Health Care Delivery Systems Essay

Bursting the wellness C ar BubbleA semen states that, the 30 one thousand thousand uninsurable Ameri provides energise forced the United States to put part of the tariff of wellness awe into the governments hands (Terry 116). By 2014, the changes in the health criminal maintenance system go out be liveliness ever-changing for rough, while others exit let little to no effect by the straighten. A surgery specialist from New York states that, 46 million commonwealth in America lack access to health cathexis and has been ground on a persons ability to expect (Goldberg 6). Since 2010, the health electric charge Reform Act already started making changes in our economic system and will brood to do so until for galore(postnominal) years, or the preference of a new President. These changes will tout ensembleow to each one person to create little to no excuse on why they be non taking state of their health.As I sit d birth forbearingly in the delay room for my doctor who was twenty minutes late, I sat and watched the clock every few minutes until a nurse came to hail me. I couldnt attention but play around at the other patients next to me infering proficient, privilege, or debt instrument? Was it my right to be here(predicate), 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 waiting room while her mom sat in her chair schooling Country Living, an elderly couple sat holding hands to my left, withal waiting patiently for someone to greet them. I could realise the medical assistants at the front desk gossiping and discussing indemnification matters.I couldnt help but feel sorry for them after learning what ache insurance companies could be. Originally, while sitting there unwearyingly for the doctor and watching the large number around me, I thought it was a privilege to get to be one of the lucky ones that had insuran ce, which mitigate allowed me to take c ar and responsibility of my own health. This past lead me to my next thought, the reason that I am here right now is because I am the one taking responsibility for my own health (and maybe the help of my p atomic number 18nts until I am 26 look forward to beaty). As the nurse called me back, I had finally come to aconclusion. health palm in the United States is a responsibility, not a right and no prolonged a privilege. The responsibility of health safekeeping if shifting everywhere, whether it be changing into the hands of patients, medical personnel, or the government.According to www.dictionary.com, being trustworthy is being accountable. I feel that humany Americans in the United States have trouble being accountable for their own actions, and ilk to put the blame on someone or something other than themselves. Americans do not blame themselves for their health c ar problemsinstead attributing the rising health heraldic bearing c ost to the profits do by drug and insurance companies (Blendon 636). neverthe little from the standpoint of our country as a whole, many would handle to look at that we dont make mistakes and that we are better than the rest. Even on Google, there 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 incident 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 see the doctor after not and a thirty minute wait in the lobby, but a two to three week wait just to see my family physician. marshal Kapp, the director of Florida State Universitys Center for Innovative Collaboration in medicament & Law, states that practicing physicians in the United States are already extremely work he goes on to say that adding new patients to practices will only entrust in either to a greater extent hours to the day or a eternal wait to get into your doctor, depending on the physician because of the square away (418). Marshall Kapp fears that low-cost health insurance may still fail at rattling providing medical perplexity (416). Because each physician will have more patients, will each patient be receiving the right shade of care? Or even the right medical care at all because of the long wait? In the selfsame(prenominal) article he goes on saying, According to an official of the American College of Physicians, newly insured patients can promise difficulties gaining access to primary care, particularly in undeserved communities (416). More patients will thencause a shortage of physicians in the United States.another(prenominal) source goes on to say that Americans are far slight cheery with the availabilityof health care in their country than Canada and the British are with theirs Nearly three-fourths of Americans in 2003 expressed 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 reference of care or the access to a physician? The wellness Care Reform Act is predicted to reduce health care be, which will then lead people to receive baulk care and will likewise allow Medicare patients to receive a physical with no direct costs or low costs to patients (Terry 116). Terry begins to then say that halt medicine and chronic illnesses-for instance, diabetic patients- are going to have incentives and better coverage (116). Edward J. Dougherty, Senior Vice President of B&D Consulting in Washington D.C. says, There is a greater focus on pr numberative care, on wellness, on patient education, and intervention before an acute event or episode occurs. That provides opportuniti es for anyone (Terry 116).The wise words of Dr. Baker that will patronise 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 accountable for elevated health care costs. Every quantify I look in the mirror, I am now disturbed by these same words, as Im sure many of my other house mates are as well. Dr. Davis Goldberg goes on to tell a floor of Joe Skin, Joe Skin died of metastatic malignant melanoma because he could not unfold the $100 it would have to cost him to see a local skin doctor two years earlier, when he only had melanoma in situ. futile to afford the original fee, he left his pigmented lesion un tracked, until a seizure from metastatic disease ended with him having multiple surgeries at a cost of $350,000 to measure payers (Goldberg 6).I wonder if Mr. Skin looked in the mirror while he was shaving that morning to realize that he would be one of the reasons for gamey health care cost s 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 uninsured Goldberg states, The uninsured also 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, facet significant barriers to care and ultimately face worse health outcomes (6).The overall attitude toward health care changes dramatically when you bring those who are uninsured into the health care industry. Americans attitudes toward the health care system are related to difference between those with secure and comprehensive coverage, 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 respon sibility into their own hands, as well as lower health costs (Terry 116).The responsibility and the cost of health care have been taken out of the physicians and the medical staffs 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 fictional character of care to an independent medical staff of physicians practicing (167). Like we have discussed earlier, the reform is suppose to help lower the costs, but Kaufman believes that health care costs will contribute to the destabilization of the economy (164). He then proceeds with Richard Foster, the forefront actuary for Centers of Medicare & Medicaid Services, who also states that the new law will increase the areas overall spending on healthcare by $289 meg through 2019 (Kaufman 164).This budget will then cut the spending in other important areas, which will then raise our taxes once once again to pay back the borrowed money (Kaufman 164). Dr. Baicker also states that there is much less to fund public schools, roads, and other necessary public services (Goldberg 6). Although the Healthcare Reform or PPACA seems to be a good 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 eventually be hit with the reality of the damage that our government and what our decisions have caused us. Dr. Katherine Baiker also questions the design of the PPACA stating, Yet the question remains What will work? What is the close to useful way to rationhealth care? (Godberg 6). There are consequences to most every situation, and I do not realise if physicians or patients are fain for the consequences that the PPACA will bring us.The question is not if there are consequences, but when will we be affected by them? According to Americans Health Care Views of Ca re, Access, and Quality 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 rised for the consequences will be faced with, and will not get the benefits of the reform to its fullest. Dr. Blendon says that, when issues like health care rationing, increased taxes, and longer waiting multiplication are raised, public alternatives fall sharply (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 health envision (Blendon 642).Kaufman states, Those who recognize the existence of a bu bble 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 liable? 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 responsibility of taking care of their own health, then it is the responsibility of the physician to provide the best quality of care. A source states, Health reform policies legitimatel y envisioned to improve care and lower costs may have small effects on high-cost patients who consume most resources. Instead, developing interventions tailored to improve care and lowering costs for qualify types of complex and costly patients mayhold greater potential for plication the cost curve (Kaufman 166).Changing the quality of care isnt do at no cost, but a source states that health care organizations must contribute on some level to promoting the highest quality of care, the sterling(prenominal) 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 returning is much greater. In the article Quality and Safety in Medical Care What Does the Future Hold?, brought up some fire points about physician to patient relationships during their medical hold fast or the decisions make about their health. Doing so will make the patient more sagacity and responsible for their own health. It is important for the physician and the patient to make decisions together and understand the benefits, consequences, and the outcome of each procedure. A source states that less than 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 top problem (648). A source states that the Institute of Medicine has defined quality as the degree to which health services for individuals and macrocosm increase the likelihood of desired health outcomes and are consistent with current professional knowledge (Schuster 3). When dealing with health care I believe that it is always the patients responsibility, but if the physician giving 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 aside 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 will be in full force before we all know it. As a citizen and patient, I know that it is my personal responsibility to keep proactive on my health, help make decisions for my fe llow Americans to make the best health system possible. So every morning, when I stare 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.