US HEALTH CARE SYSTEM.PPT

US HEALTH CARE SYSTEM OVERVIEW Most Expensive Health Care System in The World Consumes 14% of Gross National Product Is the 2nd largest industry in the USA Expenditures take up 1/5 of the Federal Budget The health Status of the people Does not equal the Cost of the care Western World Health Care USA Individual is responsible to obtain coverage Pay as You Go ( Fee for Service) Not all people are in a position to buy into the system Other Countries Seen as a Basic Human Right Universal Coverage to all citizens Government Pays INSURANCE? Governmental Programs 65 y/o ( Medicare : 1965) person may still share in the cost Enrolls 36 million Restrictions placed on Medical Services Must have supplemental coverage For the Poor. ( Medicaid:1965) some providers do not accept strict financial guidelines to qualify INSURANCE? Private Insurances 70%of the citizens under the age of 65 y/o employer may share if they offer the insurance some pay full premiums not all family members may be covered some medical procedures may not be covered HEALTH INSURANCE STATUS GRAPH Who are the greatest # Uninsured ( 1993) WHO IS THE US HEALTH CARE SYSTEM PHYSICIANS 600,000 PRATICING TODAY 1 MD/ EVERY 450 PEOPLE “ARTIFICIAL DOCTOR SHORTAGE” - MIGRATION TO RICH AREAS IN ORDER TO MAKE MONEY AND SPECIALIZE PUSH IS TOWARD SPECIALIZATIONMEANS FAMILY PHYSCIANS Doctors mean salary (1991) $171,000 5%males and 1% females in 1991 made than $75,000 PRIMARY CARE PHYSICIAN Less than 12% family doctors DEFINITION IN THE COMMUNITY VS HOSPITAL NO REFERALS FORM OTHER MD’s CONTINUING VS EPISODIC CARE MANAGES Patients CARE W/ REFERAL MD AND OTHER COMMUNITY BASED SERVICES CONSEQUENCES FOR THE POOR PUT OFF NEEDED CARE : = INCREASED INCIDENCES OF SERIOUS DISABILITY USES ER AS PRIMARY SOURCE OF CARE LACK OF FOLLOW THROUGH LONG WAITS/ HURRIED STAFF FOR OTHERS STRAINED HOSPITAL BUDGETS HIGHER INSURANCE RATES BARRIERS TO HEALTH