...HCA-255 04/28/2013 Professor Mary White The U.S. Health Care System This paper is a comparison between the U.S. health care system and the Japanese health care system. The focus will be on why and how Japan is achieving better health services and outcomes for less money than what the U.S. health care system is achieving while spending more money. America spends more on health care than any other country and has a reputation of providing low-quality patient care as well as inadequate preventive care. The health care system in Japan is a universal type system very much controlled by the government as well as each prefecture. All the health insurers in the public health insurance system pay providers according to a national fee schedule set by the government and prefectures. There are no private health insurers in Japan. The government sets fees for insurers to pay for procedures, office visits, drugs, and other preventive care measures to keep insurance companies from competing with each other and end up spending about half of what Americans pay for the same health care services. The “Japanese government conceptualizes the health of its population as a component of national security” (Thomson, Osborn, Squires, Jun, 2012). The health of individuals is a major factor in Japan. They focus on primary care, health behavior changes and prevention of illness through living healthy and getting regular screenings. They limit services that incur major costs unless deemed a medical necessity...
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...The U.S. Healthcare System HSA500 Health Services Organization Instructor: Denise Pica-Branco December 15, 2014 The U.S. Healthcare System Health care system is failing due to the lifestyle in which people live, how people are treated and how people treat others. Emmett Miller, a physician, psychotherapist, teach, musician, a highly respected innovator and clinician, is often acknowledged as a father of Mind/body Medicine. Miller believes that if health issues are approached from a more efficient or complete perspective, some of the underlying health issues that people have may not exist or continue. He also believes that emotional, mental, spiritual, behavioral, and social factors play a pertinent role in one’s health as well as in diseases. If these types of issues are addresses accordingly within the health care system, it would allow faster and/or complete healing while a larger portion of illnesses would be prevented as a whole. Some people’s perspective on health has been changed by Dr. Miller’s views as they have transitioned to the use of self-healing tools that he has developed. More and more people are beginning to realize that most illness and dysfunctions are not primarily caused by the external factors in which we believe, but are caused by our attitude, reactions, and emotions, as well as by out stresses and expectations. He believes that our health care system will continue to be in trouble if people fail to realize that patient participation is a crucial...
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...Characteristics of the U.S. Health Care Delivery System Introduction The U.S. health care delivery system can be best characterized as a loosely coordinated network of components that are interconnected. As noted by Shi and Singh (2008, p.4), “the system is a kaleidoscope of financing, insurance, delivery, and payment mechanisms that remain unstandardized but loosely connected”. The system is a combination of both government run programs (Medicare, Medicaid, Schip) private carriers such as HMO’S and other volunteer services such as the American Heart Association, American Lung Association, and a host of other organizations. The purpose of this assignment is to describe two defining characteristics (financing and delivery) of the U.S. health care delivery system and to further analyze and describe their implications on the system. Financing of Health Services As asserted by Shi and Singh (2008, p. 6), financing is an important prerequisite to obtain health insurance or to pay for health services. In the private sector, the financing of health care services for individuals is typically derived from their employers who often pay partially for such insurance in the form of fringe benefits. Employees are also given an opportunity to add other members of their families to this type of employer based insurance. As noted by Barton (2010, p.177), private insurance is estimated to cover about 67 percent of the nonelderly population and accounts for 54% of the revenues...
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...Comparison of U.S. and Canadian Health Care Systems Quinn Sullivan California State University East Bay Abstract Health care is an essential service needed by citizens. As a result, the government plays an important role by designing an appropriate health care system for its citizens. In this paper, a comparison between the health care system in the U.S. and Canada has been made. Using various literary sources, the comparison has been done considering the four components of health care services delivery; financing, insurance, delivery, and payment. The findings indicate that the health care system in the U.S. is expensive but more efficient than the single-payer health care system in Canada. The findings have further been analyzed to ascertain its implications on the U.S. citizens, as well as the Canadians. The paper concludes that the health care system in the U.S. does not favor the middle-class earners, and thus recommends an improved system. Table of Contents Abstract 2 Table of Contents 3 1. Introduction 4 2.1 Health Care Delivery ...5 2.2 The Cost of Health Care and Administrative Overheads 6 2.3 Health Insurance 6 2.4 Funding 7 3. Analysis of Findings 8 4. Conclusion 9 5. Recommendations 10 6. References 11 1. Introduction Health care is among the basic needs of human beings. The need is not discriminative because everyone has an equal chance of...
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...The United States health care system is quite unique when compared to Canada’s health care system and those of other countries. Canada provides universal coverage, is privately run and is publicly funded through taxes. The U.S. is the only industrialized country that does not offer universal health coverage. The U.S. is said to be part of the developed world in terms of technology, well trained health professionals and job opportunities although when it comes to health outcomes it doesn’t do so well. Available studies suggest that the health outcomes in Canada were superior to those compared the U.S. The U.S. faces multiple barriers that have made their health care system inconsistent and so costly. In the past the system focused on revenue maximization instead of quality care at an affordable cost. The U.S. spends twice as much more per capita on health expenditures when compared to Canada (O'Neill & O'Neill, 2007). Canada spends much less on health care and yet performs better than the U.S. in health outcomes, infant mortality and life expectancy. A comparison of the U.S. health care system and Canada’s system performance will be evaluated along with the health outcomes that have resulted from each system. The U.S. has a multi-payer private health care system where Canada has a single payer and is mostly a publicly funded system. “In Canada in order to receive full funding for health insurance the provincial government must meet the following criteria: care available to all...
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...Comparing and Contrasting the U.S. Health Care System By Evelyn D. Bang October 17, 2010 Abstract Comparing and contrasting the U.S. health care system with that of other countries is not an easy task. There is a great deal of information that is not only organized in a number of different ways but also it is used to measure extensive and deviating factors. The conclusion will often depend on what is believed and which factors are the most important to the individuals performing the comparison and contrast of the different health care systems. However, the U.S. is presently considering a number of propositions in reforming its health care system and very often Canada is referred to as a potential model. Likewise, Canada at times looks to the U.S. for methods to improve its system. As a result, the pursuit for improvement in both health care systems has led to plentiful but compatible and incompatible documentation about the relative merits of the two systems (Madore 1992, para. 1). Comparing and Contrasting the U.S. Health Care System A healthcare system can be reviewed by many standards. It can be reviewed by its effectiveness and efficiency, its fairness and receptiveness to the expectations of its population. It can be reviewed through its non-discriminatory economic contributions and suitability and lastly, it can be reviewed through its population’s overall health. Comparing and contrasting the U.S and Canadian. Health care systems Both the Unites States...
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...| Health care system in the U.S. and changes by Obama | | Semir Golic30.11.2010 | Table of Contents: 1. Introduction 3 2. The History of health care in the USA 4 3. The Health Care System 5 4.1 How health insurance works 4.2 Different insurance programs 4.3 Problems 3.3.1 Financial & bureaucratic problems 3.3.2 Conflict with the American Dream 4. Changes of Obama 9 5.4 Reform of the system 5.5 Problems 5. Evaluation 11 6. Bibliography 13 1. Introduction As in we know the United States strive in most categories to be the number one of the nations, be it military power, or be it technological innovation as much as economic power. Usually they tend to have success in this aspiration and so we would assume that their health care system counts to the most modern and best working innovations on the world. As it is confirmed and proven by many different organizations we know different. “Seven years ago, the World Health Organization made the first major effort to rank the health systems of 191 nations. France and Italy took the top two spots; the United States was a dismal 37th. More recently, the highly regarded Commonwealth Fund has pioneered in comparing the United States with other advanced nations through surveys of patients and doctors and analysis of other data. Its latest report, issued in May, ranked the United States last...
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...basic human right; however, the reality is that health care is often based on privilege and/or driven by employer benefits. There are many factors to consider when discussing healthcare as a basic human right. All individuals, regardless of income, race, or status should be treated equally when it comes to safe, effective, and quality health care. Even though I believe healthcare should be a human right, we have to consider how this would be feasible among different populations and societies. According toMaruthappu, Ologunde, and Gunarajasingam (2012) “a fundamental difficulty with considering healthcare as a right is that this right, unlike many others, is dependent upon the resources of a society, and the ability to meet the demands of the population without disparity in distribution and allocation of medical care (para 4). The government plays a significant role in the U.S. health care system. Without the support of the government, many companies would likely struggle to be able to offer employees health insurance. “With the enactment of the Patient Protection and Affordable Care Act of 2010 (ACA), government’s role has expanded dramatically, especially when it comes to insurance coverage” (Knickman & Kovner, 2015, p 29, para 2). In addition to jointly funding Medicaid programs and making health insurance more accessible for all individuals, the government provides tax incentives to companies to encourage them to offer health insurance to their employees (Knickman & Kovner)...
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...of the U.S. Health Care Systems Strayer University Historical Transitioning and Growth of the U.S. Health Care Systems Abstract I found four articles that talked about the milestones in healthcare, financial and technical structure, changing demographics and the baby boom generation. Some of the authors include James Kirkman, Emily Snell, Rick Ratliff, S. Smith and the European Commission Decision. As time moves forward, health care continues to change and evolve in order to keep up with the growing population. If we did not constantly analyze each health care system to see where we need improvements, we would not be able to successfully fulfill our patient’s needs. First we must examine the key milestones involved in the past and present shaping and transitional dynamics behind changes in the present health care industry. Ratliff et al. (2012) stated that “Where central governments have traditionally implemented whole-system change, we also can see similar attempts to connect healthcare providers as part of a single system. A national culture and the relationship between government and its citizens are also influencing factors. Accenture’s previous research into citizen perspectives on healthcare quality has shown that the balance of trust, confidence and communication between citizens and government can vary tremendously across nations”. By having this type of arrangement and effective communication, when it is time to move to something different in health care the transition...
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...How the U.S Health Care System Compares Internationally How the U.S Health Care System Compares Internationally The United States Health Care system is the most expensive in the world which continues to grow larger. The U.S ranks last because we have failed to achieve better health outcomes than the others. As an individual I feel that we can do a lot better only if we can figure out how to lower the Healthcare costs in the United States. Throughout the years they have been trying ways to cut the cost of healthcare, but we are nowhere near a solution. Among the 11 nations studied in this article Australia, Canada, Germany, France, The Netherlands, New Zealand, Norway, Sweden, Switzerland, The United Kingdom, and the United States the United Kingdom had the best overall Health Care Ranking. Living in the U.S, you would think that we would do a better job regarding quality, access, efficiency, equity, and healthy lives. We can better achieve these changes by learning from the other countries and by doing this the U.S should be able to make great improvements in within the Health Care System. Some of the improvements are being able to keep informed of broader issues and concerns such as how the system bears the cost of the insured and underinsured. Another is advocating policy changes at the legislative level and practicing more health promotion behaviors and using preventative services. There are many more ways that we can improve, but this can be...
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...This paper will explain how the past health care has change and the dynamics behind the changes in the health care industry today. Also in this paper the importance of financing and technology in the health care. The discussion of the complexities that is associated with changing demographics and emergent diseases, and the fluctuating and daunting challenges that management mortality trends that the Baby Boomers generation predicate. Summarize the key milestones involved in the past and present shaping and transitional dynamics behind changes in the present healthcare industry. 1850-1900 was a time were the environment condition such as water sewage disposal, contaminated food, inadequate housing were the cause of illness of infectious disease in the United States. People had to rely on home remedies, or woman who took care of the ill and no medical care was available. Doctors had little training in the scientific technology field and hospital was dirty run down which bought about a threat to life because of the diseases. Public health problems came about with such epidemics of acute infectious diseases. Before World War II military families and officers could get free of charge medical care. The federal government was not involved, they left it up to the states and the states had little to do with it. They left it up to private and programs that were voluntary. By 1930s hospitals were giving services to individuals on a pre-paid basis which, allowed for members to...
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..._________________________________________________________________________________________ Institutional Racism and Racial Discrimination in the U.S. Health Care System Institutional racism and racial discrimination in the U.S. health care system has been part of a long continuum dating back over 400 years. After hundreds of years of active discrimination, efforts were made to admit minorities into the "mainstream" health system but these efforts were flawed. Colin Gordon in his book Dead on Arrival portrays a very strong stance towards this issue when he states, “The American welfare state has always been, at root, a Jim Crow welfare state – disdainful of citizenship claims of racial minorities, deferential to a southern-controlled Congress, and leery of the racial implications of universal social programs” (172). It is evident that throughout the history of U.S. health care that race has shaped health provisions in a number of ways, most noticeably in private and public health care institutions. Gordon throughout his books discusses the ways in which institutional racism, specifically in the field of healthcare, has manifested itself throughout history. One of the most prominent manifestations of institutional racism in the healthcare field comes to light when examining past (and sometimes present) policies regarding admission (to healthcare facilities) and discrimination of minorities. It is evident when observing the adoption, administration, and implementation of...
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...The Analysis of Market Failure in the U.K and the U.S. Health Care System Contents Executive Summary 3 1. Introduction 3 2. Findings 3 2.1 The health care system in the U.S. 3 2.1.1 Adverse selection 4 2.1.2 Moral hazard 4 2.1.3 Market power (the pharmaceutical firm) 5 2.1.4 The Medicare-Medicaid 7 2.1.5 Suggestions and solsolutions...................................................8 2.2 The health care system (NHS) in the UK 9 2.2.1 Asymmetric informtion 9 2.2.2 Incentive problems 9 2.2.3 Market power of the health authority 10 2.24 Suggestions and solutions....................................................... 11 3. Conclusion 12 Reference List 12 Executive summary The main purpose of this report is to assess two approaches to health care, and briefly discuss market failures and the induced inefficiencies in them with the comprehension of applied microeconomics. This report will try to link the facts in health care provision with the essence of each health care system. Several practical proposals will be constructed. 1. Introduction Health care, as one of the most complicated public services, is an essential issue both in economic and social areas. The provision of health care is a matter of a whole nation’s welfare quality. In the contemporary world, there are two dominate but distinguishable health care systems. One is publicly provided, an example...
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...Legal Aspects of U. S. Health Care System Administration Lillie Cox Dr. A. M. Miller HSA 515 Health Care Policy, Law, and Ethics October 31, 2014 Legal Aspects of U. S. Health Care System Administration In the United States health care administration, there are lots of health laws, such as federal, state and local. The administrator will need to know these laws, because they will be interacting with top professionals at all levels. The health administrator is new to Well Care Hospital, and the hospital for the past six months has been under scrutiny for breach of medical compliance. It is important that the top administrator be concerned about the importance of his or her conduct within the health care setting; compromise the boundaries of ethics and medical conduct. This paper will also discuss the four elements required of a plaintiff, to prove medical negligence and the duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board manifesto. As the top health administrator, professional conduct is very important. The staff is to conduct themselves likewise. There is no room for a lot of playing around, because patients, family members, hospital directors, and the administrators are depending on each and everyone to set their difference aside, and be the professional they are. According to Wolper...
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...Health care and everything that it surrounds is continuously changing on a daily basis. There are many milestones that helped shape the health care industry. Some of these milestones of past and present are the substantial growth of uninsured Americans, the rising cost of health insurance and premiums, and The Health Care Reform Act. The financial aspect and technology has also changed healthcare. More money is being spent on technology which allows better treatment for patients. Advanced technology has led to better health care quality and the reduction of medical errors. There are social dynamics that also helped shape healthcare. The changes in demographic across the country play a major role in the type of health care that is needed and available for a specific group of people depending on where they stay and their income. Some of the major fluctuating and daunting challenges in health care management are operating cost, government mandate and regulation, and the new system put in place to comply with the ICD-10 diagnosis code system. All of these things play a major role in health care and the changes that are happening everyday. The amount of people who are uninsured in the United States is substantial. Most people who do not have insurance are low income working families. In most instances, the adults are the ones who are not insured but the children are. The reason for the rise of uninsured Americans is the high price of health insurance and the loss of jobs...
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