Compare and Contrast Essay on the U. However, the current situation, especially in the US, proves the fact that the potential of the modern medicine is not fully realized. At any rate, the US health care system could apparently function significantly more effectively and, in this regard, it is possible to refer to the example of Canadian health care system, which is considered to be more effective though, from purely economic point of view this system has lower opportunity compared to American one.
Healthcare Costs per Capita — U. The Cato Institute claims that because government intervention has expanded insurance availability through programs such as Medicare and Medicaid, this has exacerbated the problem.
Low reimbursement rates for Medicare and Medicaid have increased cost-shifting pressures on hospitals and doctors, who charge higher rates for the same services to private payers, which eventually affects health insurance rates.
American Board of Medical SpecialtiesUnited States Medical Licensing Examinationand National Association of Insurance Commissioners Involved organizations and institutions[ edit ] Healthcare is subject to extensive regulation at both the federal and the state levelmuch of which "arose haphazardly".
Essential regulation includes the licensure of health care providers at the state level and the testing and approval of pharmaceuticals and medical devices by the U. These regulations are designed to protect consumers from ineffective or fraudulent healthcare.
Additionally, states regulate the health insurance market and they often have laws which require that health insurance companies cover certain procedures,  although state mandates generally do not apply to the self-funded health care plans offered by large employers, which exempt from state laws under preemption clause of the Employee Retirement Income Security Act.
Inthe Patient Protection and Affordable Care Act PPACA was signed by President Barack Obama and includes various new regulations, with one of the most notable being a health insurance mandate which requires all citizens to purchase health insurance. While not regulation per se, the federal government also has a major influence on the healthcare market through its payments to providers under Medicare and Medicaid, which in some cases are used as a reference point in the negotiations between medical providers and insurance companies.
Department of Health and Human Services oversees the various federal agencies involved in health care. The health agencies are a part of the U. Public Health Serviceand include the Food and Drug Administration, which certifies the safety of food, effectiveness of drugs and medical products, the Centers for Disease Prevention, which prevents disease, premature death, and disability, the Agency of Health Care Research and Quality, the Agency Toxic Substances and Disease Registry, which regulates hazardous spills of toxic substances, and the National Institutes of Healthwhich conducts medical research.
Regulations of a state board may have executive and police strength to enforce state health laws. In some states, all members of state boards must be health care professionals. Members of state boards may be assigned by the governor or elected by the state committee.
Members of local boards may be elected by the mayor council. The McCarran—Ferguson Act, which cedes regulation to the states, does not itself regulate insurance, nor does it mandate that states regulate insurance.
By contrast, most other federal laws will not apply to insurance whether the states regulate in that area or not.
Providers also undergo testing to obtain board certification attesting to their skills. A report issued by Public Citizen in April found that, for the third year in a row, the number of serious disciplinary actions against physicians by state medical boards declined from toand called for more oversight of the boards.
An even bigger problem may be that the doctors are paid for procedures instead of results. For example, in36 states banned or restricted midwifery even though it delivers equally safe care to that by doctors.
Emergency Medical Treatment and Active Labor Act EMTALA, enacted by the federal government inrequires that hospital emergency departments treat emergency conditions of all patients regardless of their ability to pay and is considered a critical element in the "safety net" for the uninsured, but established no direct payment mechanism for such care.
Indirect payments and reimbursements through federal and state government programs have never fully compensated public and private hospitals for the full cost of care mandated by EMTALA. More than half of all emergency care in the U. According to the Institute of Medicinebetween andemergency room visits in the U.
In accordance with EMTALA, mentally ill patients who enter emergency rooms are evaluated for emergency medical conditions. Once mentally ill patients are medically stable, regional mental health agencies are contacted to evaluate them.Many countries work hard on this issue in order to create a health care system that would in whatsoever way resemble the system implemented by the United States.
The United States of America is the owner of the most expensive health care system in the world. It’s an issue that has divided the mental health community to a rare extent. For its advocates, it’s a humane alternative to leaving people to deteriorate to the .
 Adopted in , Medicaid is a joint federal and state program that provides health insurance for the poor and disabled. The federal government offsets its share of the funding (roughly percent, depending on a state’s income) from general revenue.
The World Health Organization (WHO), in , ranked the U.S. health care system as the highest in cost, first in responsiveness, 37th in overall performance, and 72nd by overall level of health (among member nations included in the study). In the Commonwealth Fund, an advocacy group seeking greater government involvement in US healthcare, then led by former Carter administration.
Compare and Contrast Essay on the U.S. and Canadian Health Care Delivery Systems The modern medicine provide unparalleled opportunities to deliver health care services to patients, cure diseases which used to be incurable in the past, and increase the quality of health care services considerably.
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