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The governments role in health care essay
Economics of healthcare
Economics of healthcare
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In the United Kingdom, as with many other countries, the government plays a role in the provision of healthcare. This creates notable positive externalities, where ‘the social benefit of providing healthcare to an individual often exceeds the private benefit’ (SU, 2009). One of the justifications for government intervention is that healthcare is deemed to be a basic human need, since ‘an individual’s health is inextricably linked to his or her well-being’ (SU, 2009). This paper investigates the public expenditure programme on healthcare in the United Kingdom between 1997 and 2013.
In order to perform the roles assigned to it by its people, the government needs to collect resources from the economy and allocate and use those resources responsively,
The National Health Service is split into four areas who each receive a different allocation of funding. The four areas are NHS England, NHS Wales, NHS Scotland and NHS Northern Ireland. Since 1999, there has been increasing policy divergence between the four health systems that make up the NHS. There are four major differences between the four NHS services: average waiting times, amenable mortality, life expectancy and nurse staffing levels. Average waiting times are significantly higher in Wales than England, while amenable mortality is 20% higher in Scotland than England (Bevan et al., 2014). Life expectancy is expected to be one year shorter in Scotland than England, while nurse staffing levels are lower in England than in the other three countries (Bevan et al.,
[Online] Available from: https://www.gov.uk/government/publications/2010-to-2015-government-policy-nhs-efficiency/2010-to-2015-government-policy-nhs-efficiency [Accessed: 28th February 2016]
House of Commons (2014) Public Expenditure on Health and Social Care. [Online] Available from: http://www.publications.parliament.uk/pa/cm201314/cmselect/cmhealth/793/793.pdf [Accessed: 2nd March 2016]
Keynes, S. and Tetlow, G. (2014) Survey of Public Spending in the UK. [Online] Available from: http://www.ifs.org.uk/uploads/publications/bns/BN43%20Public%20Spending%202014.pdf [Accessed: 29th February 2016]
Lewis, J. (2015) Expenditure of Healthcare in the UK: 2013. [Online] Available from: http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/articles/expenditureonhealthcareintheuk/2015-03-26 [Accessed: 2nd March 2016]
National Economic and Social Council (1996) Strategy into the 21st Century: Conclusions and Recommendations. Dublin: National Economic and Social
... of Health Care Systems, 2014: Australia, Canada, Denmark, England, France, Germany, Italy, Japan, The Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, and the United States. (2015). Retrieved June 04, 2016, from http://www.commonwealthfund.org/publications/fund-reports/2015/jan/international-profiles-2014
Bailey, S and Bruce, A. (1994) ‘Funding the NHS, The Continuing Search for Alternatives’, Journal of Social Policy, 23 (4), 489-516
For government budgeting to be effective, the process that guides it must be an evolving one. As the government gets bigger, it will most likely destabilize the existing method. Therefore, it must change to keep pace with the demands and growth of the country. The process must be capable of handling the complexity of our nation and its multifaceted needs so it will always need revisions and restructuring to face these new challenges. Its ultimate goal must be to reinforce the government and strengthen the country.
Health and Social Care Act (HSCA) (2008) (Regulated Activities) Regulations 2010. Available at: http://www.cqc.org.uk/sites/default/files/media/documents/health_and_social_care_act_2008_regulated_activities.pdf Accessed on:
The history of the NHS from being chaotic to having an organised st ructure. The structure of the NHS is divided into local authority and social service, hospital services and general practitioners including specialist care. When the NHS was developed, there was no prediction of how much all the services would cost to run. The government introduced the first service charges for dentures in 1951and prescription and spectacle’s in 1952 this could have been due to everyone needing medical care at the same time. This also suggests that individuals health improved, likely to live longer and would need more services in the future which the government realised would be unrealistic to achieve. Even then, as it is currently, it remains difficult
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.
Hicks, L. (2012). The Economics of Health and Medical Care (6th Ed.). Sudbury, MA: Jones and Bartlett Publishers.
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
In this essay I will analyse the origins of Community Care and what benefits emerged when the NHS Community Care Act 1990 was established. Later on, I will explain and critically evaluate the effects of privatisation in social care and health.
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?
Canadian Centre for Policy Alternatives, Alternative Federal Budget 2011, Report: Rethink, Rebuild, Renew (pg. 69, 70, 72, 75) Retrieved from: http://www.policyalternatives.ca/AFB2011
Hospital costs in context:A transparent view of the cost of care [Excutive summary]. (2010). Retrieved from Massachusetts Hospital Association: https://www.mhalink.org/AM/Template.cfm?Section=Home&ContentID=11241&Template=/CM/ContentDisplay.cfm
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...
Walsh, M., Stephens, P and Moore, S (2005)Social Policy and Welfare, Cheltenham, Stanley Thrones Publishers Ltd
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.