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U.S.A. Healthcare Delivery System

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Paper Instructions:

Discussion Board Assignment
-Examination of the United State National Care Delivery Model
Part I
Initial Post:
2 Paragraphs minimum 5-7 Sentences each
APA Format for Citing Resources
2 Scholarly Resources Required

1.    The U.S. Healthcare Delivery Model differs from international care delivery models.

o    Take a stand on a Healthcare Delivery Model that you feel is the best.
o    Compare and contrast the organizational perspectives and major forces affecting the healthcare system, to illustrate why you feel it is the most beneficial.
o    Base your reasons on fact and cite your resources.

*Minimum requirement of 2 scholarly references on Part I

 

Part II

Respond to two or other posts stating why you agree or disagree with their posts. Support your opinion with fact and cite your resources.

-In your responses, reference an external source to support your point. Don’t forget to cite your source.  
-Provide a minimum of a five (5) to seven (7) sentence response to each post
-Please ensure that each response is includes proper grammar and punctuation, and is respectful in tone.

Post a:
Healthcare in the United States is and always has been a complex system. This complexity is ever increasing as value-based purchasing and population health management transform our hospital-centric industry into one focused on the continuing care. The United States of America has not implemented compulsory healthcare insurance, like it was done in the most of European countries. None of the proposals to implement compulsory health insurance were enacted in the U.S. At the present moment the country has a well-developed system of private health insurance. Voluntary health insurance plans give people a possibility to choose the most appropriate insurance plans. At the time when this system was implemented in some European countries, American physicians protested against this system since it would interfere within their incomes.
It will require much time and effort in order to reconstruct this system and create a system with single payer. Most probably private corporations, which control healthcare system at the moment, will make a fierce resistance to any changes. They will lose their income if the U.S. switches to single payer system. Such a system would provide all the necessary medical aid to all citizens of the country. Canada has had a successful experience of using such a model. Universal single payer program of Medicare has also proved to be effective in the U.S. All these facts give enough reason to hope that one day the U.S. will turn to this model. 
The health care system in the United States has been a subject of criticism in terms of its effectiveness in the delivery. The Canadian health care system consists on a single payer, which is majorly publicly funded. The health care system in the United States is a multi-payer system, which is mostly privately funded. The cultural orientations of both countries are somewhat similar which implies that the effective Canadian health care system can be applied in the US and yield similar results.

Post b:
In the earlier times of healthcare, the most rudimentary model in the United States (U.S.) was a relationship that was only between the patient and doctor (Assevero, 2009).  In the U.S. there has not been a single system of health insurance: Health insurance was purchased in a private marketplace or provided by the government (Ridic, Gleason & Ridic, 2012).  Private health insurance could be purchased from for-profit companies or from non-profit insurers (Ridic et al., 2012).  About 84% of the population is covered by either public (26%) or private (70%) health insurance (Ridic et al., 2012).  According to Ridic, Gleason & Ridic (2012) There are two types of Managed Care Organizations (MCOs): Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).  An HMO is a delivery system that combined the insurer and producer functions meaning that HMOs were pre-paid and provided comprehensive services to enrollees (Ridic et al., 2012).  A PPO is a third-party-payer that offered low out -of-pocket pricing to enrollees who acquired care from a preset list of physicians or hospitals (Ridic et al., 2012).
According to Assevero (2009) Europe and Canada offered health care to all citizens at only the cost of higher taxes.  Canada adopted a National Health Insurance program NHI that is government run covering the entire population with a well-defined medical package (Ridic et al., 2012). Canadian taxes finance NHI through a single payer system (Ridic et al., 2012).  Germany focused on a system of social benefits, meaning it was believed that the government was obligated to provide health coverage for all citizens (Ridic et al., 2012).  
After doing the assigned reading and additional reading to create my response, it is my opinion that the best model is what we have in the U.S.  The people who are using health insurance should have a say in how much they are spending to acquire coverage and choice of doctor.  I would not like pay much higher taxes just to have universal health coverage.

844 Words  3 Pages
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