5 April 2013
American Health Care,
“Need for Change”
The aim of this research paper is to discuss and compare health care systems in different countries and to find out what is the best solution of whether the dominance of public or private spending is optimal for the society; here the comparison between Canada, France and USA health care system will be appropriate. The United States is having many problems with the way the economy is today. The economy is at its worst, and the health care system is not any better. The United States has the most money spent per person on healthcare than any other nation. Even though health care in the United States is at its worst, the American people shouldn’t be spending as much money on it as they are currently paying. We should understand that health care should be considered a human right, rather than an economical benefit. Health care advancements in America are notably the best in the world. We continually strive for preventions and cures of diseases. America has the best medical scientist and physicians that specialize in their medical fields. According to Census Bureau (2011), "what makes America health care system great is its ability to attract the finest minds in our society," that can help the sick by preventing and curing medical complications. United States is noted worldwide for their medical care and physicians from other countries jump at the opportunity to join the American medical system. The traditional perception of health care as one of the paid services was and is still remaining the leading one. But it doesn’t give the poor, elderly and disabled people, who most often need the medical treatment, the possibility to receive this treatment. In 1965, however, the Congress introduced Medicare and Medicaid programs, which were tax-funded and offered medical help for those groups of society who were not able to afford to pay for medical care. Naturally, this has caused the growth of health expenditures. In the 1970s the government was trying to stop the growth of spending on health care and offering different measures: price controlling and regulation of medical practice. These measures, however, didn’t work, as the doctors have been protecting their incomes. We can make a conclusion that the concurrence solely between GPs (general practitioners), private doctors etc. is not enough to maintain the balance of prices and provide the needs of consumers. In 1980s a lot of insurance companies called “Health Management Organizations” (HMOs) emerged; they were not offering direct medical treatment, but were instead making contracts with private doctors and taking the insurance payment from citizens. This helped a little to reduce the growth of budget spending for medicine, but did not help to solve the problem in general, as they didn’t manage to perform a constructive structural change in health care system. The National Health Service (NHS) remained necessary for the less protected groups of society and their financing still was growing. The policy of both presidential candidates in 1990s included the concept of “managed care”, which meant the further development of HMOs network and the participation of the employers in it. But statistics in the beginning of 2000s has shown us that not very many employers have accepted this offer, and those who were using “managed care”, were mostly big corporations. In 2011, the Census Bureau published a survey of more than 500 corporations in the US and it turned out that less than 10% of the employers offered “choice or fixed dollar contribution” to their workers. The reforms in 1990s years have been aimed to the reduction of budget costs involved into health care and stimulation of the concurrence between private doctors and National Health System. In fact, they have contributed to the development of the private practice and GPs in the US and have strengthened their positions against those of the NHS workers. Currently, the...
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