MASTER OF PUBLIC HEALTH Policy and Management Assignement

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Healthcare debate in the united states during the Obama administration
  Health Care as a Right or a Privilege Is health care a right or a privilege? Why do you think so? And what are the economic and political ramifications of this inquiry? For this Discussion, you will assess your own stance on these pivotal questions that frequently drive policy making in the United States. You also will evaluate how learning about health economics and policy may inform your role as a health care professional and as an advocate.  To prepare for this Discussion: ã   Review this week's Learning Resources. ã   ã   Reflect on the following questions: ã   ã   Where do you stand on the question of whether health care in this country should be a right or a privilege? ã   ã   How does this philosophical stance relate to the issue of how much regulation or free competition there should be in health care? In what ways do you think the government has been too involved in regulating the health care industry? In what ways has it left important health care matters too much to the free market? ã   ã   Think about your current or future professional role in health care. Bring to mind one or more dilemmas that you could encounter with regard to the treatment of health care as a right or a privilege and the appropriate role of competition and regulation in the health care market. Reflect on what you have learned in this course. What insights have you gained that will inform the decisions you may have to make. How could the knowledge you have developed translate into advocacy? Post by Day 4  a cohesive response that addresses the following: ã   Briefly explain whether you think health care in the United States should be considered a right or a privilege.  ã   What correlation is there between your beliefs about this issue and your views about the appropriate role of competition and regulation in the health care market? Describe one or two important ways in which the government, in your view, has either overregulated or underregulated the health care industry in reference to your perspective of health care as a right or a privilege. Specify what the problem is with this situation, and how you think it should be fixed. Provide a rationale and cite evidence in support of your argument.  ã   Identify your current or future professional role, and describe a dilemma you might encounter related to this issue — or other issues addressed in this course. Explain how one or more insights you have gained will inform your decision making and/or advocacy efforts. Read  a selection of your colleagues' postings. I believe healthcare is not a right and is a privilege. But this depends on different health problems. The majority of mortality and morbidity in the United States is due to preventable diseases, meaning there is not genetic predisposition. It is environmental pathology, such as motor-vehicle accidents, cancers induced polycyclic hydrocarbons predisposes to Diabetes Type 2, heart disease, and different cancers which are all preventable diseases. I think preventable diseases should be in a category of their own, because the individual makes life decisions that lead to their poor health outcomes. This goes along  with individual freedoms, so if one wants the right to smoke, one has the right to suffer consequences down the line and the government should not be responsible in any way to care for these patients. When it comes to inherited defects, autoimmune pathologies, other illness that one cannot prevent then the government can and should step in, as these are citizens who did not choose to have these ailments. The government can be generous and aid in providing access and giving people the option to be in insured, because this is related to other social problems in the country such as poverty. These factors influence resource allocation, and everyone deserves the right to at least a minimum of access to healthcare. (Kominski, 2010) I personally believe the affordable care act is an over-regulation to healthcare. I don't see it as a right, and therefore if people don’t want to be insured it is up to them persona lly. There are aspects of the act, which I can appreciate like helping people get access to insurance and getting access to healthcare. This is aiding them in taking the initiative. (Davis, 2010) The act is also interfering with the free market indirectly by lower the profits produced by pharmaceutical companies, and technology. These are business, which at the end of the day are there to turn a profit, not save the world. If we interfere with technological companies and pharmaceutical companies, we interfere with their pipelines and what they turn their attention to as advancements in technology. (Teitelbaum, 2013) We only have such great imaging studies like MRI and CT scans with all sorts of contrast agents to improve early detection and diagnosis because these companies drove their technology development in that direction because it was profitable. David B. Nash, 2010 says “we cannot be responsible for all of societies ills coming into the hospital or the managed care plan, on the other hand we do have so cial responsibility to make sure we’re doing the best we can, given the public trust we have for a clinically important product which is delivering health to our society.” Improving access is the best the  government can do in order to fix healthcare problems. BY providing access to those below the poverty line and in rural communities we can work on preventative medicine which is the key to reducing healthcare costs overall, including government payouts and insurance payouts. (Davis, 2010) I mean just imagine if everyone ate healthy, did the  recommended amount of exercise weekly, and didn’t smoke. The population would be in such better health, their wouldn't be the need for so much emergent care at the end of life stages, and coronary artery disease, diabetes, lung cancer, the top 3 major killers in the United States. I am currently at the end of my medical student training, and will begin practicing with a year. What I will deal with, have learnt, and will implement in my practice is prevention. Prevention is so important to avoidable negative health outcomes. These outcomes, which are also major causes of mortality and morbidity in the United States. And it doesn’t take the government to advocate for prevention. This is something that I can advocate for on a physician to patient level. Learning about the divisions of health care payment in the United States, really solidified the foundations, basis, and history of Medicare and Medicaid. Having more knowledge about how these programs work both on federal and state levels has made more knowledgeable in the subject, and will help me understand my patients better. References: Davis, K. (2010, June).  A new era in American health care: Realizing the potential of reform.  The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2010/Jun/A-New-Era-in-American-Health-Care.aspx Laureate Education, Inc. (Executive Producer). (2010). Health policy and economics: Making a difference in health policy. Baltimore: Author. Teitelbaum, Joel & Wilensky Sara. (2013). Essentials of Health Policy and Law, 2 nd  Edition. Sudbury, MA: Jones and Bartlett Publishers.
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