Essay On Health Care Rationing

Good Essays
Distribution of health care resources is a highly debated topic, and many have suggested that at the core of this distribution is rationing. According to Scheunemann & White (2011), rationing is withholding or restriction of potential beneficial treatments or access to medical services via gatekeeper controls, controlled distribution, national budgeting, government-set prices, and provider fees. Healthcare rationing exists in the US healthcare system, and in many forms. Rationing in the US is a bottom-up, decentralized policy that occurs in both the private and public health care sectors (Hoffman, 2013).
The government, insurers, drug companies, and individuals ration health care mainly on the ground of cost, the insurance coverage, and the ability to pay. Rationing by the ability to pay is the most common; however, rationing by race, region and address, employment and occupation, and parental status and age are also familiar to many Americans. Rationing is practiced in ways both official and unofficial, intentional and unintentional, detectable and undetectable; therefore, the way of
…show more content…
The Affordable Care Act (ACA) prohibited such practices of rationing; however, while the ACA actually contested the rationing of health care by eliminating the pre-existing medical condition exclusions, it also created gatekeepers such as Accountable Care Organizations, Health Maintenance Organizations, insurance companies, and other professional organizations that have a power to control costs that, in turn, creates rationing, in this case, official. The ACA’s strategy is aimed on shifting from fee-for-service model to a model that rewards healthcare providers for cutting costs and rationing care (Randall,

You May Also Find These Documents Helpful

  • Better Essays

    Healthcare Reform Essay

    • 770 Words
    • 4 Pages

    The rising cost of healthcare in today’s economy is in desperate need of reform. The cost of healthcare has affected the number of people able to receive medical care. Individuals are suffering more than ever because of the inability to receive medical attention when it’s needed.…

    • 770 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Rationing of care - Reform includes having bureaucrats deciding what procedures individuals can have based on age and the severity of their medical condition. Those decisions are best left between a patient and their physician.…

    • 333 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    health care system is dysfunctional and can no longer continue as it currently operates. With or without Affordable Care Act (ACA), there is a need for a deep change. The United States spends more money on health care because a nation is less healthy on the average than the rest of the developed world. The system is dysfunctional and ACA is fast-tracking the process of changes that will be faced by the economic and business challenges by health care organizations. The required adjustments to healthcare organizations operating budgets and methodologies for delivering medicine may become a big issue. Health care organizations will have to go from volume-based reimbursement in medicine based on the number of procedures done or patients seen to a value-based system that will give the same money for every patient regardless of the procedure performed. Health care organizations may have lower income since they will treat more patients. They may face cost-pressure factors such as the overall cost of medical care and the increased incidence of chronic disease, cost transparency and reference pricing, increased government role in paying for care, increased coverage and limited highly skilled medical workforce There is a prediction that forty million more people will be covered nationally, at reimbursement rates below the cost of providing that care (Adams et al.,…

    • 1835 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Escape Fire Paper

    • 1432 Words
    • 4 Pages

    Dr. Don Berwick, Head of Medicare/Medicaid 2010-2011 whom talks about how unsustainable the healthcare system is. We’re spending almost twice as much in America as any other country on earth. Yearly, we have been spending $2.7 trillion in healthcare. The average per capita cost of healthcare in the developed world is about $3,000, but in the United States, it was around $8,000 annually, more than double. Due to these astronomical amounts, healthcare has not become affordable anymore. Insurance companies are raising their rates they are charging for premiums, covering less on patient care, which in turns takes even more money out of our pockets because we now not only have to pay the premiums, but are now left with the portion of the care given that we must pay for out of our pockets.…

    • 1432 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Obamacare

    • 353 Words
    • 2 Pages

    Private medical insurance is valuable to have, but can come with many disadvantages for the consumer. The article “the U.S. Healthcare system” focused on the faults of the United States healthcare system when compared to other countries with Universal healthcare. America has the most expensive healthcare system in the world. One reason for the rising cost of healthcare in America is that an estimated “19.3 to 24.1 % of the money is spent on administration cost. Obama wants to make sure that America is not being taken advantage of by insurance and prescription drug companies. Some insurance companies are overcharging doctors for their malpractice insurance, which is causing patients to have to pay more in order to be seen by a doctor.…

    • 353 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Much of the change in the U.S. system is occurring in the delivery system component. The growth of the health services system, the increasing expenditures required to sustain it, the significant number of people without access to care, and the projections of increased demand from an aging population are stimulating changes in both the financing and delivery systems. The most pervasive change has been the shift away from the fee-for-service delivery system to managed care. (Barton, 2007)…

    • 532 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Health Care Professionals

    • 1766 Words
    • 6 Pages

    The structure of the U.S heath care system is certainly a topic greatly debated. Whether it is discussing the cost of health care, poor outcomes, shortages in health care workers, underutilization of other health care workers, the lack of access to care, or growing demand by consumers for health care that offers choice, quality, convenience, affordability and personalized care. It is not a secret that the United States spends more money than any other nation on health care, but only ranks 34th in the world in life expectancy and has higher mortality rates in infants than any other nation that is developed.…

    • 1766 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    How can we define health care disparity? In a world in which we have set parameters, measurements and numbers, health care disparity is one of those concepts that are not easy to explain or to define, unless you have experienced it. As a minority myself, I have always wondered if this is a reality in our current health care system or just merely a difference in outcomes between races. The reality is that, there is a difference, as I have experienced it many times as a patient myself and in the work field as a nurse. I believe this is one of the current non-managerial challenges that we face in our health care system, and it is a problem that unless we improve our efforts to end it right now, it will be one of the major challenges in our future.…

    • 573 Words
    • 3 Pages
    Good Essays
  • Good Essays

    New restrictions placed on insurance companies under the Affordable Care Act dictate that insurance companies must spend 80% of collected premiums on patient care. These restrictions create a financial concern for insurance companies and their investors.…

    • 673 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Ambulatory Care

    • 11796 Words
    • 48 Pages

    118 • CHAPTER 6 Ferreter, M. (2000). Taking their cut. Modern Physician, 4(1), 40. Greenfield, S., Nelson, E., Zubkoff, M., Manning, W., Rogers, W., Kravitz, R., Keller, A., Tarlov, A., & Ware, J. (1992, March 25). Variations in resource utilization among medical specialties and systems of care. JAMA, 269(12), 1624–1630. Hall, M., & Lawrence, L. (1998). Advance data: Ambulatory surgery in the United States, 1996 (Vital and Health Statistics, Vol. 300). Hyattsville, Maryland: National Center for Health Statistics. Health Care Financing Administration. (1998, July 23). CLIA: General program description [On-line]. Available: www.hcfa.gov/medicaid/clia/ progdesc.htm (Accessed April 24, 2000). Henderson, J. (1992, May 18). Surgicenters cut further into market. Modern Healthcare, pp. 108–110. MacColl, W. A. (1966). Group practice and prepayment of medical care. Washington, DC: Public Affairs Press. Medical World News. (1973, September 21). Moran, M. (1998, March 9). More physicians are employees. American Medical News, pp. 7–8. Moskowitz, D. (1999). 1999 health care almanac & yearbook. New York: Faulkner & Gray. Patient dumping: Hospitals caught between feds, HMOs. (1999, February 19) American Health Line. Starr, P. (1982). The social transformation of American medicine. New York: Basic Books. U.S. Department of Health, Education, and Welfare. (1970). Medical care for the American people: Final report of the Committee on the Costs of Medical Care. Chicago: University of Chicago Press. Woodwell, D. (1999). National ambulatory medical care survey: 1997 summary. Hyattsville, MD: National Center for Health Statistics.…

    • 11796 Words
    • 48 Pages
    Powerful Essays
  • Good Essays

    The national health care spending in the United States has been growing faster than the national economy for many years, yet many United States citizens are without sufficient health care. Not only is it representing a challenge not only for the government’s two major health insurance programs (Medicare and Medicaid), but with the private sector insurance also. As health care spending rises for the nation’s economic production in the future, United States citizen may/will be faced with difficult choices between health care and other priorities to their everyday living. Nevertheless, an assortment of data suggests that opportunities exist to limit health care costs without unfavorable health consequences. More information on the following including, The level of current national health care expenditures; Whether the spending is too much or not enough; Where the nation should add or cut, and why; How the public’s health care needs are paid for, such as being financed by various payers, while indicating the percent of total expenditures they represent.…

    • 922 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Rationing Healthcare

    • 2013 Words
    • 9 Pages

    Within the last decade private insurance premiums have doubled, rising four times faster than wages. Insolvency of the current government assisted healthcare programs, Medicare and Medicaid, are on track to occur within the next eight years (Singer, 2009, para. 3). Facts such as these lead most experts and scholars such as Peter Singer, bioethics professor at Princeton University, to believe rationing of healthcare is not only necessary but highly desired for all stakeholders involved. The fact of the matter is that healthcare is a scarce resource, and like all scarce resources, it requires close management and rationing to ensure its best use.…

    • 2013 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    To conclude, in the last decade health care cost has risen so drastically in the United States to the point it has become a burden to families who simply trying to live and make a productive living. And the arrival of Obamacare infuriated coverage providers and health care providers to the point that lead the quality of care to dissipate. I tyrant was created in the healthcare system that wields a mighty weapon of capitalistic influence over our elected leaders. The name of this giant is called third party payors, and the weapon is campaign contributions. The cost is steadily rising with no end in…

    • 880 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Affordable Care Act

    • 3429 Words
    • 14 Pages

    Oberlander, J. (2011). Throwing darts: Americans ' elusive search for health care cost control. J Health Polit Policy Law. 2011 Jun;36(3) , 477-484.…

    • 3429 Words
    • 14 Pages
    Powerful Essays
  • Powerful Essays

    According to the Health Resources and Services Administration (HRSA), health disparities are defined as “population-specific differences in the presence of disease, health outcomes, or access to healthcare” (2013). In the United States, health disparities are a well-known problem among ethnic minorities such as African Americans, Asian Americans, Native Americans, and Latinos. Studies have shown that these groups have a higher prevalence of chronic conditions along with higher rates of mortality and poorer health outcomes, when compared with the white population. Without access to regular preventative and primary health services which are vital to comprehensive care, it is rather arduous to…

    • 1599 Words
    • 7 Pages
    Powerful Essays