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Significance of health economics
Economic implications of health insurance
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QUESTION 1
Cost-effectiveness analysis (CEA) is a seemingly straightforward analytical tool that is used to assess complex public policy decisions, however CEA does not always account for all intangible benefits. Cost-effectiveness is used to help pinpoint neglected opportunities for improving health and then allotting scarce resources to obtain better health outcomes for society. Since Britain’s has limited resources to concentrate on public health issues that have varying outcomes with regards to survival and quality of life. Cost-Utility Analysis (CUA), part of the cost-effectiveness family is an appropriate technique to utilize when making such decisions because it allows different health outcomes to be transformed to a common unit, known as QALYs (quality-adjusted life year). Yet, societal benefits and costs are often not considered for CUA. Additionally, measuring QALYs is harder than measuring the monetary value of life through improvements in health, as is done with cost–benefit analysis. Cost-Benefit Analysis (CBA), also a part of the cost-effectiveness family is used to recognize value in terms of economic efficiency, in that it improves allocation of scarce resources. In addition, some individuals believe that life is invaluable and there are moral problems with assigning a value on human life.
The main limitation for CEA, is the weighting of QALYs through trade-offs and specific health outcomes may also make it hard to quantify, thus making it harder to measure all factors that may influence QALY for an individual. Also, QALY’s lack of usefulness to physicians in determining the proper route of treatment for their patients represents another limitation. Additionally, older individuals are presumed to have a lower QALY...
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...e surface appears to be a good idea however some individuals may argue that this would interfere with individual liberties. The best approach to find out if providing incentives works or if excise taxes works to decrease obesity is to use the cost-effectiveness analysis tool. Researchers will be able to pinpoint which policies are working and which ones are failing because cost-effectiveness is associated with cost-benefit analysis. This means if the benefits outweigh the costs, then policymakers should implement the policy with the most benefit. I believe the optimum approach to addressing the obesity epidemic is to have government incentivize individuals for maintaining a healthy Body Mass Index and to expand evidence-base school interventions. More effort should be focused on education because behaviors are learned not only in the home but also in the classroom.
Radley Balko, The author of the essay “What You Eat is Your Business”, would agree that in order to stop obesity, we must turn this public problem around and make it everyone’s individual responsibility. Instead of inflicting the importance of personal ownership, government officials, politicians and congress make obesity a public problem by prohibiting junk food in school vending machines, federal funding for new bike trails and sidewalks, and restrictive food marketing to children. Overall I agree that this manipulation of food options is not the proper way to fight obesity, however, I think that government should inform people about the food they are eating because then they have no excuses for not taking responsibility of the actions.
Cella, D.F. (1995). Measuring quality of life in palliative care. Semin Oncol 22(2 Suppl 3), 73-81.
‘Saving Lives: Our Healthier Nation’ is a white paper which was initiated in 1999. The Department of Health (DOH) ordered strategies aimed at reducing ill-health with specific attention to cancer, coronary heart disease and stroke, accidents, and mental health. £21billion over 10years was given to the NHS to ensure a target of 20% reduction in deaths associated with these conditions.
Mooney, G Collard, K Taylor, T (2003a) Costing cultural security, SPHERe Discussion Paper, Perth, Western Australia: Curtin University, Division of Health Sciences, viewed online 10 September 2011. http://www.eniar.org/news/health7.html Mooney, G. (2003b). The 'Standard'. Inequity in Australian health care: how do we progress from here?
Obesity is a rising problem in the United States. With obesity rates on the rise something must be done to prevent this massive issue. There are ways to help including educating at young ages, improving nutrition facts at restaurants, and providing more space for citizens to get physically active.
National health systems are assessed by the extent to which expenditure and actions in public health and medical care contributes to the crucial social goals of improving health, increasing access to quality healthcare, reducing health disparities, protecting citizens from penury due to medical e...
Utilitarianism can be used to describe the reasons why healthcare should be made available universally; why maximization of access to healthcare should be pursued for the greatest number of people (Wilson). Utilitarianism is a theory of consequences, in which the results of actions should determine their moral value. It can be summarized by the greatest happiness principle, which John Stuart Mill describes as “happiness is desirable, and the only thing desirable, as an end; all other things being only desirable as means to that end” (Wilson). For Mill, pleasure is the prime motivator, and all beings must seek out maximum pleasure for themselves and others. This principle can be used to judge the morality of healthcare policies in terms of how they provide access to healthcare for the greatest number of people. In order to make the claim that healthcare is a human right is not sufficient; we must then be able to justify its expansion by illustrating its benefits (Wilson).
So what can be done? We cannot just pin the obesity problem on policy makers. It must be examined by academic, medical, and psychological professions among others. Possible changes in the food assistance programs, expanded knowledge of health and nutrition among those in poverty and availability of nutrient dense foods would be a good start. Other areas that might help curb the issue include boosting agricultural subsidies to farmers to grow fruits and vegetables, increased crime prevention, and improved neighborhood recreation facilities.
As a market failure, the obesity epidemic in America is costing the federal government billions of dollars annually. While most obesity prevention programs aim toward changing the rate of children who become obese, many fail, causing an inefficient allocation of government resources. Much of what 's already been done has proven to barely be a speed bump in the progression that is the obesity epidemic. Several solutions which can be explored to effective halt this progression. The taxation of certain unhealthy foods, government benefits and subsidies for organic produce farmers, and passing new legislation to regulate the amount of calories a fast food restaurant is allowed to serve you, just to name a few. These solutions, however, are only effective if they affect the lives of the majority of the population, therefore preventing obesity, whilst correctly allocating valuable government resources efficiently. ...
The patient has to be completely free to make this decision, with absolutely no power whatsoeverin the insurance company's hand to force it. On the other hand, giving the opportunity to the patient to consider the expenses against the advantages and them make this decision about their own health care would be morally incorrect.. Indeed, only the patient can justify the morality in the situation which makes this hard decision for himself or herself, instead of some third party government or insurance company bureaucracy. Also, basic economic logic tells people that somebody should be making this decision.
A quality-adjusted life year (QALYs) is one of the most widely used measures for measuring the quality of life and is used for the assessment of health outcomes. Health is a function of length of life and quality of life (Prieto and Sacristán, 2003) and this measure serves as composite indicator which allows quantity and quality of life in a single ind...
Obesity is a huge problem in the United States. Many people argue that it is not the government’s responsibility. But, since the government regulates most schools there are things that they should be doing to prevent childhood obesity. Children need to get the proper amount of physical exercise daily. They need to be provided with the healthy nutrients, and need to have knowledge about healthy foods. If children do not receive these necessities then obesity will have a negative impact on America. If they do receive these tools then the percentage of obese children in the United States will decrease significantly. In conclusion, the percentage of children that are obese in the United States will lower if children are taught about what they are eating, vending machines are abolished, and physical education classes are required at schools.
CEA is able to help managed care organizations, insurers, and policy makers make informed decisions. Supporters are optimistic that the increased involvement by the federal government in comparative effectiveness research will eventually lead to increased acceptance and the use of QALYS as a metric. Other Issues Concerning CEA With CEA, one of the main issues is determining what level of evidence is sufficient to approve or deny a treatment. Utilizing comparative analysis to make medical decisions is also difficult since there are biases in almost any test done. To account for differences between patients, it would require randomized, double-blind trials that are notoriously time consuming and expensive.
Accurately forecasting the cost of projects is vital to the survival of any business or organization. Cost estimators develop the cost information that business owners or managers, professional design team members, and construction contractors need to make budgetary and feasibility determinations. From an Owner's perspective the cost estimate may be used to determine the project scope or whether the project should proceed. According to the U.S. Department of Labor there were about 198,000 cost estimators in 1994. That of which 58% work in the construction industry, 17% employed in manufacturing industries, and the remaining 25% elsewhere. From this we could conclude that a great deal of cost estimation lies in the construction industry, where multi-million dollar contracts are formed after a thorough cost estimation.
Obesity is one of the most dangerous health issues not only in the United States, but across the world. In my opinion our government should pay serious attention to how they plan to find solutions to this dilemma. The futures of those children rely on the help that we provide for them. If they aren’t being taken care of how can we expect to save other people with other types of issues? It is easy for others to think obesity can be solved from one to another. However they fail to realize that in order to fix this problem they will have to work on it little by little. In conclusion obesity can be deadly so be aware of the consequences obesity has so that our children can live a healthy and normal life.