In today's society, public perception of the U.S. health care system is widespread. Many people are satisfied with the advancements that we have made in the medical community. Less than one hundred years ago, health care was non-existent. Today, it is one of the leading industries in our country and worldwide. However, many people criticize where health care is going. They believe that doctors are giving up quality care and replacing it with the quantity served. This paper will describe the changes that have occurred and are occurring in the US health care system. Beginning with the health care environment, we will see that although we are downsizing some subdivisions, at the same time we are increasing access to health care by providing a variety of different services. Next, the rapid increase in medical insurance since the mid-1900s will be discussed. Medicare and Medicaid were created under the Social Security Act. Since then, medical care to elderly and to the poor in our community has improved drastically. Finally we will discuss why the public perception of a growing medical community is sometimes negative. There are steps that need to be taken to keep the pace of change in our health care system to match t
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In one decisive legislative action, the large population of elderly, the age group most likely to need hospitalization, were assured of hospital care, and the hospitals were assured that they would be reimbursed on the basis of "reasonable costs. The Hill-Burton Act was signed as Public Law 79-75 in 1946 and became a major influence in the expansion of the hospital industry (Stevens, 399). implementing total quality management
7. forgoing new relationships with physicians
5. The sophisticated computerized clinical information systems that supported the research that focused on the cost-effectiveness or outcomes of expensive medical interventions has increasingly documented and given public recognition of system deficiencies. building capacity for population-based needs assessment
4. The major reformation of the hospital industry has been a formidable challenge to traditionally conservative hospital executives, boards of trustees, and medical staffs steeped in their long-standing institutional cultures. Expanding hospital services and relatively unrestrained reimbusrment rates created an inflationary spiral that was to persist for decades. Medical insurance should be made available by most employers, and in today's job market it is becoming a commonplace. industry, became a market-oriented and aggressively enterprising.
Health Care Environment
Although the American public and Congress resisted the health care reforms proposed by President Clinton in the failed Health Security Act of 1993, market forces continue to alter the health care environment with remarkable rapidity. In a little over 10 years after the implementation of Medicare, persons over age 65 were spending well over twice as many days in the hospital as those age 45 to 64 (Stevens, 293). The monetary incentives built into the Medicare system favored entrepreneurial, short-term financial interests.
Approximate Word count =
1514
Approximate Pages =
6 (250 words per page double spaced)
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