...The American Healthcare system has a history of chaos and unruliness. Despite the recent implementation of the Patient Protection and Affordable Care Act (commonly called the Affordable Care Act or Obamacare) costs of pharmaceuticals continue to rise. In addition to the spiraling costs of the health care system, pharmaceutical companies continue to benefit from high profit margins while Americans are left paying three times as much for the same medications as other nations across the globe (Picchi 2015). In order for the Obama Administration to achieve their goal of healthcare for every American, legislation must be implemented that allows price negotiation among medical providers, the federal government and the pharmaceutical companies. Despite the persistent claims by many high ranking elected officials, such as former Senate Majority Leader John Boehner, that America has the best health care system in the world, there's insufficient evidence that Americans are getting higher-quality medical treatment or enjoying healthier lives than our counterparts abroad (Jacobson 2012). According to the Commonwealth Fund, Healthcare in America costs more than in other industrialized nations and Americans aren't getting the world's best care for their dollars, according to a new study. The United States spent $7,960 per capita on health care in 2009, the most of 13 industrialized nations in the Organization for Economic Cooperation and Development. That's almost three times the amount...
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...Retrospective Healthcare Policy Analysis: Oregon’s Death with Dignity Act Professional Policy Analyst from the Normative Policy Analyses Approach Retrospective Healthcare Policy Analysis: Oregon’s Death with Dignity Act Oregon’s Death with Dignity Act was the legislated response to a highly controversial health policy debate regarding patients’ rights – specifically whether or not a patient has the right to die if they choose to do so (Altmann & Collins, 2007). While euthanasia and physician assisted suicide are not new topics, they did receive an increase in public and media attention during the early 1990s. Most notably Dr. Jack Kevorkian, who defied the law and assisted in 130 patient suicides, Dr. Kevorkian’s actions brought about increased media coverage on the topic of physician assisted suicide, which is a contributing factor as to why the Oregon’s Death with Dignity Act was conceived in the first place (Werth JR & Wineberg, 2005). On the one side of the spectrum were advocates of physician assisted suicide who maintained that it was an infringement on patients’ rights to deny them aid in dying, and inhumane to make people suffer when diagnosed with a terminal illness (Merino, 2012). On the other side were critics who concluded that physician assisted suicide was a breach of medical ethics, and morally unacceptable because it devalued human life. Furthermore, these critics found that assisted suicide was not valid because there were alternative solutions, such...
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...Review the health policies of each of the following countries. Then, choose a country from the following list to compare and contrast with the current U.S. healthcare system: China England Germany Australia Canada Japan Once you have thoroughly analyzed the health policy information for your chosen country, answer the following questions: What is the main focus of the policy standard in this (chosen) country? What are the similarities to the U.S. healthcare system? Governance Workforce Leadership Quality How does the U.S. healthcare system differ in terms of policy? Where do you foresee the U.S. healthcare system in the future (long-/short- term)? ( Review from one of the the following perspectives: the provider, the patient, or other stakeholders) Summarize the meaning of universality in U.S. health policy versus your chosen country. (Include your research on the future of the U.S. healthcare system) The paper: Must be 4 to 6 double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Must include a separate title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must use at least four (4) scholarly sources in addition to the course text. Must document all sources...
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...Care In today’s highly competitive regulated healthcare environment, it is so important for different companies to bring to their market new medical technology and to keep them in their market. Therefore, managing different regulatory issues is an essential key to a strategic advantage. Currently, there are strong standards and guidelines put into place to ensure that all devices are well safety equipped, well studied before putting it out in the market and have less negative reactions. The strongest way to judge efficacy of any technology is data acquisition through randomized clinical trials (Berkowitz, Robert, 2010). Off course, this is not possible or even feasible in certain cases. Properly designed case series and cohort studies can provide and prove hypothesis. Observational and epidemiological studies can help identify unexpected deviations and outcomes. Meta-analysis can then take in to consideration all the available evidence and summarize the current state of knowledge. Incorporation of Cost-Effectiveness Analysis and Cost-Benefit Analysis help calculate and extrapolate economic aspects of any medical technology. Technology continues to affect the healthcare industry (Berkowitz, Robert, 2010). Currently, the industry is moving towards the electronic medical record (EMR), data reporting from the EMR, and availability from systems that can communicate with each other. As technology changes, so must the healthcare industry. The ability to change, adapt, and use...
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...ASSIGNMENT: 3 ORGANIZATION OF A HEALTH CARE FACILITY HEALTH CARE POLICY LAW AND ETHICS AUGUST 10TH. 2013 Your reputation as a renowned administrator to successfully lead mergers and acquisitions of hospitals precedes you, and you have been hired to create and open a new specialty health care business. This is a clinic with physicians who specialize in the following areas: dermatology, gynecology, heart disease, respiratory disease, surgery, and gastroenterology. It is located in an exclusive neighborhood. 1. Determine whether you would incorporate and state the advantages and disadvantages of doing so. The first order of business is to analyze the demographics of the neighborhood and its residents. Incorporating so many specialties in an exclusive neighborhood can bring about several challenges such as an influx of a variety of individuals from all walks of life. In addition, there could be a traffic nightmare with having so many specialties in a neighborhood such as women with children, old and young adults. The advantages of incorporating multiple specialties in a new clinic would be financially rewarding for the owners. The reason for the financial rewards would be that if one specialty does not do well, then the other would offset any deficits incurred. Another advantage of group practice from the perspective of the provider include shared operation of the practice, joint ownership of facilities and equipment, centralized administrative...
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...Healthcare reform advocates are undoubtedly relieved to have successfully facilitated a historical legislative process - the culmination of which resulted in President Barack Obama passing the Patient Protection and Affordable Care Act (PPACA), a federal statute which, in tandem with the Health Care and Education Reconciliation Act (HCERA) of 2010, formed the Health Care Reform Act of 2010. This dual set of reforms jointly address many of the undesirable issues that have transpired within the United States health care system, such as offering citizens a cost-effective broad choice of Insurance coverage, bringing skyrocketing healthcare costs under control, making Medicare more efficient, and enacting consumer protection laws which will hold insurance companies accountable for the prevalent discriminatory actions which have pervaded the system (Obama, 2009). However, HCERA opponents will continue to utilize legislative protocol to upend the policy. As with any perceived discrepancy in the legislative process, opponents of HCERA are outraged that the “Democratic leadership’s decision to “ram through” reform using budget reconciliation to modify the Senate-passed bill sufficiently to make it acceptable to the House” (Aaron & Reischauer, 2010). As much as “outrage” may have no legitimate place in policy-making, high emotions will nonetheless negatively affect future debate. The level of vitriol from the opposition to health care reform reached unprecedented heights, with people...
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...Brownfield v. Daniel Freeman Marina Hospital Question 1: What are the ethical considerations of this issue? The ethical considerations of this issue, is the responsibility of the hospital to provide all the relevant information concerning access to emergency contraceptives, for rape and sexual assault victims. Brownfield’s defense supports the idea that emergency contraceptives, Plan B, and oral synthetic hormones are the most common form of emergency contraceptives, and this information must be given to the victim upon her request. These contraceptives are called the “morning after pill or plan B”. Question 2: What are the legal considerations of this issue? Some legal considerations are the Principles of Informed Consent. This principle allows a competent individual to advance his or her own welfare. The rights, responsibility are performed freely and willingly to consent, or the refusal of consent based on recommended medical procedures, such as the benefits, burdens and risks involved. Informed consent is based on; (a). Adequate disclosure of information (b). Patient’s freedom of choice (c) Patient’s understanding of information an (d) Patient’s ability for decision making. By meeting these requirements, three necessary conditions are satisfied that is; the individual’s decision is voluntary, the individual is fully aware of the circumstances, the individual’s choice is deliberate in so far as the patient has carefully considered all of the expected...
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...FINANCIAL AID AWARD Dear Erica, April 14, 2015 Xavier University ID: 000620178 IMPORTANT! This is about your financial aid award for the 2015‐2016 academic year. Please review this information to learn: 1) The amount of your financial aid that will apply to your tuition and fees for a given term. 2) How much the Bursar estimates you will be charged for each term. 3) What your estimated remaining balance is for each term, which is what you owe after your financial aid is applied. 4) The projected enrollment information provided to our office is as follows: Summer term: 5 hours, Fall term: 6 hours, Spring term: 6 hours. Please respond to this email or call the Financial Aid Office at 513‐745‐3142, if you wish to decline any aid listed or if you have questions. You also can learn more about the financial aid process by visiting www.xavier.edu/financial‐aid. Our office cannot award you financial aid being you are in a non‐qualifying program, Post‐Masters Cert Nursing / Family Nurse Pracitioner (FNP). Estimated Charges by Term: Your tuition and fees for each term are listed as follows. Tuition Summer Semester $3,030 Fall Semester Spring Semester Totals $3,636 $3,636 $10,302 Instructional Technology Fee $ 0 Student Health Fee Student Activity Fee $ 0 $3 $3 $3 $ 9 Freshman Orientation Fee $ 0 Estimated Room Charges (on campus) $ 0 ...
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...Health Policy Political Competence Political Competence Senior executives from a variety of organizations are often called to testify about health policy issues. It is in the organization’s best interest if these executives are both politically competent and good corporate citizens. As long as the organizations executives are politically competent and good corporate citizens, whatever statement the corporate representative gives has to be creditable. This means that the representative has to have good ethics, uphold good community responsibility and must show the same level of respect. Although confusing, health policies are the orientation to the health facility by addressing the problems that can be changed. Issues must be identified and executives have to understand the problem and be guided by a model when resolving the issue. Senior executives have to participate in the political process and understand the rules of politics. Excellent executives are able to guild people through excellent ideas and they can generate great results. They must be willing to take action and create the change that is needed, employees need to feel secure and political competence allows them to move forward. In general terms, what knowledge, skills, and individual behaviors must an executive have to politically competent and to be good corporate citizens? The individual must present themselves in a high standard of honesty, have excellent communication skills and most important have...
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...This is a case of a 34-year old woman called June who is suffering from severe anorexia. She agrees to be placed on a feeding tube in order to save her life. On the evening before the tube is placed, June becomes disoriented and physical and totally refuses to have the feeding tube placed. The ethical dilemma sets in when the parents insist that the tube must be inserted despite her refusal, while the ex-husband wishes to uphold June’s final decision which most certainly will lead to her demise. The hospital administrators seek legal counsel in order to save the situation. This case though a sad one, presents with it several repercussions. This paper will explain the various implications that June’s case presents in the contemporary world and the various paths used to derive the elusive “right” decisions on the way forward. The patients’ bill of rights is a document that was developed by the American Hospital Association in order to improve the relationship between the patient, the medical staff and employees in the provision of health care. It enumerates several rights that a patient is entitled to before, during and after getting treatment. While this document is not law; it is very important in ensuring that all activities towards a patient’s health are carried out with consideration for their values and dignity (Maryland Hospital, 2011). The patient’s bill of right gives June several privileges as a patient concerning her treatment. First, she can make her...
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...Business and Canadian Government Policy; Initiating a New Policy Name: Institution: Course title: Instructor: Date: Business and Canadian Government Policy; Initiating A New Policy Introduction This paper looks into a proposal on the introduction of a universal pharmaceutical policy or pharmacare in Canada. Canada is a country that has a global reputation of offering a successful healthcare to its populations. The Canadians enjoys free healthcare facilities because when they get sick they just need to visit the hospital or their doctors even when they do not have money. The government funds for the universal health policy by use of government revenues. The government gets the funds to pay the policies through taxation of Canadians who are well-off. Most Canadians especially the ordinary Canadians have benefited from the universal healthcare as it has increased their accessibility to health services (Fierlbeck, 2011). Although most Canadians and stakeholders consider the Canadian healthcare policy as universal, it is not comprehensive. A comprehensive healthcare policy should offer a complete healthcare package for citizens. The current healthcare policy in Canada does not substantially offer a comprehensive healthcare policy. This is because various core areas of healthcare are not covered with the current policy on healthcare. The core areas that have been left out by the policy include dental care, prescription drugs, and prescription glasses. The prescription drugs are more...
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...Canadian Healthy Policy vs. United States Health Policy AHS 330 Health Care Systems: 7Q April 2, 2014 Healthcare in the United States is extremely different from the rest of the world. Over the years government and political analysts have compared and contrasted the health care systems of the United States to that of Canada’s. Despite being located on the same continent both countries have different ways of delivering health care to its citizens. Canada has a single-payer system that is publicly funded, while the United States has a multi-payer system that relies heavily on privately owned healthcare. This could be due to the differences in how many patients are cared for compared to those in America or it could be just a matter of who developed the better healthcare. However, due to the close proximity of the countries it is possible that the United States can adopt the Canadian healthcare system. According to Health Canada, Canada's publicly funded health care system is best described as an interlocking set of ten provincial and three territorial health insurance plans. Known to Canadians as "Medicare", the system provides access to universal, coverage for hospital and physician services. With this being said it is safe to assume that health care services are provided on the basis of need, rather than the ability to pay. “The Canadian Health Act contains a single national plan that is composed of thirteen provincial and territorial health insurance plans that all share...
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...about the Affordable Care Act and Indian Health Care Improvement Act, which extends current law and authorizes new programs and services within the Indian Health Service. This information is all well written and easily accessible for the general public, members of IHS, providers, and also those looking for a career opportunity in this specific field. This site also provides legal information such as eligibility and legislation for IHS, which covers 566 federally, recognized tribes in 35 different states. Overall this site is credible and well put together in order to aid the public in learning more about the health system for Native Americans and Alaska Native. NBC News. (2014). Broken promises: Reservations lack basic care. Healthcare on NBC News. Retrieved from http://www.nbcnews.com/id/31210909/ns/ health-health_care/t/broken-promises-reservations-lack-basic- care/#.VIOJX4d692c This news article provides a real life example of the Indian Health Service system failing to provide proper care to a five-year-old girl on the Crow Reservation in Montana. The article goes on to discuss the legality and weaknesses that are highly present in the IHS and also refers to the “don’t get sick after June” concept that is said when federal dollars for this service run out. Provided these real life examples and detail research...
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...centralized primary care facilities. The purpose of this paper is to look at forces that have influenced the development of the clinic, a mission statement, key performance indicators to measure effectiveness, decisions regarding clinic expansion, the role of the clinic in the community, and influences of public healthcare policy on outpatient clinics. Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics can hamper development of private healthcare organizations by compromising quality, limiting accessibility or feasibility, or increasing the cost of healthcare through laws, regulations, policies, requirements of private practice, and monitoring of services (Griffith & White, 2007). The primary care clinic must balance the requirements and regulations of private practice while creating a market for quality healthcare in the community marketplace. The clinic model has advantages over other models in that it allows practitioners a level of economy in sharing their medical facilities, equipment and staff with others, minimizing overhead and allowing them to keep the rising cost of healthcare lower by sharing equity. Improved patient quality is also provided by medical specialists involved in primary care in a single cohesive environment, and patient satisfaction can be increased through a well-managed plan of diagnostic, treatment and billing services. Primary care clinics offer an outlet for a variety...
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...How Does Cost Affect the HealthCare Delivery System? An In-Depth Look at the Health Care Delivery System and Cost. | | Princess L. Brigham | 11/23/2010 | HSA 6414: Social Dimensions and Issues in Health Care | ABSTRACT How does cost affect the health care delivery system? This research focuses on the cost of the health care delivery system and how it affects today’s society. High costs, gap-ridden coverage, and sporadic quality are the health care problems that most concern Americans. Yet most of the policy discussion is focused on the issue of coverage. Health care is expensive because of the pervasive entitlement attitude held by literally everyone in the system: patients, providers, suppliers, insurers. Government insurance (Medicare, Medicaid, veterans, Department of Defense) covers 87 million; tax breaks subsidize 176 million in employer coverage; insurers and other third-party payers take care of the bills for 85 percent of Americans. There is little awareness of the full cost or value of medical treatment on the part of consumers or providers, and little opportunity for individuals to choose their own coverage or make informed decisions with their doctors about treatment. Health care costs are far higher in the United States than in any other advanced nation, whether measured in total dollars spent, as a percentage of the economy, or on a per capita basis. And health costs here have been rising significantly faster than the overall economy or personal incomes...
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