The short answer to this question is no, health care should not be rationed for the simple reason that it does not need to be. There are ample health-care resources available, and everyone is able to receive care without rationing. However, I believe it is important to define what rationing means. Rationing refers to the practice of distributing resources that may be in limited supply (Bodenheimer & Grumbach, 2016). On the one hand, there currently is not a shortage of health-care resources. On the other hand, although resources are not limited overall, there are still quite a few underserved areas. Thus, the question of whether health care should be rationed is not so simple to answer. In a situation where seven patients are in critical condition but the hospital has only five intensive care beds, does care rationing become necessary? In some cases, the answer is yes. Modern technology, however, has made it easier to transport patients from hospital to hospital by ambulance or by air. Telemedicine also allows patients to gain access to specialists in other geographic locations. Another area in which health care rationing may be necessary is organ transplant (Bodenheimer & Grumbach, 2016). …show more content…
Practitioners pay large sums of money to liability insurance carriers. Reform could minimize these expenses and therefore decrease overall health-care costs. Currently, health-care practitioners feel they have been forgotten in health-care reform, but I think that if malpractice reform occurred, practitioners would be more agreeable toward healthcare reforms. Practitioners are concerned about the decreased reimbursements and loss of control in decision making that have resulted from the passing of the Affordable Care Act. Most practitioners will agree and are happy with the fact that more people are insured. It is hard to make major changes if practitioners are not on board with
Mandated nurse-to-patient ratios have some flaws to work out. Mandatory nurse-to-patient ratios could increase costs with healthcare costs already hard for many to afford. Welton (2007) stated, “Mandatory ratios, if imposed nationally, may result in increased overall costs of care with no guarantees for improvement in quality or positive outcomes of hospitalization” (p1). According to Welton the cost to the hospital are not covered when these mandates are put in place, leaving the hospital to pick up the extra costs of hiring additional nurses to comply with mandates. Mandated nurse-to-patient ratios do not allow for
Our Healthcare system is clearly business based according to the article “Cost Conundrum” and on the movie “Escape Fire”. In the movie it had an impacting story of an older lady who had heart problems where she went to a doctor and they were going to charge her thousands of dollars were later she went to a different doctor and they charged her a couple hundred dollars for t he same procedure. I couldn’t believe that in a different office she would get the same procedure done for a lot cheaper than in the other doctor’s office. Also, it surprised me how the medical staff are giving all these medications to our soldiers were they are clearly
At first glance, the idea of rationing healthcare sounds absurd and ridiculous. Just think about it. Selective medicine? Deciding who deserves medical care or not? But when you think about it in terms of families that spend their life savings and then go in debt so that their loved ones can live just a little bit longer, you realize that there may be some sense behind it. It is a well-known fact that Healthcare in United States is one of the most expensive, if not the most. According to the text, “a quarter of the Medicine budget is spent on the last year of patients’ lives and 40 percent of that amount is spent in the last 30 days” (The Last Dance, 2015, p.179) Such a spending can put a significant financial burden on families.Because a very
For example an x-ray machine could be leased and the organization would a fee depending on how many x-rays they take per month or year.
A powerful force for change can be created by embracing transparency. According to the Department of Health and Human Services, “transparency is a broad-scale initiative enabling consumers to compare quality and the price of health care services so they can make their own informative choices among doctors and hospitals. This initiative is laying the foundation for pooling and analyzing information about procedures, hospitals and physicians services. In order to create value driven health care, there are four steps to turn raw data into
One of the issues that is widely discussed and debated concerning the United States economy is the healthcare system. Unlike in the majority of developed and developing countries, the healthcare system in the United States is not public, meaning that the state does not provide free or cheap healthcare services. This paper addresses many of the factors contributing to the rising cost of healthcare.
The rationing of Healthcare in the United States exist in many different forms. According to the medical dictionary (2002), “Healthcare rationing is the limitation of access to or the equitable distribution of medical services, through various gatekeeper control.” Healthcare rationing takes place when a treatment is denied by a healthcare provider or insurance company. Patients that have access to private health insurance is rationed based on the prices of the services in which they receive and also their ability to pay. Insurance companies pre-screen applicants that are applying for health insurance for pre-existing medical conditions and at this time a decision is made to either decline the applicant or apply a higher price for additional medical coverage. Individuals that receive state insurance such as Medicaid is restricted by the applicants’ income and assets limits as well as other federal and state edibility regulations. According to Shi & Singh (2015), “ Although uninsurance among adults has increased, lack of health insurance coverage among children declined from 13.2% in 2009 to 6.5% in 2011 (CDC 2011a), mainly because of the success of the CHIP program.”
Proponent’s arguement. Many proponents for rationing healthcare resources feel it is only a matter of time before it becomes necessary. Healthcare analysts and providers predict a health care crisis because of:
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
America is without a question the leading country of medical and scientific advances. There always seem to be a new medical breakthrough every time you watch the news or read the paper, especially in the cure of certain diseases. However, the medical research requires an enormous amount of money. The U.S. spends the most money on health care yet many people, mainly the working class Americans are still without any type of health insurance and thus are more susceptible to health risks and problems. The concept of health insurance for Americans was formulated over a century ago. Most Americans obtain health insurance from
Government financed health care typically has more control to place limitations on care offered to patients and doctors in order to keep costs down. Since payers must try to deliver the most care for the
Analyze the current health care delivery structure in your state. Compare and contrast the major determinants of healthcare market power.
Health care expenditures is an increasing proportion of gross domestic product (GDP) in Organization for Economic Cooperation and Development countries as its share in GDP increased by an average of nearly 2 percent annually in last 40 years. Health care expenditures in the US increased 6.2 on average annually between 1991 and 2011. Health care spending consisted 17.9 percent of GDP in the US in 2011.
Healthcare Reform has been and still is a highly debated controversial political issue in this country. It has been a hot topic of past presidential campaigns, with many proposed solutions, none of which were enacted upon by Congress. The Affordable Care Act (ACA) was passed in 2010. This law or Obamacare, as it is commonly called, was designed to cover the 48 million Americans, including about 1 million in New Jersey who did not have health insurance. It is envisioned to provide seamless, affordable, quality care that is accessible to all. Great emphasis will be placed on transforming our current “sick care” hospital system into a community “health care” system of prevention and health promotion. This paper discusses the evolving and future roles of nurses under the new system. It also examines the proposals of a joint committee made up of members of the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF), as an initiative to help nurses in their new leadership roles to a healthier nation.
It is said that a healthy nation is a wealthy nation. Healthcare is an important concern for every government as people get ill, accidents happen, emergencies arise and the health institutions are needed to diagnose, manage and treat the different types of ailments or diseases that may arise. The healthcare industry is divided into several areas in order to meet the health needs of anyone and everyone. All over the world, the healthcare structures are different to accommodate specific needs of the people in that demographic however the healthcare methodology in Third World Countries does not accommodate the needs of their respective inhabitants in comparison to First world Countries. The Rate of corruption, quality of healthcare institutions, lack of adequate, functional surveillance systems and problematic hygiene conditions are amongst the top reasons why the healthcare systems in third world countries are substandard in comparison to First world nations.