such as Canada, England, France and Cuba, American health care system is extreme complicated and extremely expensive. To receive the treatment, patients in the United States have to go through multiple questions and processes, but there is no assurance that they will have the most effective treatment.
HMOs multiplied rapidly with the new federal giveaways. Managed care, now including PPOs, mushroomed. Employers initially perceived managed care plans as cheaper than traditional fee-for-service insurance. Gradually, they stopped offering a choice of health plans, making individual policies more expensive. HMOs' penetration of the industry had been subsidized into existence. Government had instituted managed care. Today, while overall quality of patient care remains the best in the world, doctors practice medicine in an increasingly intricate web of rationing and regulations: Physicians are stripped of professional autonomy. As patients wander the maze of managed bureaucracy, costs rise and quality deteriorates. Every American dependent on a third party for health coverage is a potential victim of managed care. And state sponsored management of medicine
All around the globe, in places including Britain, Canada, Cuba, France and many other countries the mere thought of pulling out a credit card and paying for health services in hospital seems ludicrous. This is because these countries all have free universal health care, meaning that the majority of health care cost are covered by the government. In other words it is free! However, this is not the case the United States of America, where healthcare is privately funded and covered by insurance companies. Michael Moore, in his documentary Sicko explores the flawed US health care system comparing it to countries with universal health care and resolves the current system is corrupt and full of injustices. Throughout the film interviews that the audience can empathize with are conducted making the viewer feel certain emotions leading them to believe that the American health insurance companies are full of is corruption. In addition, images of past events that viewers can resonate with stir up strong emotions and plant the seed of how flawed the health industry is. Furthermore, Moore literally casts himself as the lead character and is able to manipulate certain scenes in order to convey his message because he is able to guide the flow of the scene. By using several cinematic techniques such as good casting, relatable images and personable interviews Moore is able to construct his version of the American health industry, leading the viewer to believe
The Michael Moore movie pointed to a myriad of issues relating to the American healthcare system that are both startling and interesting. The movie was produced before the Obama Administration signed the Affordable Care Act into law, but Sicko reports that nearly 50 million Americans do not have health insurance. About 18,000 Americans die each year because they don't have health insurance. The system is clearly broken, and politics seems to have been the reason that insurance companies keep a strangle hold on consumers. For example, Sicko reports that there are nearly four times as many lobbyists in Washington D.C. pushing for their clients' agenda as there are members of Congress.
Sicko is a documentary about the American Health Care system as seen through the eyes of the filmmaker Michael Moore. It presents the health care system in America as being fragmented and inefficient by using anecdotes to illustrate the plight of the 46 million Americans without health insurance and also to address the wider concerns about the kind of care that the insured get. The film also compares the non-universal and for-profit U.S. system with publicly funded health systems of Canada, the United Kingdom, France and Cuba.