Medical Sociology Chapter 16 Book Notes

Medical Sociology Chapter 16 Book Notes - Medical Sociology...

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Medical Sociology Chapter 16 Book Notes - Introduction o Medical care and health services are acts of political philosophy o In Europe, the provision of health services became an important component of government policy in the last half of the nineteenth century. o Entitlements based on citizenship are aimed at providing people with welfare and health benefits, regardless of their class position. The social welfare systems of Europe are more advanced in this direction than in the United States. . o It wasn’t until 1965 and the passage of Medicare and Medicaid that the United States provided health care benefits for some Americans – the aged and the poor. o Americans have historically been less committed to government welfare programs and more in favor of private enterprise in dealing with economic and social problems. o Americans who do receive welfare tend to be stigmatized and have low social status. In Europe, providing welfare and social security for the general population, not just the poor and elderly, is a normal feature of the state’s role. o The United States have a higher level of private financing and spends more on health than any other county in the world. o The American health care delivery system is the most expensive in the world - Socialized Medicine: Canada, Great Britain, and Sweden o Socialized medicine refers to a system of health care delivery in which health care is provided in the form of a state – supported consumer service o There are five things common in all systems of socialized medicine: The government directly controls the financing and organization of health service in a capitalist economy The government directly pays providers The government owns most of the facilities (Canada is an exception) The government guarantees equal access to the general population Medical Sociology Chapter 16 Book Notes The government allows some private care for patients willing to be responsible for their own expenses o Canada Americans like the Canadian health care system because it is the system most often discussed as a future model for the United States Canada does not have a single health care delivery system Canada essentially has a private system of health care delivery paid for almost entirely by public money They publicly financed health care system is supported by taxes and premiums collected by the federal and provincial/territorial governments The major problem facing Canada with respect to health care delivery is its rising costs Canadian health care is essentially free at the point of service in that
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patients never see a bill, it is not free for the taxpayer. Virtually all Canadian doctors participate in provincial health plans and have no other major source of payment for most medical procedures Major reasons why Canadians are satisfied with their health care delivery system are its quality and lower cost. The essential difference between the United States and Canada in health
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Medical Sociology Chapter 16 Book Notes - Medical Sociology...

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