1. Foundation of US Health Care Delivery Chapter 2
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Editor's Notes
Abraham Lincoln Quote Health People 2010 Who makes up this initiative? 2 goals Increase quality and years of healthy life Eliminate health disparities Underlying premise is that the health of the individual is almost inseparable from the health o f the larger community and that the health of every community in every state and territory determines the overall health of the Nation. Strategic Planning Is it a good thing to increase life span?
There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
There are many different views of health care Each of these views goes a step further. WHO - See notes Holistic view - Ex) Our Lady of the Lake College. Ex) Priest coming to visit in the hospital The key to th e WHO and Holistic View’s is the balance among these dimensions.
These are not the same. 1) A person can feel ill, but not have disease Can someone give me an example? Ex) Jamie - could not attend school - feel well now so can go back to school, but probably does not have a disease 2) Vice Versa - you can have a disease and not feel ill Can someone give me an example?
Risk Factors Give examples of each: 1) Genetic makeup - Cancer, diabetes, heart condition 2) Individual behaviors - Smoking, exercising, eating, red meat 3) Medical Practice - Prevention? Yearly check-ups, ect. I don’t. I only go when I have a problem 4) Environment - - Shaw chemical site (living near Travis’s plant) - Rural area = no high tech equipment to find diseases, et.c.
Listed in order of importance Environment - Ex) relationship of socioeconomic status - Better education = higher incomes = better locations =less exposure to environmental risks (Shaw Group) =better access to health care. - The greater the economic gap between rich and poor, the worse the health status of population. -less social cohesion -greater psychological stress Lifestyles- Ex) Diet and exercise
The idea that capitalism and free markets has been extended to health care. The role of distributing economic goods is assigned to the market. Lincoln - would argue that free market implies that giving people something they have not earned would be morally and economically wrong. - Don’t punish those on “top”. Libertarians view
Assumptions: 1) 2) When individuals achieve, society is better served 3) People are willing to purchase health care services Some see health care as an investment = Reduces the number of sick days, therefore, more productive.
1) People trust their physician 2) The market is more efficient that the government Who can’t agree with that statement?
1) 2) Thus, Price and ability to pay ration the quality and type of health care services people would consume. 3)
*** The idea of collectivism and restraining of markets has been extended to health care. The role of distributing social (collective) goods is assigned to the government.
Utilitarian (not libertarian) - Society’s goal is to achieve the greatest good for the greatest number of people. See Moral Issues
Deliberate attempt by the government to limit the supply of health care services = beyond basic care = How high tech should be dispersed, etc. ____________________________________________________________ Elements of both Market and Social Justice exist in U.S. Give examples? -private insurance -pay out of pocket -Medicare and Medicaid Interesting: In 90’s, U.S. economy did very well, yet # of uninsured climbed. Conclusion: Some argue that we need to try social justice Discuss meeting with Davidge.
Deliberate attempt by the government to limit the supply of health care services = beyond basic care = How high tech should be dispersed, etc. ____________________________________________________________ Elements of both Market and Social Justice exist in U.S. Give examples? -private insurance -pay out of pocket -Medicare and Medicaid Interesting: In 90’s, U.S. economy did very well, yet # of uninsured climbed. Conclusion: Some argue that we need to try social justice Discuss meeting with Davidge.
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