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US health care system overview 2
- 1. Foundation of US Health Care Delivery Chapter 2
Notes de l'éditeur
- Abraham Lincoln Quote Health People 2010 Who makes up this initiative? 2 goals Increase quality and years of healthy life Eliminate health disparities Underlying premise is that the health of the individual is almost inseparable from the health o f the larger community and that the health of every community in every state and territory determines the overall health of the Nation. Strategic Planning Is it a good thing to increase life span?
- There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
- There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
- There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
- These are not the same. 1) A person can feel ill, but not have disease Can someone give me an example? Ex) Jamie - could not attend school - feel well now so can go back to school, but probably does not have a disease 2) Vice Versa - you can have a disease and not feel ill Can someone give me an example?
- Risk Factors Give examples of each: 1) Genetic makeup - Cancer, diabetes, heart condition 2) Individual behaviors - Smoking, exercising, eating, red meat 3) Medical Practice - Prevention? Yearly check-ups, ect. I don’t. I only go when I have a problem 4) Environment - - Shaw chemical site (living near Travis’s plant) - Rural area = no high tech equipment to find diseases, et.c.
- Listed in order of importance Environment - Ex) relationship of socioeconomic status - Better education = higher incomes = better locations =less exposure to environmental risks (Shaw Group) =better access to health care. - The greater the economic gap between rich and poor, the worse the health status of population. -less social cohesion -greater psychological stress Lifestyles- Ex) Diet and exercise
- The idea that capitalism and free markets has been extended to health care. The role of distributing economic goods is assigned to the market. Lincoln - would argue that free market implies that giving people something they have not earned would be morally and economically wrong. - Don’t punish those on “top”. Libertarians view
- Assumptions: 1) 2) When individuals achieve, society is better served 3) People are willing to purchase health care services Some see health care as an investment = Reduces the number of sick days, therefore, more productive.
- 1) People trust their physician 2) The market is more efficient that the government Who can’t agree with that statement?
- 1) 2) Thus, Price and ability to pay ration the quality and type of health care services people would consume. 3)
- *** The idea of collectivism and restraining of markets has been extended to health care. The role of distributing social (collective) goods is assigned to the government.
- Utilitarian (not libertarian) - Society’s goal is to achieve the greatest good for the greatest number of people. See Moral Issues
- Deliberate attempt by the government to limit the supply of health care services = beyond basic care = How high tech should be dispersed, etc. ____________________________________________________________ Elements of both Market and Social Justice exist in U.S. Give examples? -private insurance -pay out of pocket -Medicare and Medicaid Interesting: In 90’s, U.S. economy did very well, yet # of uninsured climbed. Conclusion: Some argue that we need to try social justice Discuss meeting with Davidge.
- Deliberate attempt by the government to limit the supply of health care services = beyond basic care = How high tech should be dispersed, etc. ____________________________________________________________ Elements of both Market and Social Justice exist in U.S. Give examples? -private insurance -pay out of pocket -Medicare and Medicaid Interesting: In 90’s, U.S. economy did very well, yet # of uninsured climbed. Conclusion: Some argue that we need to try social justice Discuss meeting with Davidge.