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United States Healthcare Programs Essay

… But the other side of that issue is that according to a PricewaterhouseCoopers study the potential of ACA is great, and "…the new markets [set up through exchanges] would be worth $50 billion to $60 billion in premiums in 2014, and as much as $230 billion annually" by 2019 (Business Insider).

In conclusion, it is embarrassing and even offensive to see how far down the list of nations around the world that the U.S. is to be found when it comes to the quality of healthcare Americans are stuck with. The right wing rhetoric about healthcare becoming some kind of "socialism" has apparently been effective up to this point, but when the ACA becomes fully implemented it will go a long way towards universal health…. [read more]

Healthcare Spending the United States Essay

… The Medicare and Medicaid programs are also reformed and designing Insurance-like setups that would help people getting direct access; thus, cutting down the expenses on healthcare programs.

Moreover, insurers and healthcare providers are directly dealing with each other and making new payment models thus sharing the risk of healthcare coverage. This has also increased the level of employers' interest in workers' healthcare. These shifts are improving the healthcare system but the economic downturn has increased. However, these changes will make significant improvements in healthcare till 2014. (Matthews, 2011)


Currently, the condition of U.S. Health Care System is worse than any other industrial countries. Expenditures are high and health outcomes are quite poor. But since the Healthcare Reform Law 2010, the future of healthcare in…. [read more]

Insurance Healthcare Research Paper

… Health Care System

United States Health Care System

An increase in the concentration of the health care costs and quality assurances within the context of the health reforms continue to shift the attention of the federal and state governments towards the potential health information technology. This project seeks to enhance the effectiveness and efficiency of the health care programs as well as reduction of the health care costs (Lucas Jr. et al., 2013). The states and federal governments also focus on the improvement of quality and safety of the medical provision programs. This research exercise focuses on the examination of the concept of health information technology. This is through evaluation of the major issues or problems related to the program within the health care sector.…. [read more]

Healthcare System in the Netherlands Term Paper

… Healthcare System in the Netherlands

The Netherlands has a unique concept of 'family physician' known as 'Huisarts' who the primary Doctor responsible for coordinating physical and mental care of patients in his neighborhood. January 2006 saw the launching of a new healthcare system which requires citizens to avail a basic health insurance package. It covers medical treatment alongwith services delivered by General Practitioners, hospitals, specialists, indoor admission, dental care and different medical appliances. The healthcare system in the country comprises of three divisions for health insurance, managed by three different establishments. They are the national health insurance for special medical expenditures; mandatory sickness funds meant for people having low incomes less than a specific stage and private, primarily voluntary health insurance; and finally the voluntary…. [read more]

Canada Healthcare Essay

… In spite of the available risk, a research on the costs and quality of contracted-out elective services, in part due to the fact monitoring systems tend to be seldom in place. It becomes of significance to keep in mind that contracting with private providers will not always be synonymous with bringing the free market into health care.

The Canada government can find it possible to introduce market forces, especially competition among providers, while not having any form of private ownership. The government can also intervene in turning the private capacity into reduced wait times. Private companies will not likely to brave high the markets of healthcare entry and exit costs not until they are offered a guaranteed revenue stream, which always is supposed to come…. [read more]

Health Care System Research Paper

… " (Workflow Management Coalition (WIMC) and Future Strategies, Inc., 2003-09) Document types include such as birth certificates, handwritten bills submitted by providers or specialists and any other type of content of document needing "assigned and managed" according to Tinksley. Tinsley goes on to explain that that the Mosaix system: (1) integrates all components on the desktop; (2) merges documents; (3) tracks documents; and (4) delivers information to any origin.

IV. Workflow System and Mainframe Integration

The workflow system is reported to "interact with the mainframe, retrieving legacy data that resides on the Amdahl/MVS…." (Workflow Management Coalition (WIMC) and Future Strategies, Inc., 2003-09) It is reported as here that Mosaix "…integrates with the terminal emulation software, Attachmate. The system represents the first true client server environment…. [read more]

Health Care Healthcare Questions Compare the Dutch Term Paper

… Health Care

Healthcare Questions

Compare the Dutch, German and British healthcare systems in terms of financing and delivery structures and incentives.

Dutch health care is financed with a mix of public and private funding. It has been described as a "hybrid of the German social insurance model and the American private insurance model" (Schippers 2002). Public funding, including social insurance, mandatory private insurance and tax subsidies, contributes over 85% of healthcare funding for the Dutch but their supply is predominantly private in character. Also, "one guiding principle" of the Dutch system is "that if people become able to pay for themselves they should...unlike their German neighbors who may, having reached an annually determined income threshold, choose whether or not to leave the statutory scheme, the…. [read more]

Health Care Costs Essay

… U.S. Census Bureau. (2011, September 13). Health insurance: Highlights: 2010. Retrieved


Rising Costs have Limited Funding for Federal Health Care Programs

One of the problems with the rising cost of health care is that it has limited funding for federal health care programs. This seems difficult to imagine, with health care making up such a significant portion of the federal budget. After all, in 2008, "spending by all public programs -- including Medicare, Medicaid, State Children's Health Insurance Program, and other programs -- accounted for 47% of health care spending" in the nation (MedPac, 2010). Medicare spending, in particular, has steadily increased as a percentage of the gross domestic product (MedPac, 2010). However, the more federal funds that are required to maintain the…. [read more]

Marketing in Healthcare Catholic Term Paper

… The mission of the CHW is to provide those in disadvantaged financial positions with excellent health care. It is also their mission to do so in a spirit of Christ-like compassion and love.

If a paradigm of wellness is to be adopted, programs such as community education events could be implemented. These could focus on educating the public regarding the maintenance of health and the prevention of illness. The focus can still be the poor and of course the acute illness care unit can still operate for those who need it. However, if wellness is a greater focus within the organization, some of the existing facilities could be converted to become education centers to help people focus on wellness.

For any organization to grow, new…. [read more]

Universal Access to Health Care Essay

… (Cato Institute, 2009, paraphrased) Stated as the reason for success in national health care systems in countries such as the Netherlands, Switzerland and France is "the degree that they incorporate market mechanisms such as competition, cost-consciousness, market prices, and consumer choice." (Cato Institute, 2009, p.1)

Summary and Conclusion

Universal access to health care is an ideology that no one can argue against because in its perfect form universal access to health care would ensure equal access to health care services for all members of the public regardless of the limitations due to income, insurance and other factors that either bar or assist health care access. Countries such as Switzerland, France and the Netherlands have however, developed what appears to be a formula for success for…. [read more]

UK Healthcare Term Paper

… According to Enthoven, the focus was directed towards enabling private practice to develop and forcing more elderly people to independent private nursing homes, where they had to pay from own resources until their money ran out. Within this approach, the goals of the government as addressed by Enthoven were:

To improve its ability to control the NHS financially by separating 'health' from 'social' care and to continue offering 'free' if services were provided by the NHS staff based on 'means tested' access.

To increase the efficiency of the NHS by improving both productive efficiency and allocative efficiency.

According to Le Grand et al., (1998), the basis of the development of the 'internal market' involved the introduction of competition via the establishment of more and smaller…. [read more]

Healthcare in 20 Years Research Paper

… ¶ … concrete examples, some of the major participants and components of the present health care services sector. It's suggested that you consider all possible areas, which form this huge portion of our GDP!

In terms of components, the Washington State Healthcare Authority website lists a number of different services that are in within the healthcare services scope. These include ambulance services (ground- or air-based), ambulatory surgery, applied behavior analysis, blood/blood administration, behavioral health services (which is itself very multilayered), chiropractic, dental/dentures, detoxification, diabetes education, dialysis, family planning services, rehabilitative services, hearing aids/hearing evaluations, orthodontics, oxygen respiratory services, smoking cessation, vaccinations, vision correction/maintenance, prescription drugs and the list goes on (Washington, 2015).

In terms of the share of the economy that is healthcare-based, the number…. [read more]

Resuscitate (DNR) as a National Healthcare Mandate Thesis

… ¶ … Resuscitate (DNR) as a National Healthcare Mandate

Background on DNR

Do not resuscitate (DNR) is a choice that has long been available to patients and families who are faced with end of life (EOL) decisions. It is the choice, usually a patient choice, a personal choice, stipulating the patient's decision not to have healthcare personnel intervene if the patient's heart stops, and, without intervention, will result in the patient's death. It is not suicide. It is, rather, a decision to allow the natural events of life and death processes to unfold without medical or medical technological interventions that would result in reviving the patient and stabilizing the vital life signs that would cause the patient to continue living. As intensely personal as this…. [read more]

Challenges and Solutions: Long-Term Care for the Disabled Elderly Term Paper

… Long-Term Care for the Disabled Elderly

The elderly population, as Lecovich (2014) points out, is rapidly increasing; and this is not only an American problem -- it is a global phenomenon. In the words of the author, "ageing is connected with increased chronic morbidity and functional disabilities" (Lecovich, 2014, p. 21). According to the Robert Wood Johnson Foundation (2014), as the population ages, there will be an explosion in the demand for long-term care services. The all important question in this case remains, "who will pay for these services and how will they be delivered?" (Robert Wood Johnson Foundation, 2014).

Long-term care, particularly for the disabled, is an issue of concern for most governments from across the world. Sometimes in 2003, the Commission on Long-term…. [read more]

Management Nursing -- Preparing Essay

… The distinction between the concept of leader and manager are important for this analysis. It is entirely possible to be a wonderful leader and not be a good manager, or to be an excellent manager yet not be a good leader. In the hospital environment, a manager will necessarily have delegated authority. A manager conducts his or her work within the context of a formal role that has a particular status and delineated duties and responsibilities. The focus of a manager's job in a hospital is on control and coordination ("SIGN," 2002). Control must be extended over medical and institutional processes, over decision-making, and over the execution of duties carried out by those the manager directly or indirectly supervises. Managers are expected to be good…. [read more]

Relationship Risk Insurance Essay

… Using this information management is able to determine how to charge for its services. The charges will put into consideration the different covers that individuals have and also provide different services based on the covers. From the empirical measurements, management can also establish the number of people who are taking up covers and their income levels. This information will assist them in decision making to ensure that they can provide covers to the people who have the greatest demand. The information will also indicate which covers are most popular, and will allow the management to focus on promoting other covers to the same consumers. There might also be consumers who can afford better covers, but they are using cheaper options. With this information the management…. [read more]

Quality Care and Nursing Shortage Capstone Project

… This being said, quality care was delivered to the patients. Thus, least deaths, less failure to rescue cases, brief hospital admittance and low infection rates were observed (as cited in Bozack et al., 2013).

Dr. Jack Needleman and associates in March 2011, released their report in New England Journal of Medicine which shows that inadequate staffing of hospitals resulted in accumulating deaths of patients. The researchers were able to see through 198,000 patients in hospitals and oversaw 177,000 nursing shifts in a broad spectrum of 43 hospitals with average staffed nurses. The death rate of patients was 6% higher for hospitals with least number of nurses employed. 'Nurse staffing and in-patient hospital mortality' is a research in which researchers noted that, 'With rate of patients…. [read more]

Health Issues Faced by Immigrants Research Paper

… Migration and Health

Definitions & Concepts

Migration-when an individual moves from one center of living to another over a socially significant distance (Spallek, Zeeb, Razum, 2010).

It is the movement of an individual or a group of persons across a political or administrative border from a geographical unit to another for permanent or temporary residence (DMP, 2004).

International migration- an instance where migration occurs across a national border (Spallek, Zeeb, Razum, 2010).

Circular migration- the movement of migrants (the people migrating) who take residence in one country for a short period of time before going back their country of origin (DMP, 2004).

Irregular migration-this is a type of migration that does not conform to any policies, rules or regulations of countries. Irregular migration includes human…. [read more]

Companies and Corporate Social Responsibility Research Paper

… 43). Commencing with a pilot program in its Belgium facility, JnJ found that complying with GreenLight led to lower costs for cooling needs and maintenance while improving JnJ employees' working conditions (Eu-GreenLight, 2006, p. 43) and JnJ reported: "lighting electricity savings: 1.240.000 kWh/year; reduction of electricity use: 40%; energy cost savings: 62.000 euro/year; payback time: 1.5 to 6 years (depending on the project) (Eu-GreenLight, 2006, p. 43). Encouraged by this success, JnJ expanded its use of GreenLight improvements to its facilities in "Austria, Belgium, France, Germany, Ireland, Italy, The Netherlands, Portugal, Spain, Sweden and UK" (Eu-GreenLight, 2006, p. 43).

JnJ's success apparently started a corporate trend: McDonald's (Europe) and Nike (Belgium) partnered with GreenLight and won 2005 GreenLight awards (EU-GreenLight, 2011); Philips (The Netherlands) partnered…. [read more]

Performance of the Company Annual Essay

… The importance of ergonomics is worsened by U.S.'s aging workforce as well as the increase in demand for productivity as well as output both of which have translated to the need for longer working hours. Ergonomics has also been indicated to have an impact on the long-term health issues like disability as well as early retirement. It therefore becomes clear that whether the aim is to provide a healthy and safe user working environment or if it is to improve the corporation's bottom line or if it is both, all organizations can reap the benefits that are associated with effective ergonomic practices.

Ergonomics, which is the science as well as technology of effectively fitting the environment and the activities of individuals to their abilities, needs…. [read more]

Ethics: Assisted Suicide Term Paper

… The cost of Health care can be reduced. Nurses and Doctors would have more time to save those who are going to live or those who wish to try to stay alive (Friend, 2011). Friends and Family have an opportunity to say their good byes. Also, their organs can be kept in order to help save others. Patients feel they have a selection, and may not be compelled to try other techniques to reduce their agony. The negatives comprise that numerous feel doctor assisted suicide goes against the physicians' Hippocratic Oath.

It also goes against a lot of religious beliefs. Research mentions that patients could give up on life to early. Doctors at times can abuse the procedure. Insurance companies and government could put unwarranted…. [read more]

Adoption of New Technology Systems Essay

… Adoption Of New Technology Systems

In planning for the implementation of an Electronic Health Records (EHR) system, it is critically important to have a solid change management strategy in place well before the technology is introduced. In preparing for a meeting with the nurses one week prior to the training, the following framework has been created to guide the change management strategies for this healthcare facility.

Creating a Change Management Foundation of Trust

One of the most prevalent factors that leads to resistance to change is lack of trust. The five foundational elements of relative advantage, compatibility with existing values and practices, simplicity, trialability and observable results all must be based on a solid foundation of mutual respect and trust (Rogers, 2003). To attain this…. [read more]

Prolonging Life Research Paper

… Prolonging Life

Human life is a 'gift of god' and it is therefore not within the rights of man to put an end to life including his own life. Improving the quality of care and 'Prolonging life' should be the main goal of medical treatment. Palliative care should have more focus on better management of pain and disease symptoms. Legalizing euthanasia is not a good solution and could result in severe abuse that could undermine the sanctity of medical practice. We risk ending up in a medical and moral crisis if our hospitals slide along the slippery slope that is euthanasia.

End of life care has become a highly debated social issue not only in the U.S. But also throughout the world. With mercy killing…. [read more]

Restore and Volunteer Programs Research Paper

… ¶ … international attention towards migrant health, reflecting acknowledgement of the need for improved and modified health systems to acclimatize to increasingly varied populations. Nevertheless, reports from numerous health policy experts in European nations suggest that by the year 2009, only 11 countries (in Europe) established national policies that improve migrant health and go beyond migrants' constitutional or legal right to care. The aim of this essay is examine policies of various countries from around the world concerning migrant health and strategies to address improving migrant healthcare and analyze their limitations and strengths in order to create a strategy that will identify gaps in current policies as well as offer a solution. The analysis from the research suggests that the majority of national policies concerning…. [read more]

Medicare Reform Term Paper

… Medicare

Combine Parts a and B

One of the ways that experts propose to reform Medicare is through the combination of parts a and b of the Medicare system. According to the National Commission on the reformation of Medicare, parts A and B. have become problematic because of the way that medical care has changed over the years (Building Better Medicare...1999). The commission contends that combining parts A and B. will provide Medicare recipients with several different benefits (Building Better Medicare...1999). The benefits of this reform include improvements in the utilization of medical care and lowered costs for many Medicare recipients (Building Better Medicare...1999).

The commission asserts that the improvements in the utilization of available healthcare services will increase under this reform because it will…. [read more]

Social Economic Inequality When People Term Paper

… The prevailing idea is that by providing every person with a level playing field, everyone would have equal access to the privileges associated with status and wealth.

Part of this failure of liberal policy to eliminate discrimination lies in its inability to address the deeper roots of social inequity. For example, liberal policies that allow women access to university education and employment have not resulted in concomitant changes in the division of labor at home. Thus, even when they have greater access to education and employment, many women feel the double burden of being breadwinners and caregivers.

In response to the weaknesses of a liberal approach to social inequity, some groups have called for more radical solutions to social inequity. Marxists, for example, advocate the…. [read more]

Ethical Theories Involved in Palliative Care Research Paper

… The banning of assisted suicide has allowed for the establishment of more hospice and palliative care services, which promote the health and well-being of the patients. The ethical theories that support for caring of patients require for the provision of services that will ensure that terminally ill patients do not suffer. Beneficence and non-maleficence ensure that a patient receives the best care possible. A team of professionals and family members determine the care a patient receives, which ensures that the decisions are based on sound medical needs. Alleviating pain is the main goal of hospice and palliative services. This is done by offering the patient painkillers that will alleviate any pain they might be suffering. Opponents of these services have argued that this is equivalent…. [read more]

Door to Balloon Time Research Paper

… These patients should not be evaluated over the telephone. The preferable mode of transport to the emergency department should be via an EMS rather than with private transport. (Harding et al., 2010)

In order to minimize the delay, patients are advised not to repeat a second dose of nitroglycerine if the pain persists. (Harding et al., 2010) Instead, an EMS should be contacted immediately and an additional two doses, at fifteen minute intervals, can be taken while waiting for EMS arrival. Current protocols also advocate the use of a pre-hospital ECG in order to distinguish STEMI patients for immediate transfer to PCI facilities. (Harding et al., 2010) For patients who do not have ST segment or T. wave changes, a repeat ECG after twenty minutes…. [read more]

Euthanasia Should Be Illegal Term Paper

… Like other suicidal individuals, patients who desire suicide or an early death during a terminal illness are usually suffering from a treatable mental illness, most commonly depression."

Depression coincides with medical conditions for several reasons (Bopp and Coleson, Oregon Right to Life):

The medical condition may biologically cause depression.

The medical condition may trigger depression in patients who are genetically predisposed to depression.

The presence of illness or disease can psychologically cause depression, as is often observed in patients with cancer.

Some treatments or medications have side effects that cause depressive moods or symptoms, especially those involving cancer.

Few terminally ill patients wish to commit suicide unless they have depressive illness as well.

Despite the danger and pervasiveness of depression in terminally ill patients, it…. [read more]

Oregon Death With Dignity Act America Spends Term Paper

… Oregon Death With Dignity Act

America spends 50% more on health care as a percent of GNP than any other country. Those countries closest to the U.S., France and Germany, each spend 10% of their GNP (EIU, 2007). Sixty percent of an American's healthcare expenses take place in the last year of life. Forty percent of all Medicare expenses are spent on the elderly in the last month of their life (PBS, n.d.).

These figures are significantly higher than in other developed countries. Although we in the United States claim that we have the 'best healthcare system in the world,' our people do not live longer than in other countries. In fact, the U.S. lifespan is below other countries which spend a lot less on…. [read more]

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