A person in the US can pick in general what primary care provider they would like to see and as long as their insurance covers the provider they are allowed to go to this provider. In Japan however, the majority of doctors that provide primary care are not general practitioners but organ specialist such as cardiologist or gastroenterologist (Takamura, A., 2015). This being said seeing a specialist in the US and Japan is vastly different.For a patient in the US to see a specialist requires a referral from a general practitioner or primary care provider. There is usually a long wait as in specialist are hard to get into and require insurance approval. Also, in the US the government puts stipulations on what they deem
5Running head: C489 TASK THREEnecessary for a person to do or try before seeing a certain specialist. Japan on the contrary, allows its citizens to see any specialist they desire with no restrictions on pre-authorizations or stipulations. If a person in Japan feels they can figure out what they need they are allowed to go to whom they prefer and, in most cases, can be seen that day as a walk-in patient (TransferWise, 2017).A2C:COVERAGE FOR PREEXISTING CONDITIONSSurprisingly coverage for preexisting health conditions are similar in the United States and Japan. In both countries law states that no one can be turned down or refused treatment to preexisting health conditions or economic status. In Japan this law is straight forward and there are not any exceptions. In the United States there is a grandfathered clause that states if you purchased a grandfathered individual health insurance policy for yourself or your family on or before March 23, 2010 that has not been changed in any specific way that reduces benefits or increase costs to consumers then the pre-existing coverage rule does not apply. Meaning that person would not receive preexisting coverage and would then rely on the grandfathered health insurance (HHS Office, 2017).A3:FINANCE IMPLICATIONS FOR HEALTHCARE DELIVERYAs mentioned above the Affordable Care Act was put into place while President Obamawas in office. While there have been some who have benefited from this act there have also beensignificant impacts for many patients in the United States. Of these impacts there has been risingpremiums.
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- Spring '16