The High Cost of Healing Barbara Bauman HCS/440 April 21, 2014 Dr. David Moody The High Cost of Healing The cost of health care has been at the forefront of politics for years. It is one of the most talked about topics not just in political venues but also country wide. Every American has an opinion on how our economy can be fixed and they are passionate about health care reform. The price of insurance alone causes many Americans to not have coverage. For those that can afford coverage, the struggle to pay co pays is immensely crippling their bank accounts. Of these burdens on Americans today, the most frightening fact lies in the cost of prescription medications. The price for prescription medications is quickly …show more content…
It asks the question to whether the Act will be successful and if not what will the government replace it with. It suggests that the reform is not as great of a solution to the issues as the government had originally thought. Finally, in a February 2012 proposed regulation, CMS proposed that state Medicaid agencies reimburse pharmacies for retail drugs based on actual acquisition cost. CMS recognized, however, that states may not be able to determine the actual price paid by a pharmacy for a drug billed to Medicaid, so it suggested that states survey pharmacies or rely on other data to calculate an average acquisition cost for drugs purchased and billed by retail community pharmacies. The article reviewed the association between benefit caps, prescription drug use, and the costs associated. It also detailed drug cost sharing, additional medical costs, and specific health outcomes. Using observational data, the studies analyzed the changes and did a cost comparison of outcomes at two points of time, before and after the pharmaceutical benefits changed. The article detailed the impact of pharmaceutical drugs was often difficult to analyze because some data analyzed utilization while others analyzed actual pharmaceutical spending. The data surrounding utilization compared as many as five factors such proportion
Health care spending in the United States of America as a percentage of the economy has reached astonishing heights, equating to 17.7 percent. This number is shocking when compared to other counties; in Australia health care is 8.9 percent, in United Kingdom 9.4 percent, in Canada 11.2 percent. If the American health care system were to hypothetically become its own economy, it would be the fifth-largest in the world. While these statistics sound troubling, they lead us to look for answers about the problems surrounding our system. The first health insurance company was created in the 1930s to give all American families an equal opportunity for hospital care and eventually led to a nationwide economic and social controversy that erupted in the 1990s and continued to be shaped by the government, insurance companies, doctors, and American citizens. In this paper, I will go in to detail about the various opinions regarding the controversy, the history behind health insurance companies, and the main dilemmas brought out by the health care crisis. Greedy insurance companies combined with high costs of doctor visits and pharmaceutical drugs or the inefficient hospitals all over America can only describe the beginning to this in depth crisis. Recently, the United States health care industry has become know for the outrageous costs of insurance models, developments of various social and health services programs, and the frequent changes in medicinal technology.
Recently the Untied States top priority has been to provide accessible and affordable health care to every American. Those that lack access to coverage find it much more difficult to seek proper treatment and when they do they maybe left with astronomical medical bills. The CommanWealth Fund found that one-third or thirty three percent of Americans forgo health care because of costs and one-fifth or twenty percent are thus left with medical bills that have problems being able to pay. The federal government, through the Affordable Care Act (2010), has mandated that every person have health coverage in order
I will compare the current health care system with the new Patient Protection and Affordable Care Act (ACA) that became law on March 23, 2010. The current system, which is being phased out between 2011 and 2018 is increasingly inaccessible to many poor and lower-middle-class people. About 47 million Americans lack health insurance, an increase of more than two million people from 2005 (Rover, 2011) the increasingly complex warfare between insurers and hospitals over who pays the bills is gobbling up a great deal of money and the end result is that the United States pays roughly twice as much per
Health care is one of the major political issues facing the nation today. Most industrialized countries have national healthcare system, while the United States only provide coverage for those who are eligible under government programs like Medicare and Medicaid. As the cost of health care to continue to increase, many question the role of the government while other blame insurance companies for increase in premium.
25% or more of one’s income going toward health care is too much for today’s economy this
“The amount people pay for health insurance increased 30 percent from 2001 to 2005, while income for the same period of time only increased 3 percent.” (Source: Robert Wood Johnson Foundation). The rising cost of healthcare is a huge problem in America today. In this paper I will analyze the different issues and causes for the increase in cost.
In 2014, the average cost for an individual rose to $5,615. For those that have an income over $200,000 have to pay a higher tax. This tax is called the Robin Hood redistribution and was set to begin in 2014 with the enactment of the Affordable Care Act. For the employers of companies, on average, they would have to pay around 30% for their employees to be covered with healthcare and insurance whereas in 2010, they only had to pay around 10%-20% of their healthcare and insurance. Currently, Americans have higher health insurance premiums, increased deductibles through their health plans, and the highest prescription drug costs our country has ever had. The costs in prescription drugs drastically rose between 2010 and 2014. Since 2010, the average cost for a patient to fill a prescription drug through commercial plans have risen by more than 25%. Drug companies put a higher cost on their drugs in 2014 as they saw the rise of those acquiring health insurance and healthcare. However, in states such as Kentucky and Arkansas, in 2014, people who skipped paying for their medication due to the cost being so high, dropped by 15% from roughly 43% to 28% due to Obamacare. Although, with Medicaid expanding, this puts more pressure on the middle-class population in the country as well as healthcare professionals as many physicians have to pay nearly half of what they earn to the
A major contributor to the rise of healthcare cost is that heath spending for individuals is primarily funded by third-parties. Because consumers of healthcare share little of the financial burden of the cost of the care they receive, patients and physicians are incentivized to utilize healthcare at a higher rate than they would if cost was a larger factor. The United States healthcare systems is based on a capitalist system but it operates in an imperfect marketplace that is no competitive. The current marketplace is not highly regulated as there is not a national health care program for all Americans which allow prices to be regulated and controlled effectively by a single regulating body. In this imperfect
In recent years, health care has been a huge topic in public debates, legislations, and even in deciding who will become the next president. There have been many acts, legislations, and debates on what the country has to do in regards to health care. According to University of Phoenix Read Me First HCS/235 (n.d.), “How health care is financed influences access to health care, how health care is delivered, the quality of health care provided, and its cost”.
Under the existing federal Medicaid pharmacy benefit program, fee-for-service reimbursement rates for prescription drugs are based on the actual invoice cost of prescription drugs plus a reasonable professional dispensing fee. Any federal reforms to Medicaid which would allow states to set Medicaid pharmacy reimbursement rates below actual drug acquisition costs could seriously jeopardize Medicaid patient access to Medicaid drugs. Whether in a Medicaid managed care or fee-for-service setting, a Medicaid program that reimburses below actual drug costs raises a barrier that may limit or eliminate access points for patients to utilize their Medicaid drug benefits. Even with a cost-based drug reimbursement floor, Medicaid programs can fully avoid patient access barriers only through the addition of adequate dispensing fees that are more reflective of the cost to provide healthcare services in the
U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it
The health care industry has been changing dramatically in the United States over the past two decades. Especially in the wake of the Affordable Care Act, this was signed into law on March 23, 2010. With the rising costs of healthcare, prescriptions, higher number of retirees and longer life expectancy, Americans have become increasingly concerned with how they will pay for their health care. The fact is that insurance companies and pharmaceutical companies have been running the health care industry on their terms for several years, dictating as to whether someone can or cannot qualify for insurance and denying those with preexisting conditions ("The Shame of American Health Care," 2013, p. 2).
Health care in the United States has become a major concern to many Americans. Health care is a part of every person’s life to ensure we continue to live a long eventless life. Many Americans cannot afford the high prices for proper treatment to stay healthy when in need of care. The United States has the highest cost for health care amongst the world; to mitigate these costs, we need additional support from the government to negotiate set standards between health care providers, fewer malpractice lawsuits, and fewer uninsured residents.
With important expenses like home mortgages and appliance bills, healthcare has arguably become more important and more expensive. In contrast to other industrialized countries, Americans have to pay very large amounts every year to remain
US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of