Which factor or factors have been predominant in shaping U.S. health care?

Which factor or factors have been predominant in shaping U.S. health care? What have been their effects?
Discussion Post Directions:
This discussion response should be at least 250 words in length (excluding references WHICH ARE REQUIRED). You must make sure that your initial discussion response addresses all aspects of the discussion question/statement. Initial discussion post are due 11:59 PM on Fridays.
In addition to the weekly initial discussion response(s), you will need to respond to at least twoof your peer’s weekly discussion responses per essay. These peer responses should be at least 100 written words in length and include support (in text citations and a reference page) in at least one of your responses. They must be posted by 11:59 PM on Sundays. There is, of course, no upper limit on your peer responses. SAMPLE ANSWER
The rise of managed care: Managed care is a system of health care delivery that emphasizes controlling costs by coordinating patient care. It has been a major force in shaping U.S. health care since the 1970s. [1]
The growth of technology: Advances in medical technology have led to new and expensive treatments for a variety of diseases. This has contributed to the rising cost of health care. [2]
The aging population: The U.S. population is aging, and older people tend to use more health care services than younger people. This is also putting a strain on the health care system. [3]
The increasing prevalence of chronic diseases: Chronic diseases, such as heart disease, cancer, and diabetes, are now the leading causes of death in the United States. These diseases require ongoing treatment, which can be costly. [4]
The changing role of government: The government has played a major role in shaping U.S. health care, from providing funding for Medicare and Medicaid to regulating the health insurance industry. The government’s role is likely to continue to evolve in the future. [5]
These are just some of the factors that have shaped U.S. health care. The effects of these factors have been mixed. On the one hand, they have led to advances in medical care and improved the quality of life for many people. On the other hand, they have also contributed to the rising cost of health care, which has made it more difficult for some people to afford care.
The future of U.S. health care is uncertain. The factors that have shaped the system in the past will continue to play a role, but new factors, such as the increasing use of telemedicine and the rise of artificial intelligence, are also likely to emerge. How these factors play out will determine the future of health care in the United States.
[1] Bodenheimer, T., & Grumbach, K. (2020). Understanding health policy: A clinical approach (8th ed.). Wolters Kluwer.
[2] Institute of Medicine. (2013). The future of health insurance: A path to universal coverage. National Academies Press.
[3] Centers for Disease Control and Prevention. (2022, March 8). The aging population.
[4] Centers for Disease Control and Prevention. (2022, March 8). Chronic diseases.
[5] Oberlander, J. (2019). The evolution of U.S. health policy (2nd ed.). Johns Hopkins University Press.