1. Stac Many individuals can come to the consensus that most people are not prep

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Many individuals can come to the consensus that most people are not prepared for major health crisis. A layoff from a job, injury due to an accident, sudden illness or disability can cause major disruptions in one’s life. If this occurs, are you prepared? No matter the situation, having adequate healthcare through a functional health delivery system can ease the burdens associated with this misfortune.
The two main objectives of the US Health Delivery System are access to care and cost. An ideal health delivery system would allow everyone access to medical care no matter their socioeconomic situation while being cost effective. A substantial amount of the US population is covered through either private, federal and/or state funded health plans; however, many remaining individuals are unable to qualify for health programs because of restrictions which usually results in them not seeking medical care or utilizing emergency room services even for non-emergency medical care. In a country of great wealth, it is very disturbing that poverty is a determinant to whether someone lives or dies. Is one human life more important than others? This world would be a better place if only we could apply Godly principles to humanity. The Lord says, “If one of your brethren becomes poor, and falls into poverty among you, then you shall help him, like a stranger or a sojourner, that he may live with you.” (New Spirit Filled Life Bible, New King James Version, 2002, Leviticus 25:35-36). There are ten characteristics of the U. S. health system which are: No central governing agency and little integration and coordination Technology-driven delivery system focusing on acute care High cost, unequal access and average outcome Delivery of health care under imperfect market conditions Government as subsidiary to the private sector Fusion of market justice and social justice Multiple players and balance of power Quest for integration and accountability Access to health care services selectively based on insurance coverage Legal risks influencing practice behaviors (Shi & Singh, 2019) The US health system is continuously evolving. The mere fact of not having a central governing agency eliminates a monopoly or absolute power giving full control to one entity. Historic events have shown that sole control under one entity leads to suppression and stagnation with most benefits being unilateral. In contrast, the US health system being publicly and privately financed allows for a balance of power through multiple players such as providers, hospitals and institutions. The US has a reputation of having some of the best healthcare in the world. An enormous amount of funding from these public and private entities is poured into research, technology, pharmaceuticals and discovering new medical advances to keep us ahead of the medical game. Americans pride themselves in diversity and freedom of choice with selection. In managed care organizations, individuals may choose plans that best fit their individual and family needs as well as price point. Familiar examples of managed care organizations are Cigna, Humana, Aetna and Blue Cross Blue Shield to name a few. Current military and retirees have access to care at military bases and within the community utilizing Tricare. Veterans receive medical care through the Veterans Administration Healthcare system at VA facilities or by providers in their local communities through Community Care if they meet certain eligibility requirements and have pre-approval. In addition, a large population of people rely on federal and/or state-funded health plans which include Medicare, Medicaid and Childrens Health Insurance Program. The passing of the Affordable Care Act (ACA) by President Obama in 2010 closed the gap on many health care disparities allowing more people access to medical care. Although not perfect, the ACA allows a greater percentage of our population to be captured in receiving good quality healthcare. The American Health Care Act (AHCA) introduced by former President Donald Trump in 2017 has been unsuccessful at replacing the ACA. Donald Berwick, an opponent to the American Health Care Act, said “The AHCA in anything like the form the House approved would be a massive and immoral step backwards, leaving tens of millions of Americans once again to face needless, greater suffering, and, for many, destitution” (Berwick, 2017). Many Medicare and Medicaid enrollees now receive medical care under an accountable care organization (AC0). This integrated network encompasses coordinated efforts of doctors, hospitals and other health practitioners whose focus is to adhere to higher standards and improve patient outcomes at lower costs. Improvements in patient outcomes may further be achieved when health networks consider patients overall wellbeing in their planning to include their economic and social needs. Studies have determined that unmet social needs and adverse social conditions are associated with declines in health (Gurewich et al., 2020). In conclusion, the US health delivery system is comprised of a vast number of healthcare plans which covers most of the US population. In my opinion, the current US health care system is the best present option for medical care versus a universal healthcare system like other countries. Revisions of policies within affiliated organizations are often accessed as new needs of the population arise. All people have a voice. The US health system is designed to not only hear that voice, but effectively responds by creating health care options which offer high quality, high standards, readily access to care and cost effective for shared partners. References Berwick, D. (2017). Understanding the American healthcare reform debate. BMJ: British Medical Journal (Online), 357. https://doi.org/10.1136/bmj.j2718 Gurewich, D., Garg, A., & Kressin, N. (2020). Addressing social determinants of health within healthcare delivery systems: A framework to ground and inform health outcomes. Journal of General Internal Medicine, 35 (5), 1571-1575. DOI: 10.1007/511606-020-05720-6. New Spirit Filled Life Bible. (2002). Thomas Nelson Publishers (2002). Shi, L., & Singh, D. (2019). Essentials of the U. S. health care system (5th ed.). Jones & Bartlett Learning. 2.Ann
The health system in the United States is a large and complex one, we can certainly say that it is not universal as in other countries such as Canada that provides health services to its residents for free. In the United States, most people have to pay for health services, but there are exceptions and programs and aid for health coverage, for example, the United States has programs such as Medicaid and the Children’s Health Insurance Program (CHIP) provide free or Low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Some states have expanded their Medicaid programs to cover all people below certain income, although many adults do not qualify for all types of health services for free. The United States also has the Department of Public Health which has many free or low-cost health services and which many of the clinics that provide services through the Department of Health receive federal and state funds and sometimes governments They cancel or reduce their aid and they have to close their clinics. Some of the services are extremely important for the life and health of patients. It is necessary to emphasize a very important factor that largely controls the health system or systems of the United States and that is politics. Since many of these events occur due to lack of approval of the members of the governments.From my own experience I can affirm that these processes are like this since I work for the Department of Health and I have seen how clinics have closed due to lack of funds to give an example of primary health care, dental, educational programs for parents such as the from Healthy Start among others. On the other hand, we have the sector of the working class that has to make contributions through their employers to medical health insurance and on many occasions they have to pay a lot of money out of pocket to pay for insurance and health services such as co-payments for doctors. , specialists, pharmacies among others. The system also has Medicare, which is mostly Medicare, which is medical insurance for people 65 years of age or older. You are first eligible to enroll in Medicare 3 months before your 65th birthday. You may be eligible for Medicare sooner if you have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease). The United States has health insurance for veterans and military as the so-called health insurance; TRICARE, which is the health care program for veterans, is considered covered under the health care law. You don’t have to make any changes. If you don’t have veterans or other health coverage, you can use the Marketplace to enroll in a plan. We can outline 10 main characteristics No central governing agency, High on cost, unequal in access, Government subsidizes private sector, Multiple players and balance of power. Access based on insurance coverage. Curative and technology driven. Imperfect market conditions. Fusion of market and social justice. Quest for integration and accountabilityLegal risk influencing practice behaviors In conclusion we can say that there is a lot of bureaucracy since the person who does not have health insurance in the United States has little or no health care or attention, which I understand that there is no value or consideration for human life since he does not care to governments that people die since sometimes they deny them services or give them a low quality service. We can also say that the health system in the United States is influenced by political, economic, technological, cultural, social and other factors.
References:
Shi, Leiyu, Douglas A. Singh, and Leiyu. Shi. Essentials of the U.S. Health Care System. Fifth edition. Burlington, Massachusetts: Jones & Bartlett Learning, 2019. Print.
Opciones de cobertura de atención médica para veteranos militares. (n.d.). CuidadoDeSalud.gov. https://www.cuidadodesalud.gov/es/veterans/Links to an external site.
Comenzar con Medicare | Medicare. (n.d.). https://es.medicare.gov/basics/get-started-with-medicare?utm_source=googleLinks to an external site.
Florida Department of Health in Alachua. (n.d.). https://alachua.floridahealth.gov/Links to an external site.