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Administrative Ethics
Jolinda Chavez
HCS/335
July 24, 2011
Katherine Rossiter

Administrative Ethics
Core Problems in the Health System According to the article, Crossing Our Lines; Working Together to Reform the U.S. Health System, by Howard Baker, Tom Daschle, and Bob Dole, “The problems policymakers seek to resolve through comprehensive health reform are significant. Today, the nation’s health care system focuses primarily on treating illness and not improving population health. Additionally, health care spending and premiums are rising at a rate that is unsustainable for our nation’s families, businesses, and governments. Growth in health care costs is much higher than growth in wages and gross domestic product (GDP). Consequently, despite a wider range of better medical treatments becoming available, more and more people are struggling to afford even the most basic levels of care. Particularly in the face of the recent economic downturn, growing numbers of people are losing their jobs and the health benefits those jobs provide. Many others are finding that they can no longer afford to pay monthly insurance premiums and out-of-pocket cost sharing for needed medical services. Rising cost trends also extend to public health care programs, with states forced to cut other services, including education, to maintain their Medicaid programs. The federal government’s long-term fiscal problem is largely related to cost and demographic trends that are causing unsustainable spending growth in Medicare, Medicaid, and the “tax expenditure” for employer-provided health insurance. While the U.S. health system features some of the best medical capabilities in the world, many Americans do not consistently receive high quality care or achieve good health outcomes. Even those with meaningful health benefits often do not receive preventive services that could delay

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