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Universal health care is more myth than reality. Medicare for all is a decent step toward it
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Japan's Universal and Affordable Health Care: Lessons for the United States?
This dissertation in french. Essay on self reliance in english. What countries have banned homework. Research paper on web designing. Microsoft word curriculum vitae sample. Polyu e thesis. Topical thesis statement. Research paper on grid computing. Creative writing phd funding uk. The greatest obstacle to a Medicare-for-all plan is that it would, not surprisingly, be prohibitively costly. Neither Sanders nor the Congressional Budget Office has calculated its costs. Enthusiasm for a single-payer plan has been strong in California , but legislative progress in that direction has stalled because of its projected costs.
What I find most disturbing is the comparatively low U.
The culprit is at least three-headed: inefficiency, high labor and technology costs, and political and other barriers to government control of drug costs and expensive technologies. There is hardly any guarantee that a Medicare for all plan could cut through all those obstacles, or even come close to doing so. Elizabeth Warren D-Mass.
She judges that a single-payer plan would be difficult to get through Congress and concedes that private insurance will have to continue. It would be foolish to think that it will be possible in the years ahead to devise an ideal or perfect health care system.
The number of Americans age 65 or older, now at nearly 51 million, will rapidly continue to grow , as will medical and technological ways to keep them alive longer. A major consequence will be longer lives, with new drugs and expensive devices to keep people alive longer. Hardly less important, there will be a historic turning point by : The number of those over 65 78 million is projected to exceed those under 18 Even with great public support for affordable universal care, European countries are stumbling and gasping.
The U. Some improved form of universal care will help, but there is no magic elixir, here or there, to find a politically affordable program covering all health needs. But progress is possible. Two congressional moves would make a great difference. One of them would be to rescind the law prohibiting the Department of Health and Human Services from negotiating drug prices on behalf of Medicare beneficiaries. The other would be to set an income-based limit on out-of-pocket health expenses, with government paying the difference.
Daniel Callahan is co-founder and president emeritus of The Hastings Center , an independent bioethics research institute based in Garrison, N. Why would you trust a government that disregards and fails veterans everyday when it comes to healthcare?
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Our leaders are not capable of running healthcare in the United States. Give me a break. If the discussion is about plausibility then should the discussion be about the challenges of caring for a population or the actual barriers to universal health care which are the vested interests of corporate America?
The challenge of caring for the health of a population is a given — it is either met or not. It comes down to an ethical decision. Incidentally, when I worked in the NHS in Scotland the out of pocket expense was zero, unless you count the bus fare in going to see the doctor, but even then, the GP would come and see you if could not make it to the office. There is no health care insurance in Scotland under the NHS — it is a service provided by the local health boards and as such has to do more than pay for the cost of care.
The NHS has to provide access to care and in the Highlands and Islands that means paying for a GP to be there for patients regardless of the financial inefficiency of having a small practice. As proponents of universal health care often point out, the insurance system in which the cost of every tablet has to be tied to the patient is hugely inefficient and expensive. For example, the consumer prepays the staff HMO, and physicians are paid on a salary basis.
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The consumer also prepays the individual practice association HMO, however, health care providers are usually paid on a fee — for service or capitation basis. Since , the federal government has reimbursed hospitals on a prospective basis for services provided to Medicare patients. A prospective payment is established for each DRG. The prospective payment is claimed to provide hospitals with an incentive to contain costs.
My Army Service Made Me Believe in Universal Health Care
Beginning in the early s, many states instituted selective contacting, in which various health care providers competitively bid for the right to treat Medicaid patients. Under selective contracting, recipients of Medicaid are limited in the choice of health care provider. The advanced state of technology is the greatest strength of the U. Premature babies for example, face relatively good chance of surviving if they are born in the United States because of the state of technology.
A relatively high life expectancy after age 80 is another reflection of the advanced state of health care technology in the United States. People 80 years and older in the U.