What Is Your Evaluation of the Effectiveness of the U.S. Health Care System in the Context of Delivery, Finance, Management, and/or Sustainability? What Are the Issues That Prompted a Need for Health Care Reform?

“There are three basic goals for a National Health Care System; 1) keeping people healthy, 2) treating the sick and 30 protecting families against financial ruin from medical bills”, (Physicians for a National Health Program, 2016). No truer statement could there possibly be written or proclaimed as there is a crisis in healthcare costs across the United States. United States, one of the most developed western country, yet we suffer from – higher infant mortality rates, have shorter life spans and are affected by more chronic disease and or illness – than our contemporaries all while spending the most for insurance per capita and less annual doctor visits with less physicians, (OECD Health Data 2015). There is a question to be answered, “why”, why are we trailing our contemporaries and more important than that is, is our National Health Care system really working for us? The year 2010 was the beginning of change in the United States where we transitioned from primarily private insurance and welfare to a universal healthcare model, under President Obama with the signing into Law of the Affordable Health Care Act March of 2010. The purpose of the Affordable health care act is to ensure that all Americans have access to affordable healthcare, however in 2016 we are still questioning we’ve been successful based on funding, government sponsored healthcare programs, effects on the current HCO, elderly, military and accessibility.

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

1.What are some of the advantages and disadvantages of the current health care system in the United States?

Next, the P.P.A.C.A. provides better access to care by providing more health care choices. Better access to care will be accomplished through free preventative benefits, coverage for young adults, coverage for Americans with pre-existing conditions, and affordable insurance exchanges, which are “one-stop marketplaces where consumers can choose a private health insurance plan that fits their health needs” (HealthCare.gov).

This act contains a new “Patient’s Bill of Rights” granting Americans both stability and flexibility needed in order for them to make educated decisions regarding their own health care [4]. Thus, the ACA makes health care a possibility for everyone no matter what their race, religion, income or sex. It allows approximately 32 million uninsured Americans to be able to get some type of insurance coverage through a public program such as Medicaid or Medicare, through their employer or by purchasing coverage from their State's Health Insurance Marketplace [5]. It also allows young Americans to stay on their parent’s health insurance plan until the age of 26 [5]. It improves the care for seniors through expanding free preventive services programs [6] and affords crucial changes to women’s health by mandating coverage of preventive health care measures at no cost to the patient (e.g., breastfeeding supplies, pre- and post-natal care, mammograms, etc.) [7]. In addition, the ACA puts an end to abuses of insurance companies by putting into place new standards for commercial insurers, like the lifting of lifetime coverage limits and striking down pre-existing condition exclusion clauses

Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the

Health care is an important topic that needs to be addressed more often and looked into more thoroughly. For many years, and even today, our health care system in the United States has effected many and been the cause of numerous cases throughout our country. It must be noted that this problem is not just within our country but various countries around the world. This has caused many people, especially politicians and

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

Healthcare in the United States is facing numerous issues within the current and future turbulent times. I believe that two major issues are the disparity of provision of healthcare to varying societal groups as well as the projected shortfall of healthcare providers to adequately service the population in general.

They include: the access to healthcare insurance for all Americans with an already existing medical condition, a reinsurance program for early retirees who seem to have higher medical spending patterns, healthcare tax offsets for small businesses, zero discrimination against children with pre-existing medical conditions, a web portal address that enables consumers to effectively search for and scrutinize the best available health insurance plans at the lowest cost, etc.

What is the real and perceived performance of the U.S. health care system? Are the views different among patients, providers, payers, and policy makers? Why or why not?

Ensuring people with pre-existing health conditions are guaranteed "access" to health insurance, "and that we have a stable transition for Americans currently enrolled in the health-care exchanges.

Our healthcare system needs major restructuring. Major improvements needs to begin with "all health care organizations, professional groups, and private and public purchasers should adopt as their explicit purpose to continually reduce the burden of illness, injury, and disability, and to improve the health and functioning of the people of the United States", (Crossing the ……, 2001).

Our Nation is currently engaged in a debate about the future of health care in America. Health care reform has several platforms to be addressed in order for it to be successfully implemented.

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison