Discussion: DHA 721 United States Healthcare

DHA 721 WEEK 4 United States Healthcare System Paper
The United States healthcare system is influenced by shifting political climate, constant economic development, rapidly evolving technological innovation, diffusion and social values, and demanding workforce issues and demographics trends. Also, the United States system is different from the systems of other countries on many dimensions: no central governing agency, limited coordination, high cost buy only yields average health outcomes, imperfect market conditions, private sector is the dominant market, multiple organizational forms and players, market goals and social justice are in conflict, etc.

The concern over the economic future of healthcare systems revolves around three broad issues: cost, quality, and access. Gaps in coverage, combined with the upward trends in medical care spending over the past several decades, add to the commonly held belief that the United States healthcare systems are in crisis.

Write a 1,050- to 1,400-word paper addressing the following:

Describe the economic foundation of the United States healthcare delivery system and the role of economics in healthcare.
Compare and contrast the use of various economic models to explain the role of economics in healthcare and how the concept of the market equilibrium works in healthcare.
Assess the role of production of health and demand and supply for medical care and health insurance, and the relation of income and demand for healthcare.
Evaluate the responsiveness of demand for healthcare with respect to time, price, and income.
Compare the economic benefits and challenges of individual versus population health.
Assess the international comparisons of health among the United States and other developed countries (cost, quality, access to care, and any other relevant measure).
Include at least 10 current peer reviewed articles in your paper.

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The United States spends more on health care services than does any other nation—on average, more than twice as much per person as the other OECD countries (Schieber, Poullier, and Greenwald, 1991). These expenditures are financed by a complex mixture of public payers (Federal, State, and local government), as well as private insurance and individual payments: There is no single nationwide system of health insurance. The United States primarily relies on employers to voluntarily provide health insurance coverage to their employees and dependents; government programs are confined to the elderly, the disabled, and some of the poor. These private and public health insurance programs all differ with respect to benefits covered, sources of financing, and payments to medical care providers. There is little coordination between private and public programs: Some people have both public and private insurance while others have neither. Nevertheless, persons without health insurance are not entirely without health care. Although they receive fewer and less coordinated services than those with insurance, many of these “uninsured” individuals receive health care services through public clinics and hospitals, State and local health programs, or private providers who finance the care through charity and by shifting costs to other payers.

Discussion: DHA 721 United States Healthcare