I agree with Heath’s argument that a two-tier health care system is effective as long as it does not undermine the integrity of the public insurance mechanism. The main argument against the two-tier health care system is that doctors will turn away from the public sector to pursue a higher income within a private practice. The concern arises that this will cause a scarcity of doctors within the public sector. I believe this argument is invalid and will discuss throughout this paper why the two-tier system improves upon health care systems in many ways. Heath believes that the two-tier health care system, a system already in place, is beneficial as long as it stays within its boundaries and does not undermine the public insurance system. While …show more content…
A positive aspect of this mechanism is that it adds in a middle man, controlling and regulating insurance, minimizing risks of adverse selection for both the insurance company and the customer. When insurance is distributed by private companies, adverse selection occurs and companies refuse insurance to high risk groups and institute costly underwriting practices to others (Heath, 123). In addition to preventing adverse selection, this insurance mechanism provides all individuals with the basics of care. As of 2011, it was reported that 100% of the Canadian population was covered under the public health insurance (Nationmaster). Unfortunately, the public insurance mechanism has …show more content…
While the concern of harmful queue-jumping exists by people paying their way to the front of the line, the second-tier allows the people to use their money to leave the queue completely and seek out their own choice of care. This creates an efficiency gain as the individuals who remain in the original line can move forward in place of those who left the line to enter the second tier. Along with the benefit of the efficiency gain, new jobs and opportunities are created as new firms are opened. As private practices are opened, jobs become available on a variety of levels such as maintenance, internships, administration and health professionals. These practices even allow for students to gain experience in smaller medical environments. Support staff are extremely important when running a busy practice and as a result, private practices hire many individuals to fill employee, associate and partner positions to help the practice run smoothly (PPA, 1998). The second-tier uses the faults of the public insurance mechanism to create a new system of opportunities and efficiency, benefitting the overall health care and all
An analysis of the US and Canada’s systems reveals advantages and drawbacks within each structure. While it is apparent that both countries could benefit from the adoption of portions of the others system, Canada’s healthcare system offers several benefits over the US system.
While most countries around the world have some form of universal national health care system, the United States, one of the wealthiest countries in the world, does not. There are much more benefits to the U.S. adopting a dorm of national health care system than to keep its current system, which has proved to be unnecessarily expensive, complicated, and overall inefficient.
Universal health insurance is available to everybody with an option to purchase private insurance coverage (The U.S. Health Care System: An International Perspective, 2014). Approximately 90% of the population uses the national system in which premiums are income based. The system uses 240 private insurers for a non-profit, competitive system. Insurance costs are significantly less than the U.S. due to cost negotiations for medical facilities, appointments, and prescription medications (Sick Around the World, 2008). B. United States Healthcare System Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010.
Canada has a system that consists of socialized health insurance plans that provide coverage to all its citizens. Canada health care is largely government-funded, with most services provided by private enterprises with some publicly funds all, which is controlled and administered, within guidelines set by the federal government ("Healthy Canadians: A Federal report on Comparable Health Indicators ", 2009).
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.
With increasing concerns of debts and deficits, Canada’s publicly funded health care system has recently become the target of fiscal attack. Efforts to reform and restructure the system have produced few results. Currently, some governments throughout the country are looking towards a more radical approach. An approach that would see not only the reform and restructuring of the method of operation of the current system, but that would change the system entirely. The proposed idea? In Alberta, it is to increase the role of the private sector in the current system.
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.
retrospect to its governing authority (Shi & Singh, 2012). However, private and public agencies are the controlling constituent in today’s business. Free markets allow patients to choose providers without the prior approval of insurance companies. The current system offers a proposed plan of limited physicians in exchange for payment of services. Because the potential has been given to the payers, they regulate the cost of services rendered through contractual
When it comes to health matters, everyone becomes attentive. People believe that with good health, one can virtually accomplish anything that they desire. This is the reason to as why health is given all the attention. It is important to have a clear understanding of the meaning of the term health, healthcare and systems that are put in place to facilitate healthcare.
The implementation of a universal health care system in the United States is an important challenge that needs to be overcome. There are numerous amount of editorial that argue on both sides of the debate. Some people argue that a universal health care system would bring costs down and increase access to care while others argue that a universal health care system would be too expensive and reduce the quality of care. The correct answer requires intensive understanding and economics to overcome, the arguments must be examined for a proper answer.
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.
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).
The current set up does not give them the rewards they properly deserve. In fact, the prospect of a limited income is completely unavoidable. These medical doctors are also small business owners. First, they invest an enormous amount of money for office space, office equipments, and medical equipments. Second, the additional burden of overhead expenses and personnel salaries will put a dent on their bottom-line. Third, the inescapable specter of malpractice insurance premiums is a necessary evil the...
The two tiered Medicaid system of health insurance was started with the intention to help the deprived people with assess that necessitate will decline with time. I accept as true the implications of a two tiered Medicaid system is to offer health care exposure to low-income families. So I feel the implications are straightforward but genuine, two tier plans agree to tax breaks for convinced people and that is one of the biggest concerns in our general public today. I firmly consider that insurers have to take delivery of flattering services for the quantity of deductible practical toward them. On the other hand, those that have private indemnity, have much deductibility to their coverage, as they have to elect to choose their own policy that's
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).