Musculoskeletal Disorders
Musculoskeletal disorder (MSD) is a major health problem for many Canadians, and it gets worse as people age, causing it to be costly for the Canadian health care system. Although all Canadians have access to healthcare insurance, and the majority of physicians bill the plans for their services, only one diagnostic code is required for billing the insurance plans. This is where the problem begins, as the physicians see a patient for various reasons during one visit and only list a diagnostic code which may or may not be related to MSD, and the code used is usually nonspecific. Therefore, the billing is inaccurate, research is hard to conduct, funding issues occur, and the doctor is also undercharging for his services, which must play a role in how MSD impacts the costs in the Canadian health care system. According to the article written by Nigel Flook (2006), MSD is responsible for more costs than any other medical condition outside of heart disease, and it is the second most common reason a person visits a primary care doctor. However, “only 8% of primar...
LaPierre, T. A. (2012). Comparing the Canadian and US Systems of Health Care in an Era of Health Care Reform. Journal of Health Care Finance, 38(4), 1-18.
According to Harry A. Sultz and Kristina M. Young, the authors of our textbook Health Care USA, medical care in the United States is a $2.5 Trillion industry (xvii). This industry is so large that “the U.S. health care system is the world’s eighth
It is generally accepted that the method of payment to physicians affect their professional attitude and behaviour. Consequently, health policy makers manipulate payment system in an attempt to achieve optimal health care for their citizens such as improve accessibility, quality of care, patient’s satisfaction and cost containment. In Ontario, there are a wide range of mechanisms that are used to pay physicians for their services that are funded by both federal and provincial government. According to Canada Health Act annual report (2013), the majority of primary healthcare physicians are funded using the fee for service payment arrangement but of that majority, only less than 30% are compensated exclusively according the fee for service plan. The remaining physicians are funded using one of the following mixed compensation models:
Imagine living in a world where everything is super-sized. Imagine having to step on a stool to crawl into bed, or having to climb onto a shelf to be able to reach a light switch. Most of all, imagine having to look up to your much taller younger sister when she speaks to you. Situations like these are what Ivy Broadhead, a teenager with achondroplasia, have to go through everyday.
The public health care system in Canada is still flawed, proven through the wait times that many patients have to go through. Canadians may wait up to six to nine months for “non-urgent” MRIs . The waiting list is dreary for Canadians, unlike Americans who can get their services immediately through paying out-of-pocket, the long public sector in Alberta waits up to a year for services, the wait for cataract surgery was six weeks ; these waits for some patients put the public health care system to shame, and helps push the idea of the privatized health care system a bettering option for the future of the nation. Additionally, 41 percent of adult Canadians said they experienced a difficulty in accessing hospital and physician care on weekday nights and weekends . Furthermore, it is still evident that Canadians in fact pay a higher income tax compared to Americans, due to the fact that they are paying the fund the health care system through their taxes; however, it is still significantly less to pay for a public health care system than it is privatized . Privatization is further proved as a superior choice with regards to the discharge situation many Canadians face. In Canada, it is common to see patients discharged earlier than recommended due the rising amount of patients using the free-of-charge public health care system, patients are released “quicker and sicker” because of this . Additionally, when discharged, the public health care system does not cover home care and private nurse care ; further proving the notion that there is still some forms of privatization already in the health care system in
Health care has become an issue because of the shortage of doctors in Canada. Many of them are either going to the U.S.A. or going to other countries to practice in hospitals and clinics. The earning cap imposed by the government has forced doctors to work fewer hours than are necessary to serve the public. Many Canadians are without a doctor to help them with their needs, and emergency rooms are filled to capacity with no available beds for those who have to be admitted to the hospital. Waiting time for specialist and specialty tests has become so long that someone diagnosed with a major illness may die before they can be properly treated.
The big reason that physical therapists illegally charge patients extra on their insurance bill is because it is simple for them to do. Eric Ries said in Addressing the ‘Biggest Threat’ to Physical Therapy, “Remember that regardless of who does the billing, physical therapists and physical therapist assistants have a responsibility to make sure what they are documenting is accurate”(Ries 6). This makes it tempting for physical
Romanow, R. (n.d.). Building on Values: The Future of Health Care in Canada. Collections Canada. Retrieved from http://www.collectionscanada.gc.ca/webarchives/20071122004429/http://www.hc-sc.gc.ca/english/pdf/romanow/pdfs/hcc_final_report
The contentious debate about our healthcare system is an epitome of the ongoing political circus in America. With the 2012 elections looming just around the corner, we can expect the vitriol to rise rapidly. Our country spends twice as much on health care per capita compared to other developed countries. The current system is so dysfunctional and projected spending will increase every year, putting an unbelievable strain to our fragile economy. Majority of health care dollars spending are channeled on to patients with chronic illnesses, many of which can be prevented. Unfortunately, medical doctors practicing preventive care are being squeezed out of the equation. The shortage of primary care doctors in America is inevitable because of limited income, lesser prestige, and fewer opportunities.
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
Nearly every American can agree that our current health care system needs reforms. Primarily do to the fact that 45.7 million Americans are without health insurance. That's approximately 16 percent of Americans who sometimes have to do without healthcare, or face crucial financial responsibility. The main issues are admission to healthcare, and the affordability of health care. Before 1920, doctors didn't know enough about diseases to really provide useful care to sick people. Therefore the...
"Comparison of the Health Care Systems in Canada and the United States." Wikipedia, the Free Encyclopedia. Web. 25 Sept. 2011. .
This concept is taken from Block 4, Module 11 which is entitled as ‘Assessment of musculoskeletal system’.
“Americans are not healthier than some of the other developed nations, regardless of these extensive costs” (WHO, 2007). “Almost 40 million Americans are uninsured and about 18% of Americans under the age of 65 receive half of the recommended healthcare services” (Goldman, and McGlynn, 2005). “Though, quality of care was
The cost of US health care has been steadily increasing for many years causing many Americans to face difficult choices between health care and other priorities in their lives. Health economists are bringing to light the tradeoffs which must be considered in every healthcare decision (Getzen, 2013, p. 427). Therefore, efforts must be made to incite change which constrains the cost of health care without creating adverse health consequences. As the medical field becomes more business oriented, there will be more of a shift in focus toward the costs and benefits, which will make medicine more like the rest of the economy (Getzen, 2013, p. 439).