Challenges of the U.S. Healthcare System Essay

Understanding the U.S. health reverence trunk ass be very challenging due to the system is constantly changing from impudently applied science manage c be, wellness c be reforms, aging populations and early(a) economical factors that stimulate a significant impact in the service provided. This theme go out focus on the stakeholders involved in wellness c atomic number 18 today. Who ar these stakeholders? What be their roles in the health superintend industries? Understanding the man, payers, providers, and the suppliers may inform why the health care system continues to be challenge.Today U.S. Health allot System is facing many challenges. harmonize to Sultz & new (2011), this be get the growing disturbance that the Health Care is a large and difficult to manage and that need over 17% of the U.S. Gross domestic product and exceeds $ 1.5 trillion in cost (p.1). Who are these major stakeholders that sometimes share and often cause conflicting concerns, interest and influence the major component on the health care system? They are the commonplace, payers, providers, and the suppliers. The public is the major consumers of the service provided by the health system. The insured and the uninsured are both major contrisolelyors. The public is truly not aware of the real cost of healthcare run because of the third party payers or the authoritiess Medicare/ Medic maintenance program. The insured is unless concern is the amount of deductible and co-pay due. The uninsured relies on the government aid and with the lack of understanding prefer ER visit instead of firsthand doctor visit. The public in addition assumes that healthcare is just like some other inherits right ( much(prenominal)(prenominal) as protection from the police, fire department or public education) and should be accessible to all U.S. citizens. Currently, the number of uninsured is rising, and thats why low-cost Care number was implemented by President Obama.The query is H ow many uninsured will actually gain reportages, and whether the reform rightfulness will keep healthcare spending growth down are the two many uncertainties in the year ahead? (Meyer & Evans, 2014, p.15). The consumers also deal an organization that lobbies legislation and protection for the public. Such organizations are the American association of Retired Person, labor organization and a disease specific group (ACS-American crabby person Society, The American Heart Association). Traditionally, patients behavior is very subject upon the provider (physician), and the possibility of excessive services such as diagnostic testing can be done. Currently, internet has empowers people to seek health information. Internet plays a larger role in their diagnosis and hold dearment. A survey done by Pew Research Centers Internet & American Life Project (2013), 1 in 3 American adults throw kaput(p) online to figure out a medical examination condition, and 35 % of U.S. adults say that , at one time, or another, they have gone online specifically to try to figure out what medical condition they or someone else might have (p.1). Internet use is becoming more than than popular due to easy access to the internet with smartphones. There are reliable and not reliable website that patients needs to be aware when inquiring the interment. According to Sultz & Young (2011), internet users are becoming more better and participatory in clinical decision-making (p.59).These just challenge the doctors on how to get across with a more knowledgeable and involved patients. I see more and more patient dictating their treatment options versus before just doing what the doctor says. The payers in the U.S. health system are very influential group of stakeholders because they are the one paying for the high percentage of the cost. The payers are the public sphere of influence which includes the federal government, state and local government. The private sectors are the private i nsurers and business. According to the article Understanding the U.S. Healthcare System (2010), 47% of the expenditures comes from the public sources and 53% from private sources (p.4). They are also the one the flowingly taking an dynamical role in determining what those costs should be. The government is considered a prevailing stakeholder since the implementation of Medicare and Medicaid. The government is the taxing authority that generates the funds to support the healthcare system. The governments role is not just a payor but also as regulators and providers through public hospitals, state and local health department and other government facilities. Many regulators were formed over the eld to control over various areas in the healthcare system. Most greenness regulators are the HHS- U.S. Department of Health and Human Services, CMS- the Center of Medicare and Medicaid, and the FDA- the Food and medicate Administration.These organizations are created to make sure everyone is compliant with the current law of U.S. The current healthcare situation has created a significant dilemma in our country. Problems such as the rising uninsured,the advancement of applied science and the rising cost and healthcare system emphasis on cure and fail prevention are just few of the example of why the president implemented the Affordable Care Act (ACA). The Affordable Care Act will friend millions of Americans who currently lack insurance, working-aged men and women and their children, access to Medicaid. It will help little business and individuals with modest means purchase reasonably priced plans. Shaw et al. (2014) mentioned by 2019, the law will bring health coverage and the health benefits of insurance-to an estimated 25 million more Americans (p. 75). It has already restrained discriminatory insurance practices, made coverage more cheap, and realized unfermented provisions to curb costs (including tests of new health-care delivery models) (Shaw et al., 201 4). The ACA has positive and negative points, but our troubled healthcare system needs to emerge in these swerves and challenges in order to improve our healthcare system.The providers in the U.S. Healthcare System include all individuals and organization that provide healthcare services to the consumers. Individuals include physicians, nurse practitioners, nurses, dentist and any confederative health providers. Organization include hospitals, nursing homes, community-based ambulatory services and other similar entities. Although health professional is the one that provides actual care, hospitals in incident offer the environment in which care can be provided and are compensated by the payers for the service provided. As an employee in the healthcare, I have seen a physician that provides extra service or chargeable full point in order to increase revenue. This assumption is hard to prove because of corroboration provided by a physician and conflicting opinions. Physicians and o rganization that emphasis on cure can fail to lead prevention. Healthcare professional can steer and influence public opinion especially when it comes to health. According to Sultz & Young (2011), Professional Association has considerable influence over legislation proposals, regulation, tone of voice issues, and other political matters (p.16). A good example is the lobbying effectiveness of the American Medical Association plays an important role.It also includes the American Hospital Association, and The American Nurses Associations are just a few of the powerful organization that has a role in the health policy decisions. Another important issue is the long term care in the aging population is also creating challenges in our healthcare system. The increase of seniorcitizen (baby boomers) will create high cost deficit and its important to create a broadloom process of care to avoid duplication of services. Currently, healthcare providers are experiencing calculate constraints and strict regulation. Providers are asked to have EMR (electronic medical record) system implemented. According to CMS.gov, as required by law, President Obama issued a sequestration order on March 1, 2013. Under these mandatory drop-offs, Medicare EHR incentive payments made to suitable professionals and eligible hospitals will be reduced by 2%. This 2% reduction has been applied to any Medicare EHR incentive payment for a reporting stop consonant that ended on or after April 1, 2013 (EHR incentive programs, 2014).Continuous feeling improvement (CQI) should be included in gathering data spirit in the organization, since it focuses on processes rather than the individual reorganized both extraneous and internal customers, and promotes the need for objective data to analyze and improve processes (Green & Bowie, 2011, p. 258). A more patient-centered care and prevention could cause impact on how the providers dole out business. The suppliers in the healthcare system include med ical equipment companies and drug companies. These suppliers have grown immensely due to the search of greater efficiency in the delivery of health care services. These companies are for profit and strive for contest in the market just like the insurance companies. New drugs, technology and new creative surgical procedures have made it possible to treat diseases that have a bad prognosis. New technologies have created a animateness enhancing and life story-extending medical accomplishment (Sultz & Young, 2011, p.44). Strategies have change in the delivery of care due to the advancement of technology and brought new problems.New medical and proficient advancement came with new financial and ethical dilemmas. Financial aspect is some(prenominal) its beneficial or not the use of new technology has contributed to the higher healthcare cost. The ethical dilemmas are greater ability to elicit the life can likely cause poor quality of life and the right to die. The AMA (American Medi cal Association) and the federal government have developed programs to study these issues and provide information to the public and to the providers. In the Technology Assessment Act of 1972, it is essential that, to the fullest extent possible, the consequences of the technological applications be anticipated, understood, in the determination of public policy on existingand emerging national problems (Shultz & Young, 2011,p.45). The Agency of Health Care Policy and Quality has a challenging mission to oblige and sort out the complicated health care system and study what is reasonable to whom, when and at what cost.In conclusion, the U.S. Health Care system is changing economically and socially. Healthcare organizations are challenge in providing high quality, affordable care, and healthcare services are an increasingly difficult challenge. The reported outcomes are critical components of evaluating whether clinicians are improving the health of the patient, safety, reducing cost and encouraging preventive care. Containing the cost will affect the quality of care that will raise the question to quality and access. In addition, there are brawny pressures on providers to examine and document the outcomes and effectiveness of their health care actions. all stakeholders must change in order to re pass the complex issues such as treatment options, domain of laws, politics, journalism, administration, public and providers. There are tranquilize a lot of issues that need improvements, but I believe that our government and society will find a middle ground to solve these issues.