Policy implementation issues in the National Health Care System In United State

National healthcare policies and its implementation

issues in the United States

Table of contents

Abstract ------------------------------------------------------------------------ 3

Introduction ------------------------------------------------------------------ 4

Policy implementation issues in the US -------------------------------------5

Issues associated with the healthcare system ------------------------------ 7

The need for major changes -------------------------------------------------11

Government policies /Implementation ------------------------------------- 13

Reform proposals -------------------------------------------------------------15

Conclusion and Recommendations ---------------------------------------- 17

References ---------------------------------------------------------------------20

Abstract

The United States is definitely among the most advanced nations in medical research , allied technology and techniques . However the

health statistics of its own people fall much behind most other developed nations . This is because its current health policies fail to meet the health requirement of its people . The ideology of pro market and private sector deliverance , together with an anti government bias has led to reduced government role in providing direct healthcare . The results are exorbitant costs , non coverage or under coverage of medical care to a considerably big population . However , the costs borne by the government is sufficient to provide health coverage to all . This indicates that the pursued policies need to be reconsidered and changed . However these changes cannot be achieved easily

Introduction

The public policy of a government is determined by its actions and inactions in addressing conflict within the society . The policies of the government are mainly directed in providing benefits and livelihood needs to people who lack them , using taxes collected from the public Sometimes policy making is a very complex process and amendments may be continuously made to make it more effective . The health policies of a government are determined by a complex process , then debated for consensus and finally implemented . The health systems of the world differ in their perception of the health requirements of its people and the ways of achieving it . Health problems too vary from country to country and has a great degree of relevance on how health is perceived within that society . For instance in US , obese people are considered to be of poor health , while in other societies , it is even a desired condition , particularly with those who are thin (Jonas , Goldsteen Karen , 2007 . Societies have differing diagnostic and treatment models with correspondingly different training and authority of healers Countries and cultures have their own health systems which are distinctly organized and where , expected outcomes are different However , there are many common goals among all healthcare systems Ensuring healthcare for its poor or people unable to afford healthcare is one of these common goals

Healthcare distribution being associated with poverty , it is an irony that poverty still exists in the US despite the fact that the country 's social welfare spending is over four times that required to eliminate poverty . This is because most of the social welfare spending doesn 't reach the poor who actually needs them . Only about one-sixth of all federal social welfare spending is distributed based on poverty criteria . The major beneficiary of the social welfare spending is the middle class who do not fall under the poverty class . It is estimated that close to one-third...