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¶ … medicine, long valued for individual entrepreneurship and physician control, has undergone dramatic change. Physicians now face vexing oversight of case and utilization management and loss of control over the allocation of health care dollars. Managed care organizations control health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing payments for others. Since medicine is now a less attractive career option, will fewer high performing individuals choose to become physicians? What are the implications for the quality of care?
The problems that doctors have to face in negotiating care for their patients lead to the profession becoming a less attractive option for a number of medical students. Given the rising costs of attending medical school, the number of students choosing to concentrate on family care is declining (Bodeinheimer 861). This existing shortage of doctors practicing primary care is further exacerbated by the challenges inherent in the industry, namely the fact that physicians have to adhere to an extensive list of requirements and negotiate with insurance companies to ensure providing care for their patients. While many students choose medicine because of a natural passion towards it,...
The reduction of resources from insurance companies and the increasing need for doctors to navigate an increasing number of rules and regulations in order to guarantee care their patients deserve present an additional challenge that doctors have to overcome. Prospective students are aware of these problems, and many may decide to pursue a different career, turning away from medicine. Additionally, there is a problem of medical students choosing to pursue a concentration in medicine other than primary care, inevitably resulting in a reduced number of high achieving students practicing it. Finally, the reduced number of primary care providers affects the quality of care the average patient receives from their doctor.
2. Hippocrates, who admonished physicians to "first, do no harm," also stated, "in abundance, there is lack." Interpret the latter in regard to American health care. (50-100 words)
Hippocrates' remark that abundance can lead to lack is very befitting the American health care system, as extending care to a larger population inevitably leads to reduction of care across the board.…
Works Cited
Bodenheimer, Thomas. "Primary Care: Will it Survive?" New England Jounral of Medicine. 355.9 (2006): 861-64.
Dill, Michael J. And Edward S. Salsberg. The Complexities of Physician Supply and Demand: Projections Through 2025. Association of American Medical Colleges, 2008.
Goldman, David C. Linking Workforce Policy to Health Care Reform: Invited Testimony. The United States Senate Committee on Finance. March 12, 2009.
Hawkins, Daniel R. Testimony Before the Senate Heatlh, Education, Labor, and Pensions Committee. April 30, 2009.
This situation was also due to slower growth in prescription drugs. Other categories that reported slower growth include: physician and clinical services, home health care, and other professional services. Regarding prescription drug spending, the value increased 5.8%. For the previous year, the increase was of 8.6%. The reason for this category's evolution is Medicare drug spending significant deceleration, along with generic drugs increased use. Use of brand name drugs was
Healthcare Management Australia's health care system is funded and administered by the national, state, and local government. The initiatives by these levels of government are also supported by private health insurance schemes (Australian Bureau of Statistics, 2012). The Australia's Medicare is funded and administered by the medical services, prescription pharmaceuticals, and hospital treatment. The Australian and territory governments deliver population health programs, community health services, health and medical research, mental health
Health Care Past, Current, And Future The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by
While many insurance companies may have limits in place, those limits are easily raised when requested by doctors (Maschue 2012). Under the current Medicare and Medicaid plans, however, the government sets specific amounts that doctors and hospitals may bill and any amount over that will not be paid. This limit leads to many doctors refusing to accept government patients or reducing the amount of care for those patients (Maschue
In February 1950, under House Resolution 58, The Senate Committee on Small Business was established. The name of the committee was changed to The Committee on Small Business and Entrepreneurship in 1981, but still functions in much the same way it has since its inception in the early 1950's (Committee Homepage, 2009). To its credit, the group has held hearings on a multitude of different small business related issues,
Part One The American healthcare system is in a crisis situation, with exorbitant spending unbalanced by “poor health outcomes, including shorter life expectancy and greater prevalence of chronic conditions” versus high income countries with universal healthcare systems (Squires & Anderson, 2015, p. 1). The Affordable Care Act was an attempt, albeit an incomplete one, to reform the way healthcare is structured and financed. Universal health care is a concept that has