Kevin Ramos
MEDT 4301 21D
Prof. Marilyn Rubin
Fall 2017
Unit 1 – Assignments
Assignment 1
Please list 6 reasons why the U.S. health care market referred to as “imperfect: and briefly explain each one.
The U.S. Healthcare system is partially government controlled with most of the system ran through the private sector. This division in the system makes for a more complex structuring and deters it from being able to be categorized under a free market. The U.S. healthcare market can be considered imperfect due to 6 main reasons. The first reason for this imperfect market is that unlike most other countries, the U.S. government is not the main source of healthcare delivery. The Private sector plays the primary role in the healthcare system and
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healthcare system is considered imperfect is that despite the U.S. having some of the most advanced technology in medicine individuals not covered through health insurance often do not get to enjoy them unless they pay out of pocket for the services, services of which can be very expensive. The uninsured are left to pay out of pocket, go to a federally funded health center, or go to the emergency room. Lastly, what makes the system imperfect is physician's fear of being sued for malpractice. Due to this fear physician's often run more tests on patients than necessary which drives up medical costs.
Assignment 2
Why is the intermediary role of insurance in the delivery of health care important?
The intermediary role of insurance in the delivery of healthcare is important because it allows for the patient to have the access they need to health services, and guarantees payment to the provider for the services rendered.
Assignment 3
Who are the major players in the health care system? What are the positive and negative effects of the often-conflicting self-interests of these
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Long-term care - refers to a continuum of medical and social services de- signed to support the needs of people living with chronic health problems that affect their ability to perform everyday activities.
6. Managed care – system of healthcare delivery that seeks to achieve efficiency by integrating the basic functions of healthcare delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid.
7. Market justice – Places the responsibility for the fair distribution of health care on the market forces in a free economy, making medical services available only to those with an ability and willingness to pay.
8. Medicaid – the third largest source of health insurance in the country provides coverage for low income women, children, elderly people, and individuals with disabilities.
9. Need – What social justice says should be the basis for fair distribution of health services.
10. Social justice – emphasized the wellbeing of the community over that of the individual, the inability to obtain medical services due to a lack of financial resources would be considered unjust. Claims that distribution of benefits must be need based not just based off ability to purchase
Healthcare is a complicated thing, but there are lots of things that need to be addressed. There is controversy about whether healthcare is a right, responsibility, or a privilege. This essay is going to explain examples of each. The word right can be defined simply as “something to which one has a just claim” (merriam-webster.com). According to the online legal dictionary, the word privilege is defined as “a special benefit, exemption from a duty, or immunity from penalty, given to a particular person, a group or a class of people”. Google dictionary describes responsibility as “The state or fact of being accountable or to blame for something”, or “The state or fact of having a duty to deal with something.”
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
The intent is to create a healthcare system where health insurance coverage is available to everyone. Coverage is through a joint effort of the government, employers, and individuals. A disparity in coverage often occurs within vulnerable populations. This includes children, unemployed and retired individuals, along with their families. They are more likely to have limited access to healthcare while having an increased need for medical services.
Niles, Nancy J. Basics of the U.S. Health Care System. Sudbury, MA: Jones and Bartlett, 2011. Print.
What exactly is Medicaid? Medicaid is the largest health insurance in the United States, and it services many low-income families. This government health program is state regulated and varies among states due to having their own guidelines. Medicaid was signed into law on July the 30th, 1965. Medicaid’s guidelines come from the old Welfare law. “Medicaid has never matched that of food stamps, for which eligibility standards are linked to financial need alone. As Smith and Moore explains, the federal government, using its extraordinary demonstration powers under section 1115 of the Social Security Act, has allowed states to experiment with “decategorization” over the years, but Medicaid’s statutory bar against coverage of poor adults remains perhaps its most obvious failure” (Rosenbaum). Regardless of the many faults of this programs design, Medicaid helps close to 60 million low-income families in the United States. The people it helps would include: pregnant women, young children and their parents, the disabled, and the elderly, and other members of society that have low income. Medicaid is involved in many pregnancies and newborn care from a financial standpoint. It allows parents to have medical care for the child while in a low-income household. Medicaid has a huge impact on each states health systems and is used in a wide variety of ways.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
I believe that every citizen deserves good healthcare services regardless of his or her geographical area, income, or race. An underserved community is a community in which people are unable to obtain health care or have limited access to the health care system for different of reasons. These reasons include ethnic background, socioeconomic variables, lower salary in some areas, extreme weather, or other life circumstances that produces an uneven distribution of healthcare resources, including nurses. The individuals in underserved communities lack affordable comprehensive health insurance, have gaps in insurance, or are living in remote areas and unable to access care. Additionally, the lack of basic necessities such as money for food, medications,
2. The twin problems of the health care industry as viewed by society are cost and access. First of all, the cost of getting health care is very high and it is getting higher each day. This has been mostly caused by the combination of high cost and an increase in quantity of services provided to the communities. The other problem involves access to health care. American enjoy limited or no access to health care. Many efforts have been done to reform this, but still but still many people are left without access to the care. These two problems are related due to the fact that if the health care industry gets to high off course people no longer will be able to have any access to it. The higher prices are, the lower access people have to it.
What is the broader implication of managed care for health care services is how healthcare providers control health care cost and quality care. With all the competition to pick from and the rising cost of health care the consumers’ needs to look at all options available. The keys to manage care are the types of organizations and insurance options that include health (HMO’s) maintenance organizations, provider organizations PPO’ and POSS. The health insurance industry is big on wellness and prevention as part of managed care.
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, most of them nonprofit, charged un-insured patients prices that vastly exceeded those they charged their insured patients. Driving their un-insured patients into bankruptcy." (p. B1) The most expensive health care system in the world is that of America. I will talk about the health insurance in U.S., the health care in other countries, Jeremy Bentham and John Stuart Mill, and my solution to this problem.
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
Health is by far the most important thing for a human being, so every penny invested on it has to work. This essay is about the study of the current state of American health reforms and why they are desperately required. Unfortunately things are not that bright as they might seem, an American investing most of their money on health care is basically not getting the level of health care they deserves. With all the investment in the medical field and all the advancements of medical domains, government should be providing best health care in the world for its people.
To conclude, health care is a primary responsibility of governments. They have to make sure that everybody has a total insurance which ensures equality between all members of the society with no segregation between rich and poor. Marxist theory mentioned that medicine became a profitable project more than a human task to serve people and save their lives as it was linked to capitalism. John, the poor factory man was guilty for doing such a sever action to keep hostages but at the same time he wasn’t guilty to be poor and didn’t have an insurance to save his son’s life. Physician role is to be fair when dealing with patients and to think of morals and ethics of the profession before thinking of money.
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
According to Roy, 2013 the issues of providing the affordable care act will unite both the supporters and offenders of the public policy, but in this current situation where the input costs are rising, it will become impossible for government in managing the public policy related to affordable health care. In order to provide affordable health care, majority of the US government has tried out different policies time to time, but unable to get success in realizing the actual policy goals. By providing the affordable health care to majority of the people who requires more amount as controlling the input cost is not possible (AAMC, 2013). Lack of doctors is one of the primary issue in providing high quality health care to the citizens especially those who are financially poor. The Supreme Court of the country passed an Act related to Health insurance as all should have Health Insurance to all the country people by the year 2014, but the at the same time government is concerned about constitutionality of these act (NYTimes, 2013).