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technologically advanced health care in the world, our population is in comparatively pooreroverall health and a substantial portion does not have access to even basic health care.Discuss the U.S. health care crisis in terms of costs, equity, and distribution. How do these issues affectthe health of individuals?●The US spends the most for health care, and the health care is the most expensive○However, life expectancy and infant mortality rates are not as low and life expectanciesare not as high●Extreme inequality in the United States makes distribution of resources for health care verypolarized○Unequal distribution in the US almost matches that of some third world countries●Resulting increase in number of Americans who can afford neither health insurance nor healthcare → spiraling increase in health care costs●Also because of increased cost of health insurance, aging population, increase in hospitalexpenses and doctors’ fees, increased use/advertising of prescription drugs○NOT because using more health careDescribe the Federal efforts to reform health care policy in the US.●Attempts/successes○Johnson: Medicare and Medicaid in 1965■New level of gov’t involvement with health care■Providing needed services for old and poverty, when previously inaccessible○Clinton 1994 national plan of health insurance■Failed because antiinsurance lobbying efforts, conflict within Congress, growingpublic uncertainty○Overall opposition from public and AMA because: fear of socialism, groups’ conflictinginterests (profit VS people)What factors contributed to the passage of the 2010 health care reforms and how will the changesintroduced affect the health care system?●2010 Federal reforms○Obama 2010: Patient Protection and Affordable Care Act■Estimate: 95% Americans covered by 2019■Changes include●People with preexisting health conditions cannot be denied coverageanymore●Minimum level of benefits in all plans●State insurance exchanges: health insurance at affordable prices●Children can stay on parent’s plan until 26 years old●Required by law to have health insurance○Better than before, but still need more because still good % of Americans without(adequate) health insurance
6/13/2019154 Final - Google Docs25/27Discuss the fundamental issue of health care reform.●Describe the main forms of health care delivery and insurance coverage in the U.S.●The existing health care delivery system in the United States is a conglomerate of healthpractitioners, agencies, and organizations, all of which operate more or less independently○Greatest portion of all patient services is provided in offices and clinics by physicianswho sell their services on a feeforservice or per capita fee basis in a managed carenetwork○Followed by services provided by hospitals●Official agencies○Public organizations supported by tax funds○