Healthcare Problems Assignment | Homework For You
Please comment students’ posting, half a page on each student post. STUDENT 1 Who should fix the healthcare problems? “The failures of the current system are evident everywhere in limited access for the uninsured and high costs for everyone, but advocates of a market approach do not see these as market failures. In fact, the shortcomings are viewed as the governments failure to promote competitive markets as a means of addressing the problems of access and cost,” (Henderson, 2012, p. 439).
I initially thought Henderson was going to talk about adding government competition to the private healthcare sector. I was disappointed at the fact that he was talking about adding competition for 3rd party payers. I agree that government should get involved and add competition to the healthcare industry. It could start with government run clinics initially funded by the state and federal grants, in hopes that they would eventually pay for themselves. Funding Patients would choose these clinics for the reasonable cost and quality care. The state would have an insurance program for these managed care clinics. If a patient chose to participate, a percentage would come out of their income to pay premiums. If a patient chose not to purchase the plan, they could still be seen at the clinic for a reasonable upfront price each visit.
The cost would be cheaper as the coding system would be significantly simplified. Maybe new patient vs established patient. Then maybe increase cost related to how many medications or number of labs needed. The goal would be to keep it very simple. No extra administrative personnel needed. Lambton (2014) states that current medical billing and coding take up 10% of the money and this could be reduced with a simplified system and I agree. There would be clear approved clinical practice guidelines for common illnesses decreasing need for referrals. If there is a need for referral, specialist would get incentives to see the patient once and send them back with a clear plan of care that could be managed by primary care.
Of course there have to be exceptions to this to include diseases like cancer. Along with income based premiums, patients would pay a copay and have some sort of reasonable deductible based on income. All would have to pay something. They would get one preventative visit per year with no copay. Defensive medicine would be limited due to clinical practice guidelines and it being hard to sue the government. student 2 Working on healthcare problems at this point involves more than just one group, in my opinion. The public systems seem to set a precedent for the private systems to follow. Such as the events that Medicare considers a consequence of health care negligence that do not pay for or pay less for. Private system follow their lead in some aspects but, also need revamping in a way the costumers know what they are receiving when they pay their premiums. Setting reasonable plans for people to participate in to get the care they need.
State or federal, is difficult to say. To make progress, it seems starting on a state level seems most reasonable. As this creates as easier platform for change. As the change occurs on a state level and states learn what works and does not, this could create an environment for bigger change on federal level. Ultimately we are a country and there needs to be some continuity, but if one states benefits are easier to attain, and provide better plans this could create an influx of people moving into the state. In some way this could be a benefit but, also if there is movement of chronic illness and those not paying into the system it could break the system, as it is state funded. Unfortunately there are so many aspect to consider it’s difficult to give one good answer. Hence the current conundrum health care in the US is in, in my opinion.