U.S. Health Care System

U.S.Health Care System


U.S.Health Care System

Thehealth care system of every country gives a general overview into thedevelopment status of the country. Being one the developed countriesin the world, the United States remains a benchmark for many othercountries, not only in terms of economic development and politicalaspects but also in terms of health care system. The country is amongthe wealthiest, however, its health care system has been undercriticism over time. Despite seeing an improvement compared to theway the system was a decade ago, the system looks to lag behind whencompared to other developed nation’s health systems (Health CareProviders Industry Profile: United States, 2014). The United Stateshealth care system is one of the diverse, largest and also complex inthe world. This paper is an overview of the United States healthcaresystem, as well as different aspects pertaining to the system.

Objectivesof the health care system in the United States:

  • To provide universal and effective services to the Americans

  • To achieve the already set standards of quality

TheUnited States is known for its unique system for health caredelivery, as the system is regarded as massive ad complex. One of themajor characteristics of the country’s health care system is thatthe largest facilities portion is under the ownership of the privatesector, with public sector taking a smaller portion and primarilyoffered by the government. Between 60-65% of the country’s healthcare spending comes from programs such as Medicaid, Medicare,Tricare, children’s program, and veteran healthcare plan(Parmenter, 2015).

Interms of cost, quality and access, the health care system in theUnited States is diverse. In terms of cost, the country spends around$2.5 trillion every year for the health care needs (Parmenter, 2015).Different factors have been deemed as the contributing factor behindthe high cost of health care in the US. One is due to the amount offees or tuition spent on educating the doctors. In addition, othercosts entailed include the use of technology and drugs testing, anddevelopment. With the country’s ever increasing aging population,the country is required to have better quality healthcare and in turnthe massive cost of sustaining the system (Health Care ProvidersIndustry Profile: United States, 2014).

Overtime, the United States healthcare sector has developed andaccommodated new aspects such as the Affordable Care Act (ACA). Thisact changed numerous aspects with reference to the country’s healthcare system as well as the county’s insurance plans. One of themajor achievements of this plan is that it has kept Americans underthe age of 26, under the insurance plan of their parents if theycannot secure their own. In addition, the insurer cannot cancel one’sinsurance just like that. The ACA Act ensures that the Americans willnot be denied health care access due to any pre-existing conditions.The affordable care act led to the coverage of more than 10 millionAmericans who were initially uncovered (Wicks &amp Keevil, 2014).

Impactof Modern Medicine on United States Health Care System

Overthe centuries, there have been new medical developments andtechniques which have positively changed the aspect of the healthcaresector. With the advancement in the sector of medicine, technology,the physicians have been able to diagnose, as well as effectivelytreat the patients in a more effective ways. This has in turn led toimproved life quality. The modern development has enabled thehealthcare system to adopt modern techniques and technologies thathave been more effective than the traditional approaches. In theUnited States, the modern medicine has improved the healthcareprovision to the people and in turn leading to an improved lifeexpectancy (Wicks &amp Keevil, 2014). Moreover, the invention thathas been made has led to a combination of technology and Medicare togive effective healthcare support to the Americans.

Reasonsbehind the Rising Cost of Health Care

Asmentioned earlier, one of the major aspects of the United Stateshealthcare sector is the rising cost of the services, not only to thegovernment but also to the individual people. One of the causes isdue to increase in the under of people under the healthcare insuranceplans. In addition, with increased life expectancy among theAmericas, it means more funds are needed to support their medicalexpenses. Another cause behind the increasing cost of health servicesis due to the people’s unhealthy habits, such as stress, pooreating habits (fast food), all of which have led to increased numberof patients and in turn high-cost healthcare sector. Other causesinclude medical malpractice lawsuits and misuse of healthcare funds.

Issuesfacing U.S healthcare system

Despitethe country’s economic stability, the healthcare sector continuesto be faced with numerous challenges. One challenge is the everincreasing cost of running and supporting the system. In addition,the gap between the quality of the care and the cost continued towiden and in turn becoming a challenge to the sector. In addition,the sector is facing the shortage of qualified personnel such asphysicians and nurses. With the growing demand for people to serve inthe sectors, there has been a shortage in the number of qualifiedpeople working in the facilities. Finally, the massive change intechnological development has always put the healthcare on-tore tokeep up with technology. However, the tradition personnel, despitethe need to change have found it channeling to work in the modernenvironment, as are required to undergo training for them to be ableto use the current technology and machines.


Medicarerefers to the Americans as the federal health care insurance plan forthe people who are 65 years and older. In addition, it also coversfor younger people with specified disabilities not forgetting thepatients with End-stage Renal Disease. For one to qualify forMedicare he/she has to work and also pay taxes for a minimum definedperiod. The program is in 4 parts, A, B, C, and Part D. The Parts A,and B are known as the primary Medicare, C, is the private healthinsurance, and the last one, Part D covers prescription drugs(Williams, 2015).


Anothermedical service program found in the American health care system isthe Medicaid. This is a social health care program for theindividuals and families who are under low and limited incomeresources. In other words, this is a government plan/ insurance planfor people (including all ages), whose income isn’t enough to caterfor their healthcare needs. The program is handled at the federallevel, but also for every state, which determined the amount,eligibility, rate of payment as well as duration for the program.Some of the services that come with this program include inpatientand outpatient services, children vaccines, family planning amongother services. For the case of who is eligible within this program,each state has the power to form the guidelines to identify whoqualifies for this plan (Williams, 2015). Together with Medicare, thehealthcare plans have been of great help to the Americans.

CurrentState of National Health Policy

Thecurrent state of the health care policy is the fight in universalcare for all Americans. This has marked the major issues withreference to the American system, with both opposes and supporters ofthe move locked in discussions as to which is the best option for theAmericans (Williams, 2015). Opponents of this plan would prefer forthe current free market plan as opposed to the proposedgovernment-based plan.

WhatI would change in the U.S Health Care system

Withreference to the ever-rising cost of health care services fornational government, my major action would be to adopt measures tocurb the massive finances being taken into the sector. In order toeliminate this growing gap between government expenses on the sectorcompared to other countries, I would adopt a plan that is morecentralized. For example, I would increase the number of governmentfacilities over the states, and in turn offer medical services at thesubsidized cost compared to the case with the private sector thiswould not only increase the competition with the private facilitiesbut also make it possible for the Americans to access medical care ataffordable cos. This would in turn help in reducing the total cost ofrunning the health sector.


HealthCare Providers Industry Profile: United States. (2014).&nbspHealthCare Providers Industry Profile: United States, 1-37.

Parmenter,E. M. (2015). The Health Care Benefit Crisis, Ten Years Later: PartI.&nbspJournal Of Financial Service Professionals,&nbsp69(2),67-83.

Wicks,A. C., &amp Keevil, A. C. (2014). When Worlds Collide: Medicine,Business, the Affordable Care Act and the Future of Health Care inthe U.S.&nbspJournal Of Law, Medicine &amp Ethics,&nbsp42(4),420-430.

Williams,K. A. (2015). Medicare and Medicaid: An Anniversary toRemember.&nbspJournal Of The American College Of Cardiology(JACC),&nbsp66(7), 861-863.



USHealth Care System

USHealth Care System

Variousforms of medicine have existence throughout human civilization. Allancient civilization had some form of medicine and health caresystem, some of which exist in the modern society. However, themodern United States health care system is dominated by modernmedicine. As a result, modern medicine has had a huge impact on thehealth care system. Modern medicines are more preferable in themodern health care system because there are more efficient and actfaster compared to the traditional medicine. Modern medicines haveresulted into increased medical outcome resulting into enhancedability of the health care system to avoid disability and commondeaths (Niles et al, 2014). Additionally, these medicines havesignificantly reduced the cost of health care. The most importantcontribution of modern medicine is reduced rate of mortality due topreventable causes. For example, due to the contribution of modernmedicine, the rate of death due to cardiovascular diseases and strokehas reduced by over sixty percent. The survival rate of cancer hasalso increased by almost twenty five percent. Modern medicine hasalso resulted into a more flexible health care system due to theavailability of more treatment options. This in additional to beingable to diagnose and offer solutions to health issues that could notbe handled by traditional medicine (Shi, 2013).

Themost important challenge facing the United States health care systemis the increased cost of health care. There are several factors havebeen associated with this phenomenon. The most important singlefactor that has resulted into rapid increase in health care cost hasbeen the adoption of expensive medical technologies and drugs.Despite being expansive, these technologies have significantlyimproved health outcomes. The increased cost of goods and services inthe health care system has also increased the cost of health care.Today, doctors are demanding more pay, and drugs are more expensive,which is reflected in the cost of health care. The patterns in whichthe modern societies are demanding for health care services have alsocontributed to increased costs. For example, there are an increasednumber of Americans seeking the services of specialists even in casesthat can be handled by general physicians. Most importantly, theAmerican society is aging in addition to becoming fatter and sickerwhich results into increased demand for health care services (Shi,2013).

Otherthan increased cost of health care services, another challengingfacing the United States health care system is increased shortage ofhealth care professionals. Currently, the United States health caresystem is struggling with staffing challenges. There are many factorsthat have resulted into the current staff shortage in the UnitedStates. Additionally, the staffing challenges are expected toincrease in the near future resulting into more crisis. The increaseddemand for health care services due to health care reforms which hasincreased medical coverage in addition to a sicker society hasresulted into scarcity of medical professionals. As the Americansociety become older and sicker, health care workers are alsobecoming older and sicker, thus retiring. The current staffingchallenges in the United States health care system are likely todiscourage young people from joining the profession and othersleaving the profession due to overworking and reduced jobsatisfaction (Shi, 2013).

Thereare two major health care insurance program financed and managed bythe government. They are the Medicare and Medicaid. Medicaid ishealth care insurance program by the government that coversindividual with limited resources and income. It covers individualswhose resources can not finance a private health care insuranceprogram. Medicaid program is financed, managed and administered atthe state level with the assistance of from the federal government.States are allowed to make their own regulations, but must adhere tothe mandatory federal requirements. On the other hand, Medicare is anational health insurance program that covers individuals aged 65years and above as well as younger individuals with disabilities,amyotrophic sclerosis and end stage renal disease. The program isadministered by the federal government and contracted private healthinsurance providers (Shi, 2013).

Thereare many challenging facing the American health care system. Amongthem are the increased cost of health services and staffingchallenges. The health care system has achieved much, especially dueto increased health care outcomes.However, it is important tomention that it is difficult to accurately measure the output of thehealth system due to numerous social, economic, cultural andpolitical factors that affects the system. To enhance theachievements in the US health care system, something needs to be doneto cub the escalating health care costs in the United States. Thisinvolves relooking at the various factors that result into increasedcost of medical care services. Additionally, medical coverage remainsa dream to thousands of Americans (Jonas, et al, 2013). To increasehealth care outcome, increasing coverage and consequentlyaccessibility of health care services is critical. The federalgovernment should also invest more in training of health care workersto overcome the current shortage.


Jonas,S. et al. (2013). Introductionto the U.S. health care system.New York: Springer Pub. Co.

Niles,N. et al (2014). Basicsof the U. S. Health Care System,Burlington, MA: Jones &amp Bartlett Publishers

Shi,L. (2013). Essentialsof the U.S. health care system,Burlington, MA: Jones &amp Bartlett Learning