The problems at Walter Reed are also related to government bureaucracy and Congressional failure to act, no doubt. And it does not include the costs that doctors and hospitals incur in denying applications for payment, often in the form of payments to consultants who specialize in this kind of responsibility-shifting activity. Sergey Merkin asks, "Why not open the country to foreign medications?" Government doesn't have a great track record in running anything efficiently. Government can provide a framework of subsidy, tax rebates to speed up the process and achieve equilibrium. Is the magic number 100? The above functions are supposed to be the sole responsibilities of local governments’ primary health care. Among the key issues in healthcare delivery is the role and resources for primary care vs. corrective care, for local multi-disciplinary local care vs. highly focused regional specialty care, for the traditional focus … Moreover, this division of roles and responsibilities between the three tiers of Government particularly between states and local governments is complex and not always clear, undermining the accountability relationships between citizens, policy makers and providers. However, waste is only a very small part of the problem. It plays a lot of attention to the health of its people. When and how did "Healthcare" become a right instead of a privilege? 0000003413 00000 n The Costa Rican government believes that a country has to be healthy for its development. The federal government’s role in health care is to pull all of the patchwork pieces of healthcare together into a seamless whole. The question presumes that the government should have some role in healthcare. In Canada, there is pressure from businesses, the media, and Conservative governments to have private medical clinics that would create a 2-tier medical system, differentiating services received by the rich and the poor based upon discretionary income levels and subsequent purchasing power (albeit with resistance from our social democratic governments, the NDP). village development communities and the local government area PHE management is not thorough as planned. But to say that it is entirely due to government ineptitude and that this is what government-run healthcare would look like is misleading. Engage Alan Greenspan to formulate the solutions which can be fully funded and sustained by a Federal lottery. 0000003257 00000 n The Role of the Federal Government in Health Care Report Card 2013. Through the new Kent Health Commission, launched in November, local authorities are being given a snapshot of what their future, more dynamic role within the health system may be. This new system will offer up options beyond those always adopted hitherto, and options which may well be better suited to the needs of the patient. Keith Butler believes that it could come in the form of a two-tiered system of private treatment at personal expense layered on a service free to all with protections for healthcare givers and the elimination of third party insurance. This is a normal part of the writing process. A few questions: 1) What is the health cost curve during the last 0.5, 1, 2, 5, 10 ... first 0.5, 1, 2, 5,10... years of life? Joining up the various health-related functions of district and county councils offers a way around a cycle of dependency upon expensive acute care which is both costly to the taxpayer, and unhelpful to the individual concerned. As a consultant I reviewed the hospital's logistic systems, and was again appalled at the inefficiences; but when pointed out, the medical staff went undercover and nothing happened. A h``RRˀ*R+�cҀ*[����5Z�(�M�U�T If this is a microcosm of current concerns and suggested solutions, does it bode well for the formation of a consensus, political or otherwise, leading to progress? But if it should get involved it should try to cap the varied high costs of mediciines etc. And yes there should be a profit, but as the revenues ideally would be earmarked to qualify as a non-profit business. But, if the healthcare dialogue is going to be productive it must account for many factors. All rights reserved. I need to know where to find scholarly citations for this topic also. Try waiting months for an MRI in Canada that can be obtained same-day in the States. Name one thing the government does well, nay efficiently and effectively. Tue 20 Dec 2011 07.30 GMT Of this, more than $600 billion (31 percent) is never seen by recipients. document.write(' '); The Ultimate Socialized Medicine For America: The fundamental problem is that this is the reality we have to face, in which the capitalism idea is prevalent, which also dominates the whole healthcare system, in the US in particular. The major problem is that people have an insatiable demand (some would even say irrational demand, for example spending $100k on a procedure with a 5% survival rate for someone with no hope of productive recovery) for healthcare when it comes to life and death of themselves and their loved ones. The concept of Primary Health Care (PHC) was formulated by 134 Countries at a meeting in Alma Ata on 12th September 1978 to offset the idea of “Health for All by the year 2000’’; as initiated by Dr Halfdam Mahler a former Director-General of World Health Organization (WHO) in search for improved health globally. Any service that is on track to consume 40 percent of the gross national product of the world's largest economy by the year 2050 will be hard to ignore. The only kicker is the maze of regulations that keep, for example, nurses from using all their skills. Governmental agencies, like the National Institute of Health, greatly influence the development of health care policy. And, just as important a point is that these proposals mistakenly deal only with surface social phenomena and dismiss social analysis. But are we addressing them with the creativity they deserve? Its estimate does not include the costs of sorting out acceptable applicants or denying payments under existing policies, another substantial amount. Cite specific examples to support your answer. Any number of credible studies have shown that 40% to 50% of current U.S. healthcare expenditures are waste (e.g. The proponents of government-subsidized managed care in the U.S. want a plan that would be a single-payer universal health system managed by the federal government. they result in no improvement and frequently worse patient outcomes up to and including nearly 100,000 needless deaths, worse quality of work life for healthcare providers, etc.). !͢�Y�8����tv�Z�p��Q��i'O��JmO�ۜ�-�,�l�j�Ȗ��V�|akr�[+�$�`��+I����R�f�,U}+������|q�>?���unڅ�eI%�ZN��c�sqD���f�R��n�O�3-J�͑�f��S�x�lsӏ��Y�C0A1��F )c ����ƔB�-���ظ�A��QPH�����\!ec� 7) What of a national health court? 0000004550 00000 n Support your position with examples and/or evidence. Available for everyone, funded by readers. Crucially, the point of all this is not mere cost-cutting. Background: Discussions surrounding the role of government have been and continue to be a favorite American pastime. In my opinion, the U.S. has the creativity and experience to solve this dilemma and become a role model internationally. No businessman would take any of the above into account. Thus, bringing health care as close as possible to where people live and work and contributes the first element of a continuing health care process (Akinsola,1993). 2) What are the published statistics/scenarios for when diagnostic equipment, the "next test", should be used? I think that all of the comments so far have merit, but solving the problems of health care should not be done on an abstract level. document.write(new Date().getFullYear()); Copyright © 2004 Joint Commission on Accreditation of Healthcare Organizations. He quickly discovered that none of them were interested in insurance costs or workers compensation as these were taken care of with national health insurance. Sometimes spoken about, but always in hushed terms. Many of the commenters here have touched on different facets of the problems facing the healthcare industry, all of which are valid points; but they have so far ignored a central fact. I'm always amazed that business sites and business people have little faith in the free market. And in the 1999 constitution of the federal republic of Nigeria, health is on the concurrent legislative list; by implication the three tiers of government are vested with the responsibilities of promoting health. The cost of healthcare will be a problem that will increase in multiples unless something is done that is radically different from what we are doing now.