Delivery of Healthcare in America

The Affordable Care Act is anticipated to have negative and positive impacts on American citizens. Citizens with low income will gain most from the provisions of the Act since they will access Medicaid, even though they may be uninsured. Conversely, high-income earners are likely to feel strained by the Act. In line with the implementation of the Act, the government will introduce taxes whereby highly paid employees will be expected to reimburse more than low-income earners.

Healthcare managers and policymakers should comprehend the particulars of the healthcare system because it helps in initiating and implementing the most effective health programs. Healthcare programs are accessible to all American citizens. They are not only cost-effective but also adhere to the set quality standards. Issues that affect the US healthcare system are unique and cannot be solved using external doctrines. By understanding this fact, policymakers and healthcare managers are restricted to initiate policies that will resolve the specific issues.

The intermediary role of the insurance in the delivery of health care is to help the insured to cater to the appalling health risks that the insured might not have coped with based on the expensive cost of treatment. Insurance also outlines the nature of healthcare that the insured should receive, the manner it should be delivered, and the place it should be offered. In the US, insurance is offered to employed people. Thus, the unemployed remain uninsured.

The healthcare system in America is influenced by various cultural factors such as compassion for the unfortunate in society such as the elderly and the poor people. Indeed, this situation is evident through the available Medicaid programs that take care of the aged. Moreover, Americans are great believers in the doctrine of capitalism, individual fortitude, and entrepreneurship. This stance ensures that insurance healthcare packages are in tandem with citizens’ investments.

Two doctrines on equitable distribution have caused disputes concerning the US healthcare system. The doctrines, which include market justice and social justice, are the root of the conflict in the way physical and psychological health matters have been tackled by the healthcare provision system. Under market justice, the government is discouraged from participating in healthcare services because it is a personal choice for citizens to decide what they want. Conversely, social justice considers the provision of health a society’s duty.

The objectives set forth in the Healthy People initiatives can achieve the dream of an integrated plan for healthcare delivery because the objectives call for the prevention of certain diseases that are common in particular areas. The government will collect data and develop the means to prevent the persistence of such diseases by allocating the necessary funds. This strategy will change the view of seeing healthcare as a product that requires a personal choice for social good.

Forces that previously seemed to derail national health insurance and that later led to the passage of Medicare and Medicaid include science and technology, urbanization, and education levels. However, growth in medical technology, professionalism, and urbanism encouraged the need to pool resources towards one particular area of interest, namely the provision of healthcare services.

Several forces were increasingly encouraging the need for health insurance. Technology advancement had provided a platform for treating various diseases. However, it was expensive. Socially, people were demanding access to treatment. Economically, citizens could not afford the high cost of treatment. Therefore, pooling of resources was deemed the only option for people to access high quality and cost-effective treatment.

The emergence of general hospitals strengthens the professional sovereignty of physicians by making doctors the only source through which people can receive treatment. Medical discoveries have provided a solution to the treatment of various diseases, which have been responsible for the high mortality rate in the US. Initially, only physicians who were positioned in various general hospitals could execute these medical technologies. As the sole source of treatment, such doctors earned professional authority.

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