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Health care and inequality reflection paper
Health Inequality
Health care and inequality reflection paper
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In the video provided “Sick Around the World”, writer for the Washington Post T. R. Reid travels to different countries and compares their health care system to the United States health care system. Reid finds that these countries have a system that lets citizens have health care without going bankrupt. Even though the US is the top economic power in the world, the “U.S. health care system rates 37th in the world in terms of quality and fairness.” (Reid) Our US health care system costs more than other countries for the same type of care and treatment.
Among all the countries visited by Reid there is a wide range of cost for health coverage. In Great Britain, because the hospitals are government owned, citizens pay nothing outright for their health coverage, but they do pay higher taxes than in the US. In Japan, all people in the country have to sign up for health insurance, whether it be through their employer or through their community. In Germany people pay based on income and, whatever the price, they split the total cost with their employer. Switzerland citizens all have to pay...
In comparison, Germany spent slightly more than 11% of GDP (2011) towards healthcare funding. 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).
The U.S. Constitution is a good foundation for implementing health care for people all over the world and article 1 section 8 clause 1 explains the power of government when it comes to health care. According to the Enduring Democracy book, "The Congress shall have power to lay and collect taxes, duties, imposts, and excises, to pay the debts and provide for the common defense and general welfare of the United States..." (Dautrich, C-5). In other words, the government has the power to allow everyone the right to health care since our taxes are already being collect for the common defense and general welfare. General welfare refers to health care in which the government may provide.
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.
Out of all the industrialized countries in the world, the United States is the only one that doesn’t have a universal health care plan (Yamin 1157). The current health care system in the United States relies on employer-sponsored insurance programs or purchase of individual insurance plans. Employer-sponsored coverage has dropped from roughly 80 percent in 1982 to a little over 60 percent in 2006 (Kinney 809). The government does provide...
However, our system is based on money. The more money you have to spend, the better medical services you will receive. ?According to the Bureau of Labor education at the university of main (2003), America spends more money oh health care than any other nation, "$4,178 per capita on health care in 1998?, compared to the average of $1,783. (BLE., 2003, p.23). Still an estimated "42.5 million Americans are living without health insurance", which prevents them from receiving medical treatment. (Climan, Scharff, 2003, p.33). The numbers of un-insured Americans continue to rise. Tim Middleton (2002) states, ?insurance premiums grow at a rate greater than wages,? when you have a low-income job. (¶ 9). With our current economy recession, taxes are rising and small business employers are unable to purchase health plans for their employees. Employees are realizing that they are unable to gain insurance from their jobs and beginning to speak out about the high price of health care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
Universal healthcare: a term feared by many politicians due to the communist connotation, but is it really all that bad? Over 58 countries have some sort of universal health coverage, such as England and France, which have single payer healthcare, meaning the government provides insurance for all citizens and pays for all healthcare expenses. The United States of America has insurance mandated healthcare, meaning the government requires all citizens to purchase insurance, usually provided through their jobs. In America, over 45 million people are uninsured, 20,000 of whom will die by the end of the year, compared to England or France. All residents, legal or not, are covered.
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
However, according to Jenna Flannigan, write at Healthline.com, America’s current for-profit system allows for competition between medical and pharmaceutical companies which drives prices up astronomically. “In countries where health insurance is government-run or nonprofit-run, there is no profit factor to drive up prices…For example, a typical bypass surgery in the Netherlands costs about $15,000 while in the United States it costs about $75,000” (Flannigan). This figure illustrates how the US’s needless competition between private, for-profit organizations make medical care unnecessarily unattainable to those who aren’t very affluent or do not have comprehensive medical care. These bloated prices do not even contribute to better care a majority of the time, as pointed out by political consultant Karin J. Robinson. “Here in Britain, for instance, we spend about 8% of the country's annual GDP on health care, compared to 15% in the US, and yet the overall health of the population is similar, with perhaps even a slight advantage for the UK” (Robinson). America’s current system is far more expensive, but for what reason? A healthcare system should be driven a will to help those in need, not for the personal gain of companies that are rife with greed. America needs to follow the path of other first-world nations and take a different approach to
In the 1880’s Germany became the first country in the world to implement a universal healthcare system (Skolnik, 2012). Centuries later, many high-income nations use Germany’s healthcare system as a model for their own (Skolnik, 2012). In 2013, Germany spent 11.3% of their gross domestic product on healthcare ("World Factbook: Germany ," n.d.). The health system in Germany is heavily regulated by the government to ensure everyone has the ability to receive high quality, affordable care (Skolnik, 2012). All legal residents of Germany are required by law to have health insurance (Blumel & Busse, 2015). Public health insurance in Germany is covered by sickness funds that are organized by region and occupation (Skolnik, 2012). Working people pay into sickness funds based on their financial ability (Obermann et al., 2013). Once paid, their spouses and children are also covered (Blumel & Busse, 2015). The sickness funds are in charge of organizing and financing health services (Skolnik, 2012). Ninety percent of German residents are covered by various public
Healthcare is the maintenance or restoration of health by treatment from trained and licensed professionals (Webster). The American people faced many issues with the way the healthcare system is split up. There are four basic healthcare models the United States usescurrently. First, PBS describes that the Beveridge model, covered/ran by the government, through tax payments. This is the only model used in Great Britain but in America it only covers veterans and soldiers, in Great Britain everyone in the country has coverage by it . Another system model the US takes up is the Bismarck model,it helps people to buy their own health insurance through their employer (Healthcare Economist). Three main countries that use this model are Japan, Switzerland, and Germany whose ex-leader, Chancellor Otto Von Bismarck, created the Bismarck method of health care. Which not only covers 90% of their country but allowsthe rich 10% opt out (Reid&Palfreman). An Americans third model option takes of the ideas of both Beveridge and Bismarck and its name is the National Health Insurance (NHI), which Taiwan operates with. The NHI allows private providers to become a choice even though citizens. These four systems have been used for decades and President Obama has put a bill together to propose a change in America'shealthcare. The Affordable Care Act [Obamacare], will give coverage through employers, help people find their own insurance, or government coverage through Medicare for the elderly, and Medicaid for a 1/3 of others (KFF). Medicaid is offered for those with low income, but only states with governors and legislators who approve for this one actually benefit the KFF (Kaiser family foundation) explained. Those who don't have or want health insuranc...
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
To further understand the US healthcare system and put in context how health coverage is provided to its population it is important to compare the US health system to another country like the Netherlands. In the Netherlands healthcare coverage has been achieved through competitive insurance markets similar to the US and the Dutch government does not control prices, productive capacity or funds but instead only acts as a regulator (Daley & Gubb, 2011). In 2006 the Dutch government held healthcare reforms because the country faced an issue that was very similar to the US, in regards to healthcare coverage inequalities, the population was covered through private and public health insurance, with stable private health insurance for the wealthy and unstable public insurance which lacked patient focus and was inefficient in comparison (Daley & Gubb, 2011). Many factors called for healthcare reformation in the Netherlands like a disarranged structure that ineffectively controlled cream skimming, lack of competitive incentives that for insurance companies resulting in bad performance, and the rising premiums
In many other countries the health care is government controlled and all citizens are provided government assisted health care. Most systems over in Europe are indeed government controlled and are taxed my wages. The United States government does not pay for most of its citizens healthcare in contrast. If you are fournate enough to afford insurance it's usually through your employer. In comparssion almost all government operated insurances provide better care for babies and pregant mothers than the United States system of health care. The United States system are more flexible than government aided systems though.