The U.S. Healthcare Systems
1
The U.S. healthcare system is fragmented by the fact that incentives do not align with the actual goal of healthcare (Enthoven, 2009). For instance, healthcare facilities are incentivized to “treat” patients rather than to help them lead healthier lives. As Goldhill (2009) points out, healthcare treatments are subsidized by taxpayer dollars—and there are powerful lobbies in the healthcare field that promote the use of pharmaceuticals or new health technology (like hip replacements, which could end up leaking cobalt into one’s body). Moreover, care providers are encouraged to perform tests on patients even though there is no real need for them and they may in fact lead to overdiagnosis and to a deterioration of the patient’s quality of life, as the patient becomes obsessed with every minor health problem (Lichtenfeld, 2011).
Fragmentation impacts patient care in a negative way because it leads to the patient being viewed as a source of profit for the health care industry rather than as a person with whom care providers should form relationships. A patient may go from doctor to doctor looking for a solution to his fatigue, be prescribed myriad drugs and have none of them work because doctors are only...
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now