Kocheer R Emanuel E J DeParle N M 2010 affordable care act and the future of clinical medicine: the opportunities and challenges.Kocher, R., Emanuel, E. J., & DeParle, N. M. (2010). The affordable care act and the future of clinical medicine: the opportunities and challenges. Annuals of Internal Medicine, 153(8), 536-539. 201305182035111884104372…
The problem with Medicare is that it is not efficient and is in serious financial problems. One huge concern stated in the USA Today 's article, "Congress refuses to swallow cures for ailing Medicare, is that the baby boomer generation is about to become eligible for Medicare, and there is currently barely enough money to cover the current population of beneficiaries. Medicare is not the only problem with the American health care system. Increasing amounts of uninsured people, increasing prescription drug costs, increasing amounts of prescription drugs per individual, and the trend toward more expensive drugs are some of the other factors troubling the current health care system (Hansen 2). We all pay for the uninsured through increased medical bills and insurance premiums (Hansen 3). Prescription drug costs are rising due to the increases in research and development costs (Hansen 3). People are requiring more medication and do not tend to shop for the best price, instead they buy what is recommended and sometimes the most expensive (Hansen 2).…
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.…
There has been a challenge of rapidly rising costs in relation to qualify of outcomes. We have an insurance system that is costly and inadequate for those who really need it. We are faced with the high cost of new technology along with artificial restrictions on the supply of drugs. We also have uninformed or unnecessary needy consumers. These are some of the issues faced. The government is involved but there involvement is with controlling the drugs, and insurance and medical industry advertising. This form of spending would bring costs down.…
The documentary, Escape Fire: The Fight to Rescue American Healthcare, criticizes the current healthcare system designed for profit maximization, a physician’s dilemma between financial incentives and professionalism, and quick fixes rather than prevention of illness. The U.S. government spends $2.7 trillion annually on healthcare, and pharmaceutical drugs account for $300 billion, almost as much as the rest of the world combined (Escape Fire). The mindset that drugs are the only appropriate way to treat disease is invalid. Physician salaries are driven by the number of treatments and drugs that are prescribed and administered. The U.S. healthcare system is a business model where economic…
The new social contract between the health care system and employers, patients, and the government has given everyone involved some breathing room. They have provided a clearer picture of the costs of health care; however, it is evident that there is still work to be done regarding the transparency of complete and exact costs. For example; all hospitals have a price list called the chargemaster that includes nearly 20,000 health care procedures. The prices on this list are the prices that patients will most likely see on their bills; however, the terms are not standardized and many are bundled services that make it difficult to compare them with other institutions. It is obvious that even though the public does see more of what is being paid out on their behalf and by whom, true transparency is still lacking (Curtis P. McLaughlin and Craig D. McLaughlin, 2008).…
U. S. citizens pay the highest prescription drug prices in the world. This is an injustice that must be corrected. The "U.S. forbids the import of prescription drugs by anyone other than the original U.S. manufacturer, and even then only when the drugs meet all the approval requirements of the U.S. Food and Drug Administration (FDA)" (Barlett & Steele, 2004). Prescription drug prices are outrageously high in the United States because of the influence of advertising on consumer purchasing, the misleading statements by pharmaceutical companies about the cost of research and development of new drugs, the manipulation of patent laws, the antiquated laws regarding importation of drugs, and the influence of the greedy pharmaceutical companies ' lobby on the Federal government. Prescription drug costs in the United States are unreasonably high, and consumers should have the option to save money by purchasing prescription drugs from reputable companies in Canada and the developed world.…
“Prescription drugs are only one reason why Medicare needs reform,” (2003, June 17). Retrieved from, http://www.nationalcenter.org/JECReportMedicare603.pdf…
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.,…
Prescription-drug costs are out of control. People have to choose between food and their prescriptions. In general, the cost of health care is out of control. There are millions of Americans without health insurance. The cost of going to a doctor is so high many Americans don't even bother until it is often too late or they can no longer bear the pain of that illness. Although I have a doctor which is part of the hospital, I have to pay a co payment every time I go and I don’t always have it. My next choice is to go to the emergency room where as they will bill me. As a matter of fact, health care is not a right afforded to every citizen in our country.…
There are three issues when it comes to the health care cost rising. The first is the rising cost in prescription drugs. The second area of rising cost is the increased technologies when it comes to the medical industry. The third problem is the aging population. Prescription drugs are the area of the fastest growing health care expense, and it is projected to grow at 20 to 30 percent each year over the next several years. There are many newer, more expensive drugs on the market, and the use of these prescriptions is exploding. In addition, with so much television advertising, many consumers ask their doctors for expensive, brand name drugs when there may actually be a generic drug that works just as well.…
In 1990s, the managed care plans controlled overall health care spending by using the primary care physician as their gatekeepers to limit access to specialists and expensive procedures (Jones & Johnson, 2006). HMOs restricted recommended care by utilization review. In addition, payments were based on the diagnosis regardless of the actual period of treatment or hospitalization. This encouraged hospitals and physicians to reduce the length of hospital stay. These changes created new ethical issues, such as encouraging physicians to provide only minimal obligated care to decrease expense and rejecting some applicants with potentially expensive chronic illnesses (Orszag & Ellis, 2007). .…
Other industrialized countries have their governments argue with health care providers, drug companies, and other people that play a part in health care costs. “In countries like Canada and Britain prices are set by the government. In other countries, like Germany and Japan, they are set by providers and insurers sitting in a room and coming to an agreement, with the government stepping in to set prices if they fail.”(Klein) America spends too much on health care and has made the system into capitalism at its finest. The government needs to step in and start negotiating with drug companies and hospitals and insurers to bring down the high costs. Doctors in the United States get paid more than any other doctors in the world, and patients get charged more if they want to see a specialist, but in other countries they’re small costs stay the same whether they see a specialist or not. The United States is leading the world in medical spending and because of the high costs 50 million Americans remain uninsured and dealing with ailments that they cannot afford to have…
With the current landscape of healthcare in the United States, there are several stakeholders that have conflicting vision as to healthcare administration. Looking at the few key stakeholders, it is comprised of Patients, Physicians, Hospitals, and Payors. Each of the respective groups have different view points on how healthcare administration is judged to be a successful delivery. Exploring each stakeholder’s view of healthcare will provide us with a better understanding of their goals. Understanding the vision of each stakeholders in healthcare allow a broader understanding of the healthcare delivery in the United States and its complexity.…
This scientific practice of examining the reasoning behind the variances in medical procedures for specific diagnosis’ across the country, alongside outcomes research documentation which seeks to quantify medical treatments actual risks versus benefits, could drastically change the way doctors treat their patients thereby meaningfully lowering costs. I find this attention to measurable treatment outcomes could be the significant factor that propels the U.S. forward towards enhancing health care coverage while simultaneously reducing unnecessary costs. Subsequently, health care budgets could be redistributed to the poor and aging. In so much as medical attention is actually a tertiary measure towards a person’s overall health, the gaps in senior medical coverage must still be addressed. If they are not addressed, the quality of life will surely spiral down thereby increasing overall medical costs. Prescription costs have had a crippling effect on seniors living on a limited monthly income. And yet they may be a chief contributor to the “reduction in disability among the elderly” helping bypass additional unnecessary medical and hospital costs (Schneider, 2017, p. 476). In 2006, Medical prescription drugs supplemental coverage became available to offset the needs for seniors’ hard choices between food or live-saving medications. Although Medicare Part D has enhanced the…