By Grace Budrys PhD Professor Emerita Sociology and MPH Program DePaul University
The 3rd variation of Our Unsystematic wellbeing and fitness Care System provides readers with a finished assessment of the U.S. wellbeing and fitness care supply approach. This variation has been considerably revised to tackle the daunting job of explaining the sufferer security and future health Care Affordability Act because it unfolds. Grace Budrys strains how disillusioned american citizens were with the country’s wellbeing and fitness care preparations and the continued demanding situations and adjustments of healthiness care reform.
As in prior variants, the booklet introduces readers to medical health insurance preparations within the usa, and personal and public medical insurance plans at the moment are lined in separate chapters. The 3rd version contains elevated info on overall healthiness care platforms in different international locations, new case reports, and a dialogue of the criteria outdoors of the well-being care process that will play a job in explaining why american citizens don't get pleasure from greater health and wellbeing and longer lifestyles expectancy.
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Extra info for Our Unsystematic Health Care System
We should discuss this concept in a little more detail. GDP is a measure of the total of goods and services bought and sold in the country. That is certainly a straightforward definition until you start thinking about what it means. It becomes more daunting if you conceptualize it as a pie chart and understand that all goods and services produced or purchased by anyone and everyone in the country must fit into the pie—cell phones, cars, bridges, bombs, dental care, computers, the space program, food stamps, houses, police protection, rock concerts, and on and on.
So who paid for people to luxuriate in the hospital for days? indb 35 10/21/11 7:30 AM 36 Chapter 3 insurance, initially Blue Cross, later commercial insurance, and as of 1966, Medicare and Medicaid. The enactment of Medicare and Medicaid turns out to be a huge event for the future of hospitals and health care in general in this country. The two programs guaranteed payment on behalf of those who had been least likely to be hospitalized because they could not afford it. That brought in a lot of “new business” to hospitals, causing hospitals to grow and expand to accommodate increasing demand for health care services.
Hospitals were fully aware that this was coming and knew that the government was using the data that the hospitals themselves were submitting in order to receive Medicare reimbursements to construct the schedule. Amazingly, all possible diagnostic categories were subsumed into 467 categories, plus a few more catchall categories. The system was set up so that the government would pay X amount of money per diagnostic category (one of the 476) per Medicare patient admission. Private insurance companies did not change their reimbursement arrangements in response to the introduction of DRGs, at least not immediately.