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NCS1101 Health And Healthcare Systems

tag 0 Download 4 Pages / 754 Words tag 15-11-2020
  • Course Code: NCS1101
  • University: Edith Cowan University

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  • Country: Australia


Design the Perfect Healthcare System


Pre-class work –

Watch the Frontline video, “Sick Around the World.”  


Take note of how 5 different countries around the world pay for healthcare for their citizens.  All have universal coverage, and some have completely redesigned their systems within the last few decades.  

Health care financing in the U.S. has reached a crisis.  Within the last three decades, the number of health administrators has increased 26-fold.  Health care spending now consumes about 18% of our gross domestic product, which equates to nearly $10,000 per person per year.  By 2025, health care spending is predicted to consume nearly 20% of our GDP.

Nearly 45 million our 323 million citizens lack health insurance, with the majority of them being Hispanic citizens who work for small companies that do not offer health insurance.  Even more citizens are either underinsured or being strained by the high

costs of premiums.  It is also possible in our country for citizens who have major illnesses to have to declare bankruptcy as a result of poor insurance coverage.  In fact, ¾ of those forced into medical bankruptcy had health insurance coverage.   

Of those who can afford good health insurance, it is challenging for the average consumer to understand what is covered and how to access care.  The true cost of care may not be known until after a bill is received. 

Congress has tried repeatedly over the last several decades to reform the healthcare system, to no avail.  Fortunately, they have located you, a group of experts, and have asked you to recommend the perfect system.  They will examine all the groups’ recommendations and decide on one to adopt.

They have political agreement that this will actually happen – so the sky is the limit.  

The changes you suggest will actually be made.  So design the best system – don’t let previous historical stumbling blocks prevent you from recommending a certain change that you think will be beneficial.

Your Mission – Design the Perfect Healthcare System

Questions to consider as you develop your plan:

  1.  First, decide philosophically if you consider healthcare a basic right and will offer universal healthcare.
  1.  How will you fund your plan?

- Single-payer system (like the government)?

 - What would the tax structure look like?  Income tax? How much?

  • Insurance companies (will you allow them to be for-profit, or must they be non-profit?)

-Who pays?  Employers?  Individuals?

-Who pays for those not working / disabled?

  1.  Will you required price controls on services such as visits to providers,procedures, hospital days, etc.? If not, how will you control costs? If so, how will you address the decrease in salaries by providers?  The decreased income for hospitals and other facilities?
  1.  How will you decrease the costs of drugs? What will you say to drug companies who believe that any price controls will limit their ability to develop new drugs?
  1.  What ideas do you have for decreasing administrative costs?
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