This high cost has not translated to good health though. In fact, the United States ranks among the lowest of several developed countries when it comes to major health determinants. The United States health care system is in a crisis that must be solved soon. This paper proposes that solution. It is society’s duty to provide equitable access to health care for all people. Health care is a right, but in the same sense, it is also a responsibility.
One must expect to put in effort to remain ealthy. Being healthy is about taking preventive action to help reduce the possibility of things going wrong, and receiving care for when they do. Citizens of the United States will need to start taking better care of their bodies in order to achieve the better health outcomes desired. One of the main goals of this reform proposal is to create a universal system in which all citizens of the United States have equal access to health care.
Even though the United States has some of the top physicians and technology in the world, a recent study of several OECD nations ranked the United States among the lowest in health determinants and last in access to health In this proposal, health care organizations will all be not-for- care (Davis, 2010). profit enterprises. The Congressional Budget Office has stated that not-for-profit hospitals provide “higher levels of uncompensated care than did otherwise similar for-profit hospitals. ” (Nonprofit Hospitals and the Provision of Community Benefits, 2006).
Not-for-profit hospitals seem to focus more on quality than their for-profit efficient health care system, a not-for-profit run system appears to be the best option Nonprofit Hospitals and the Provision of Community Benefits, 2006). There are several political and economic realities that need to be considered when developing a health care reform proposal. One factor is competition. Competition is an economic reality that is often implemented in order to keep prices low. Another important factor is supply and demand. The supply and demand of health care services can fluctuate depending on the economic environment at a given time.
Other things that must be considered when developing a health care reform proposal are negotiated reimbursement rates between the government and providers, and standards set in lace by the government for safety and procedures. There are many stakeholders involved in a large reform proposal such as this. Some key stakeholders are physicians, the government, individuals, and hospitals. The group affected the most will probably be the individuals, considering the individuals include every person in the country, and that there will be many changes that have the potential to affect their overall health.
Some of the individuals in the proposed health system will have to make trade-offs. Healthy people will end up paying more in the proposed system than they would in a market based system. Unhealthy people will receive benefits at a cheaper rate than they would in a market based system. This is where the responsibility of maintaining good health becomes a major factor of the proposed health system. To try to make things fairer for healthy people, unhealthy people will be held more responsible for remaining healthy. everal obstacles, both financially and socially, that must be overcome in order to accomplish reforming the health care system. The biggest obstacle that must be overcome to properly carry out this reform proposal will be changing the mindset of American citizens to accept that all people deserve health care and that prices may increase for those it was usually lower for. Physicians will be unhappy with, and most likely, combat the reform in that they will not all have the opportunity to make as much money as they would as a specialist with the potential decrease in the amount of specialists from the proposed system.
Physician rebuttal has been seen in the past when their autonomy and control of the health care system has been challenged, and the American Medical Association will most likely step in to combat this reform. Another major challenge for this reform to become successful is politics and efficient lobbying. This will be the most difficult part of the initial implementation. Insurance companies will struggle because they will no longer make as large of a profit in this type of system.
There will be many obstacles in the path to reform, but overcoming these obstacles is crucial to achieving a healthier and better off America. Organization and Structure Currently, the United States health care system is a broken system with increasing costs, many variations in the quality of care, and a large uninsured population. This proposal shifts the United States health care system towards the direction of a social health insurance program. It will be considered both a right and a responsibility for individuals to carry health insurance in the proposed health care system.
Entry into the proposed system is mandatory and will require payments into a selected health insurance fund. Individuals will have the freedom to choose their provider and the health care coverage will increase health awareness, disease prevention, and reduce the costs of health care spending. Integrated delivery systems are an integral art of any health care system in ensuring that the separate processes of patient care run smoothly while the issues of quality improvement and cost reduction are addressed simultaneously (Burns, 2013).
Therefore, a critical component of the proposed health care system is integrating delivery systems to achieve better outcomes for patients at a good value. It is estimated that the United States currently spends between twenty-five to forty billion dollars on wasteful spending because of the inadequate coordination of care (Burton, 2012). This wasteful spending increases the cost of health care overall and for the individuals. One of the reasons such wasteful spending occurs is the difficulty health care organizations have in transferring medical information between sites (Howard, Organization of The U.
S. Health Care System). Implementing an integrated delivery system will provide for better care and the understanding of an individual’s health by maintaining the individual’s health records from one organization to another. Cost of health care will become financially sustainable as the result of the reduction of waste, and the integrated delivery system will have the providers work collaboratively and be held accountable for the patient’s outcomes (Leatt, 1996). Health information technology is an important piece of implementing a social health care insurance system.
The proposed social health insurance system will implement a smart card system to easily transfer health information data between providers. Each individual covered by a health insurance fund will have a personalized smart card with basic information: photo identification, state, name, address, and birthdate on the face of the card. The card will have a barcode for providers to scan to allow them to access all of an individual’s information relating to their medical history and basic identification information.
The smart cards’ information will be accessible in every health care system database across the nation, and the system will be maintained by the federal government. Providers will have personalized logins and passwords to access the database and the medical information of every individuals to ensure security and privacy of patient information. The smart cards will allow health care providers to transfer data, scans, and imaging to other providers in different parts of the country more quickly and efficiently.
These cards will reduce the cost of shipping scans, wait time for individuals, and improve quality outcomes by improving the ransparency and flow of health care. If an individual loses their smart card or does not have their card accessible when receiving medical care, providers can look up an individual’s information in the database by social security number and name. The federal and state government will play an important role in the proposed social health insurance system when it comes to individuals being insured.
The separate insurance companies will enforce that every individual will have to be covered by a health insurance fund. Individuals not covered by a health insurance fund will be ubject to penalties and fines because they did not seek alternatives or take responsibility. However, the federal government will provide necessary funding for vulnerable populations: poor, unemployed, elderly, women on maternity leave, incarcerated prisoners, and children up to the age of eighteen. Shi ; Singh, 2013) procedures and treatments. Both parties will create a list with negotiated pricing that all physicians and providers must adhere to for the year. Access In moving towards a social health insurance system, the United States will strive to provide all individuals with health insurance coverage. The goal of universal health are coverage is to ensure all individuals obtain the essential health services they need without suffering physically or financially.