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The need for universal health care
Topics on medical malpractice
Topics on medical malpractice
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It is terrifying to discover that you have terminal cancer. What is more terrifying is being left uninsured. This is what happened to one Californian. He lost his job due to recession cuts and tried to get onto his wife’s insurance coverage. However, she too lost her job and insurance. So now this man is left at home writing in pain because he cannot access pain killers. With his economic background, it is difficult to access federal coverage. There are problems like this occurring every day. I believe that we need to improve not only the amount of people covered by health insurance, but the quality as well. To illustrate this, I look to Kaiser Permanente, who I have both volunteered and been a patient with, for the model of healthcare reform.
Doctor Sidney Garfield and Henry Kaiser’s partnership that goes all the way back to the 1930’s became a revolutionary network of healthcare providers working with the insurance company. Kaiser Permanente’s formative years were amidst the Great Depression and Dr. Garfield was charged with task of supplying medical care to thousands of Los Angeles Aqueduct workers. Being the Depression, financing was very difficult so Dr. Garfield simply charged 5 cents a day for each employee to the insurance company of the contractor. This was the essential birth of prepayment in the health insurance system, but that alone was not enough. Due to the potential patient load, Dr. Garfield focused upon preventative safety measures rather than simply reactionary care. This fundamental philosophy of innovation and the focus on health as opposed to mending has been the hallmark of modern Kaiser Permanente. The advertising campaign and slogan “Live Well and Thrive” encourages this very philosophy a...
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..., Thomas R. The Healing of America: a Global Quest for Better, Cheaper, and Fairer Health Care. Kindle ed. New York: Penguin, 2009. Print.
"Taiwan Takes Fast Track to Universal Health Care." Interview by Thomas R. Reid. NPR: National Public Radio: News & Analysis, World, US, Music & Arts. NPR News, 5 Apr. 2008. Web. 3 Mar. 2010. .
"USATODAY.com - Study: 4 in 10 Medical Malpractice Cases Groundless." News, Travel, Weather, Entertainment, Sports, Technology, U.S. & World - USATODAY.com. The Associated Press, 10 May 2006. Web. 08 Mar. 2010. .
Waitzkin, Howard. At the Front Lines of Medicine How the Health Care System Alienates Doctors and Mistreats Patients--and What We Can Do About It. New York: Rowman & Littlefield,, 2001. Print.
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
Kaiser Permanente’s mission is to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, they take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a pleasant working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California.
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.
Health Insurance is one of the nations top problems, the cost is rising for premiums, and many businesses just cannot afford it. As Americans many of us have the luxury of health insurance, but far too many of us have to go without it. This is something that always seems to brought up at congressional debates, but little is done about it. “In 2013 there were 41 million people reported with out health insurance coverage, this is too many considering those people probably were sick at some point through out the year, and they couldn’t afford treatment.” We need to find someway to make sure that every citizen of the United States is able to have affordable healthcare for themselves, and their families.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Reese, Philip. Public Agenda Foundation. The Health Care Crisis: Containing Costs, Expanding Coverage. New York: McGraw, 2002.
In the documentary, Money and Medicine (2012), we learned that America is facing a health care crisis because over-diagnosis and over treatments (PBS 2012). This turns
Given the difficulties in the present tort system, we often become victims of the failures of medicine as opposed to beneficiaries of its many successes. Physicians have lost in that they have changed, limited, or closed their practices after having spent the most vigorous years of their lives training for such work. Patients have lost in that the physicians of their choice, with whom they have developed trusting relationships, are no longer available to care for them. It is certain that the system requires sensible reform (p.525).
Kaiser Permanente (KP) started from manufacturing healthcare for construction, shipyard, and steel mill workers in the late 1930s and 1940s. The healthcare plan was available to the public in October 1945. The ideology behind prepayment healthcare started during the Great Depression with a surgeon and a twelve hospital bed in California. Kaiser Permanente is an integrated managed care group, founded in 1945 by Henry J. Kaiser and physician Sidney Garfield. KP is made up of three distinct groups of body: the Kaiser Health Plan; Kaiser Hospitals; and Permanente Medical Groups. As of 2014, Kaiser Permanente are in eight states and the District of Columbia, and is one of the largest healthcare organizations in the United States. According to the fast fact from its own web site, “Kaiser Permanente has 9.6 million health plan members, 174,415 employees, 17,425 physicians, 38 medical centers, and 618 medical offices. For 2011, the non-profit Kaiser Foundation Health Plan and Kaiser Foundation Hospitals entities reported a $56.4 billion in operating revenues” (Fast Facts about Kaiser
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
My first reason for supporting Obamacare is that there are now more consumer rights and protections for patients. Before Obamacare, patients could get taken advantage by insurance companies. If a child that had a condition like asthma or diabetes insurance companies turned them down. Under the new healthcare law, no American can be denied by an insurance company due to an illness or injury. Today there are approximately 17.6 million American children that have a pre existing health condition. Now they can all be covered and many lives could be saved (“Healthcare”). It is amazing that every American can get healthcare now, but what is the point if we do not know how to use it. Many Americans are clueless when it comes to healthcare. Obamacare will change that. If a state applies for the new healthcare law, they can establish offices to help consumers become more educated about healthcare. Healthcare is a wonderful thing to have for you and your family, but it will go to waste assuming we do not understand it. In fact with the new law, insurance companies must put their information online allowing consumers to compare the prices of different companies side by side. Obamacare provides you with all the information you need to become more educated about healthcare (“Features of Healthcare”).
Globalization refers to the process of integration across the world, arising from the interchange of worldviews, products, ideas, and other aspects of culture. Globalization affects all facets of life, including health and well-being. Traditionally, the health sector has been closed and nationally focused, but that’s beginning to change. Healthcare has become a social policy and a worldwide concern that is subject to globalization. By 2009, there were fifty-eight countries with some form of Universal Healthcare. The question is: Can the U.S learn anything from the rest of the world about how to run a health care system?