Health Care Delivery Systems Essay

Bursting the wellness C are BubbleA opening states that, the 30 million uninsur fitted the Statesns stick postured the United States to put part of the province of wellness charge into the political relations turn over (Terry 116). By 2014, the changes in the wellness business scheme entrust be life changing for al roughly, man otherwises result strike little to no printing by the crystalize. A surgery specialist from forward-looking York states that, 46 million people in America lack memory access to wellness sustainment and has been found on a persons big businessman to reconcile (Goldberg 6). Since 2010, the Health Care clean up form already started making changes in our economy and entrust expect to do so until for some days, or the election of a new President. These changes bequeath vacate each person to find little to no excuse on why they are non taking province of their wellness.As I sit uncomplainingly in the expression populate for my bushel who was twenty tallys late, I sat and watched the clock every few minutes until a throw came to greet me. I couldnt alleviate appease look around at the other forbearings conterminous to me thinking proper(ip), privilege, or function? Was it my proficient to be here, my privilege, or my responsibility? Going through the scenarios in my head, I could think of examples that could fall under each. A small child ran about the wait room plot her mom sat in her lead reading Country Living, an elderly peer sat collapseing hands to my left, overly waiting patiently for someone to greet them. I could divulge the medical exami province exam assistants at the front desk gossiping and discussing redress matters.I couldnt help but percolate sorry for them by and by learning what pain indemnity companies could be. Originally, while sitting on that point unwearyingly for the doctor and observation the people around me, I thought it was a privilege to set to be one of the successful ones that had insurance, which get out allowed me to take contend and responsibility of my consecrate health. This indeed lead me to my next thought, the reason that I am here recompense now is because I am the one taking responsibility for my cause health (and maybe the help of my parents until I am 26 hopefully). As the nurse called me back, I had lastly come to aconclusion. Health care in the United States is a responsibility, non a in effect(p)-hand(a) and no spaciouser a privilege. The responsibility of health care if shifting everywhere, whether it be changing into the hands of patients, medical personnel, or the government.According to www.dictionary.com, organism accountable is world accountable. I feel that legion(predicate) Americans in the United States have trouble world accountable for their own actions, and the like to put the excite on someone or something other than themselves. Americans do not blame themselves for thei r health care problems preferably attributing the rising health care make up to the bread do by drug and insurance companies (Blendon 636). blush from the standpoint of our kingdom as a whole, more a(prenominal) would like to believe that we dont make mistakes and that we are better than the rest. Even on Google, in that respect are many websites containing all the reasons that Americans think they are superior to other countries and sadly, there is a long list. Reality has to hit at some point, and someday I hope many of us can recognize that we arent perfect, and that in fact we do make mistakes, mistakes that can hold even the lives and the decisions of others.Thinking I am being proactive and taking responsibility for my own health, I finally get to charm the doctor after not only a thirty minute wait in the lobby, but a ii to three week wait just to agnize my family doctor. marshal Kapp, the director of Florida State Universitys summation for Innovative Collaborati on in medication & Law, states that practicing atomic number 101s in the United States are already extremely finical he goes on to record that adding new patients to practices testamenting only result in either to a greater extent(prenominal) hours to the day or a continuing wait to get into your doctor, depending on the physician because of the reform (418). Marshall Kapp fears that affordable health insurance may still fail at actually providing medical care (416). Because each physician provide have more than patients, will each patient be receiving the right quality of care? Or even the right medical care at all because of the long wait? In the like article he goes on secernateing, According to an official of the American College of Physicians, newly insured patients can anticipate difficulties gaining access to special care, particularly in undeserved communities (416). More patients will thencause a shortage of physicians in the United States.Another point of re ference goes on to say that Americans are far less(prenominal) at rest with the availabilityof health care in their country than Canada and the British are with theirs Nearly three-fourths of Americans in 2003 uttered dissatisfaction with the availability of health care in their country (Blendon 629). Although Americans no longer have an excuse on why they arent taking responsibility, will the number of patients decrease the quality of care or the access to a physician? The Health Care Reform make up is predicted to reduce health care be, which will then lead people to receive hinderance care and will as well allow Medicare patients to receive a physical with no direct personifys or low costs to patients (Terry 116). Terry begins to then say that pr vitrineative medicine and chronic illnesses-for instance, diabetic patients- are expiry to have incentives and better coverage (116). Edward J. Dougherty, Senior Vice President of B&D Consulting in Washington D.C. says, thither is a greater focus on stay care, on wellness, on patient education, and intervention before an acute event or episode occurs. That provides opportunities for anyone (Terry 116).The wise words of Dr. baker that will haunt my brain forever went a little something like this, As I was shaving this morning, I looked in the mirror and saw the person who was trustworthy for postgraduate health care costs. each time I look in the mirror, I am now disturbed by these same words, as Im sure many of my other class mates are as well. Dr. Davis Goldberg goes on to tell a story of Joe genuflect, Joe Skin died of metastatic malignant melanoma because he could not afford the $100 it would have to cost him to see a local dermatologist two years earlier, when he only had melanoma in situ. futile to afford the original fee, he left his pigmented lesion untreated, until a seizure from metastatic disease ended with him having multiple surgeries at a cost of $350,000 to tax payers (Goldberg 6).I w onder if Mr. Skin looked in the mirror while he was shaving that morning to realize that he would be one of the reasons for high health care costs in America. Unfortunately, because Joe Skin didnt have health insurance he decided to not take responsibility for his health, which then resulted in more problems than before and even resulted in death. This seems to be apopular trend in the uninsurable Goldberg states, The uninsured in any case tend to wait longer and get sicker before seeing a doctor (6), he then states that a popular trend among the uninsured is that they are less likely to receive recommended preventative and primary care services, face significant barriers to care and ultimately face worse health outcomes (6).The overall attitude toward health care changes dramatically when you encounter those who are uninsured into the health care industry. Americans attitudes toward the health care system are related to leaving between those with secure and comprehensive cover age, and those without it (Blendon 628). A source states that, one of the purposes of the health care Reform act is to better allow each person to take responsibility into their own hands, as well as unhorse health costs (Terry 116).The responsibility and the cost of health care have been taken out of the physicians and the medical mental facultys hands, and into those of the governments. Nathan Kaufman, Managing Director of Kaufman Strategic Advisors states, It is a brutal fact that hospitals can no longer afford to delegate the responsibility and accountability of cost and quality of care to an independent medical staff of physicians practicing (167). Like we have discussed earlier, the reform is supposed to help lower the costs, but Kaufman believes that health care costs will pay to the destabilization of the economy (164). He then proceeds with Richard Foster, the chief actuary for Centers of Medicare & Medicaid Services, who as well states that the new law will increase th e nations overall spending on healthcare by $289 billion through 2019 (Kaufman 164).This budget will then cut the spending in other all important(p) areas, which will then raise our taxes one time again to pay back the borrowed money (Kaufman 164). Dr. Baicker also states that there is lots less to fund man schools, roads, and other necessary public services (Goldberg 6). Although the Healthcare Reform or PPACA seems to be a intimately idea in many ways, this is where it all seems to be a little bit fishy, and when life seems to be all great and dandy with the reform, we will lastly be hit with the reality of the damage that our government and what our decisions have caused us. Dr. Katherine Baiker also principals the concept of the PPACA stating, Yet the question remains What will work? What is the most trenchant way to rationhealth care? (Godberg 6). There are consequences to most every situation, and I do not accredit if physicians or patients are fain for the consequenc es that the PPACA will bring us.The question is not if there are consequences, but when will we be alter by them? According to Americans Health Care Views of Care, Access, and theatrical role states that Americans have little to no faith in their government and were ready for some sort of reform (624). With the Healthcare Reform Act already facing high disputes and the non-support from many health care providers and some politicians, and because we spend so much time building the reform up, our nation is not aware of what is about to hit. At some point, Americans are going to be forced with higher taxes, and I fear health care providers who are also not prepared for the consequences will be go about with, and will not get the proceedss of the reform to its fullest. Dr. Blendon says that, when issues like health care rationing, increased taxes, and longer waiting times are raised, public alternatives fall acutely (641). Later in the article, he also begins to say that less than half of the people agreed to pay higher taxes to achieve the goal of a universal joint health plan (Blendon 642).Kaufman states, Those who recognize the existence of a bubble and prepare for its brutal realities can benefit when the bubble bursts (167). He also begins to say that, health care providers who do plan for the bubble bursting, will be able to treat higher volumes of patients at lower predictable costs per episode, demonstrating measurable high quality and providing an exceptional patient experience (167-168). For those who do not prepare themselves for the bubble burst who will be responsible? Everyone involved in the health care system will be responsible for some of the lack of thought that has gone into this health care reform. One of the man purposes of the reform is to also help the quality of care, which is one of the many responsibilities that physicians face in the health care industry. Although doctors have many patients, if a patient is taking the responsibil ity of taking care of their own health, then it is the responsibility of the physician to provide the better(p) quality of care. A source states, Health reform policies currently envisioned to reform care and lower costs may have small effects on high-cost patients who consume most resources. Instead, developing interventions tailored to improve care and glum costs for specified types of complex and costly patients mayhold greater potential for bending the cost curve (Kaufman 166).Changing the quality of care isnt done at no cost, but a source states that health care organizations must contribute on some level to promoting the highest quality of care, the superlative safety of the patient, and the best patient experience (Liang 1426). coming from personal experience, if a patient is satisfied with their visit(s) and receives the best quality of care and experience possible, the likelihood of them move is much greater. In the article Quality and galosh in Medical Care What Doe s the Future give suck?, brought up some interesting points about physician to patient relationships during their medical stay or the decisions made about their health. Doing so will make the patient more checking and responsible for their own health. It is important for the physician and the patient to make decisions together and take the benefits, consequences, and the outcome of each procedure. A source states that less than one-half of hospitalized patients stated they were always involved in the decisions about their treatment, and almost one-third of the patients indicated they did not know who handled their care in the hospital (Liang 1426). Allowing a patient to take more responsibility for their health is a lot harder when they have no idea what is going on.The quality of patient care affects the quality of a patients life. Dr. Blendon says, most Americans are satisfied with the quality of medical care they and their families receive, and they do not see the issue as a leave problem (648). A source states that the Institute of Medicine has defined quality as the degree to which health services for individuals and population increase the likelihood of sought after health outcomes and are consistent with current victor knowledge (Schuster 3). When dealing with health care I believe that it is always the patients responsibility, but if the physician endowment incentive to the patient stay proactive and understand what is going on, than how can the patient be responsible? The thoughts on health care are constantly changing, whether its peoples right to be provided with health care, whether its a privilege to be able to receive health care, or whether its the responsibility of those apart of the health industry and the patients to receive the right kind of health care. A source states that, finding ways of doing more with less will continue to be hospitals biggest challenge(Hospitals are expected to do more with less 4). The health care reform wil l be in full force before we all know it. As a citizen and patient, I know that it is my personal responsibility to mention proactive on my health, help make decisions for my oath Americans to make the best health system possible. So every morning, when I survey into the mirror, I know that the reason the health care industry is the way it is, was because I made it that way. Health care is a responsibility, not a right and no longer a privilege.