Structural Problems Within U.S. Health care Delivery
Delivering efficient health care to 300 million Americans spread across 50 states is surely the major challenge of our time! The scope of providing health care is extremely variable, which makes it almost impossible to predict and plan for the quantity and type of health services that will be required at any given time. Add to this, the long neglected structural problems within America’s health care delivery system, and what you get is extremely high costs and rationed access.
- The complex, disjointed U.S. health care business
- Why is health care is so expensive in the U.S.
- Five big health care dilemmas
- How can we bring down health care costs
- At it’s best, U.S. health care is “Second-Rate”
|I. PRIVATE SECTOR||
I. CORPORATE AND SMALL BUSINESS EMPLOYERS, AND PRIVATE FOR-PROFIT HEALTH INSURANCE MONOPOLIES:
1. CORPORATE AND SMALL BUSINESS EMPLOYERS represent the largest subgroup in the U.S. health care system. In this "employer based system", workers are provided health care insurance through their employers. This health insurance benefit represents an untaxed portion of each employees annual income.
2. PRIVATE FOR-PROFIT HEALTH INSURANCE CORPORATIONS service the employer-based market. These health care insurance corporations contract with employers to provide their employees group health care insurance policies.
II. GOVERNMENT AGENCIES
II. MEDICARE, VETERAN'S HEALTH CARE, CHILDREN'S HEALTH CARE, AND MEDICAID:
3. MEDICARE provides taxpayer assisted health care coverage to people over the age of 65, and people under 65 who are permanently disabled. FICA payroll taxes, deductions from retirees monthly Social Security benefits, and general tax revenues fund Medicare.
4. VETERANS HEALTH CARE Is a taxpayer-funded entitlement, awarded to military veterans for their long military service, and/or their wounds received during combat.
5. CHILDREN'S HEALTH CARE is taxpayer-funded welfare provided by the government to children who's parents do not have health care insurance.
6. MEDICAID is taxpayer-funded welfare that provides health care coverage to the poor.
III. HEALTH CARE PROVIDERS
III. DOCTORS, HOSPITALS, PHARMACEUTICAL CORPORATIONS, AND MEDICAL EQUIPMENT SUPPLIERS:
7. DOCTORS provide real medical treatment to sick and injured patients. Currently Doctors operate on a "fee-for-service-billing-method", which allows the doctor to charge patients for each treatment or test performed by the Doctor!
8. HOSPITALS support doctors and patients by providing the facilities, medical equipment, and specialized staffing required to perform life saving medical procedures like cancer treatment, surgeries, scans, x-rays, and much more.
9. PHARMACEUTICAL CORPORATIONS provide life saving prescription drugs to patients. Pharmaceutical Corporations complete final research on new drugs developed in University Research labs, which are funded by U.S. government grants.
10. MEDICAL EQUIPMENT SUPPLIERS manufacture, sell, and rent special purpose equipment used by doctors and hospitals in the treatment, recovery, and on-going support of patients.
IV. PEOPLE REJECTED BY PRIVATE INSURANCE, DO TO EXISTING HEALTH CONDITIONS, AND PEOPLE WHO CAN'T AFFORD HEALTH INSURANCE:
11.UNINSURED PEOPLE make up about 33% of the overall U.S. health care system. Uninsured people cannot afford early stage medical treatment, which worsens over time, and leads them to the hospital emergency room, and hospitalization with advanced illnesses that greatly drive up their treatment costs.
12. HOSPITAL EMERGENCY ROOMS are overloaded with uninsured people who cannot afford medical treatment. The cost of this hospital care is not free! Hospitals recover the cost of treating uninsured people by adding these costs onto the bills of everyone else.
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