Health Care System and Reform
The structure of healthcare in the US is a subject of much polarized open discussion. There are those individuals who content Americans have the most ideal health care system on the globe, indicating the accessible state-of-the-art medical technology and offices that have greatly become part of the framework. However, there are other individuals who contend the American health care system is fragmented and inefficient, indicating the manner in which US spends more on medical services that other nations across the globe yet, it still experiences managerial waste as well as uneven quality. In the US, health awareness is advocated for by different associations (Rosenthal, 2013). Majority of the health care centers are owned and operated by businesses in the private sector. Statistics indicate 62 percent of health care cares are non-profit while 20 percent are owned by government while 18% are for profit (CIA, 2011).
As WHO (World Health Organization) states, the US uses more funds on health care and even more on social insurance in proportion to its GDP as compared to other countries in 2011. The US ranked last on quality of health care services among its peers according to Commonwealth Fund. The Commonwealth Fund as well noted the US health care system costs the most as well. Ranking of countries done by Bloomberg in 2013 of countries with the highly effective health care system placed the United States at the 46th position among forty eight countries involved in the study (Kavitha, 2013).
The major challenge facing the structure of health care in the US is assurance of quality services. Social insurance quality affirmation is comprised of activities and programs that are set to enhance or guarantee nature of service in either a defined therapeutic setting or program. The notion incorporates assessment or evaluation of health care system value; identification of inadequacies in service delivery and issues; planning activities that conquer these lacks and following up to guarantee adequate remedial steps. One development in the improvement of health care system quality is civic reporting of hospital performance, health care providers or experts’ performance and healthcare organizations performance. Nevertheless, no reliable proof exists that release of performance information changes consumer behavior or enhances care (Ketelaar et al., 2011).
Americans who are not insured are averse to have general medicinal services as well as use preventive medication. They are also likely to postpone search for care which leads to additional medical emergencies that are costly than continued treatment for conditions like diabetes and high blood pressure. A study published in 2007 presumed individuals who are uninsured are improbable than those who are insured to seek medicinal care after unintentional damage or onset of a chronic state. The individuals who are not insured with injury are also twice as prone as those with protection to receive suggested health care follow up and comparative blueprint held for individuals with chronic condition (Hadley, 2007). Uninsured individuals are two times likely to visit clinic emergency area as those with insurance.
The history of health care structure reform in the US is a long one. The reforms have been proposed regularly though they are yet to be fully established. In 2010, milestone reform was passed through enacted federal statutes in 2010. Future plans and changes are always been proposed, with contentions which include solitary payer framework and decrease in therapeutic care fee (Rosentha, 2013).
The PPACA (Patient Protection and Affordable Care Act), also known as Obamacare, was authorized, leading to staged presentation over 4 years of extensive structure of mandated health protection with changes which were aimed at eliminating a percentage of the most noticeable insurance agencies bad practices. It also sets base level for immediate social insurance spending to premium earning and creates cost competition supported by formation of 3 standard protection scope levels to empower like-for-like correlations by customers as well as electronic health protection exchange in which case the clients compare buy plans and costs. The structure also preserves private medical services and private protection services and also gives more subsidies aimed at motivating the poor into buying the insurance policy.
Subsidies will also be shifted to individuals in need of them and far from those who do not need them. A higher number of individuals will also receive coverage. Inconspicuous expense control improvements are going to be established, for instance, through assessment of high cost plans and new structure of payment that motivate providers to concentrate on production of good results rather than giving medicines that are unmanageable.
The incredible medical services in the country are a challenge with or without all-inclusive coverage in regulation of social insurance costs. Despite the fact health protection premiums have increased faster than inflation for a long duration before the changes are effective currently, citizens are in control of them. Normal base rates increased by more than 16% 3 years prior. Currently, they average at 2 percent. Some of the advancement is the outcomes of instruments that are made accessible by ACA. In reality, early outcomes indicate that for a couple of people and small organizations, the premiums could drop to 20% as a result of the Obamacare policy.
The actual challenge with Obamacare is the fact it does not change the structure of health care in America enough to match the structures of other nations. Republicans are not right in cautioning that Obamacare will lead to transformation of the American social insurance framework into a European style one.
Hadley, J. (2007). “Insurance Coverage, Medical Care Use, and Short-term Health Changes Following an Unintentional Injury or the Onset of a Chronic Condition”, JAMA, 297: 1073–84.
Rosenthal, E. (December 21, 2013). “News Analysis – Health Care’s Road to Ruin”. New York Times.
“Country Comparison: Life Expectancy at Birth”. The World Factbook. CIA. Retrieved March 19, 2014 from https://www.cia.gov/library/publications/the-world-factbook/rankorder/2102rank.html
Kavitha, A. (29 August 2013). The Most Efficient Health Care Systems In The World. The Huffington Post
Ketelaar N., Faber J., Flottorp S, Rygh L., Deane K., & Eccles M. (2011). Public release of performance data in changing the behavior of healthcare consumers, professionals or organizations. In Ketelaar, Nicole ABM. Cochrane Database Syst Rev 11 (11)