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Phase 1 Individual Project
Phase 1 - Healthcare Foundations
HSS103-1403A-04 : Introduction to Healthcare Delivery Systems
7/17/2014
Tamika Warford

Explain the various government roles in health care and explain your examples.
The government’s involvement in the market exists along a continuum. limited government regulation in the system allows businesses to freely compete. This type of system, a system with limited or no regulations, is described by the term laissez- faire, or “ hands off.” At the far right, complete regulation could be characterized by government owning and running the entire health care system and mandating all components from the types of services provided to the prices that clinicians could charge or how much salary clinicians could earn. Examples of a fully regulated system are the National Health Service in Great Britain, the French health care system or the health care system of the People’s Republic of China. ­According to a study of the cost components of health care, approximately 14.5 percent of the dollars spent on actual use of medical and health care services ($ 339.2 billion of $ 1.34 trillion in personal health expenditures in 2002) in the United States is spent on regulation ( Conover, 2004), and only $ 170 billion of benefit is derived from that government regulation.
The roles played by these two different levels of government are dynamic and differ by political ideology. Some believe that to have equitable ­access to care, the federal government must provide health care or health insurance to all Americans. Others believe that different states have different needs and different priorities, so it should be up to the citizens of each state to determine whether the state should require health insurance and how much. The 10th Amendment to the United States Constitution states, “ The powers not delegated to the Federal government by the Constitution, are reserved to the States respectively, or to the people.” However, the federal government has enacted many laws and created many programs that have given it power beyond what is explicitly stated in the Constitution; the 10th Amendment has not in the past prevented greater government involvement in the health care system.

reference
Yesalis, C., & Politzer, R. M. (2013). Fundamentals of U.S. health care: principles and perspectives. Clifton Park, N.Y.: Delmar, Cengage Learning.

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