The U.S. healthcare system strength include,
· Technology driven delivery system
· Large and well-trained health workforce
The United States health system has both considerable strengths and notable weaknesses. A robust health sector research programand, for selected services, among the best medical outcomes in the world. Growth in science and technology helps create demand for new services, despite shrinking resources to finance sophisticated care. Americans have relatively few hospital admissions and physician visits but are greater users of expensive technologies like magnetic resonance imaging (MRI) machines. It has a large and well-trained health workforce, and a wide range of high-quality medical specialists, as well as secondary and tertiary institutions.
The U.S. healthcare system weakness include,
· Lack of central governing agency
· High cost
· Delivery of service under imperfect market environment
The health care system suffers from incomplete coverage, underinsurance, and inadequate care for the uninsured patients because have varying degrees of choice in selecting providers. Additional problems include health expenditure levels per person that far exceed all other countries. Available cross-national pricing data suggest that prices for health care are notably higher in the U.S., potentially explaining a large part of the higher health spending. Poor results on many objective and subjective measures of quality and outcomes, an unequal distribution of resources and outcomes across the country and among different population groups and lagging efforts to introduce health information technology. Lack of central governing agency results little or no integration or coordination of the healthcare delivery with high cost of service delivery.
The U.S. healthcare system opportunities include,
· Population as result of the baby boomer
· The Patient Protection and Affordable Care Act (ACA)
· The United States economy is the largest in the world
Health care spending in the U.S. far exceeds that of other high-income countries, even though the U.S. is the only country without a publicly financed universal health system. (Squires, 2015). For the future, since the birth rate in the United States is higher than that of most high-income countries, its dependency ratio, those too young or too old to work, divided by the working-age population, is expected to grow more slowly than in most other high-income countries. The budgetary pressure from demographic ageing on paying for social service programmed will therefore be less acute than in most other high-income countries. Nevertheless, given high costs and mixed performance, major concerns about the macro-level efficiency of the United States health system remain. The Patient Protection and Affordable Care Act (ACA) of 2010 constitutes the most significant health reform in the United States since Medicare, though its adoption was highly controversial, and its content reflects the general American preference for minimal government intervention. Improving coverage is a central aim, with the ACA introducing a requirement for nearly all individuals to have some form of health insurance. The United States economy is the largest in the world, and its gross national income per head is among the highest in the world. The United States has a federal system of government, with substantial authority delegated to its regional governments the 50 states and a historical reluctance regarding central planning or control either at federal or state level.
The U.S. healthcare system threats include,
· Reduction in expectancy
· Unequal in Access to healthcare services
· Legal Risk
Compared to other high-income countries, life expectancy in the United States is lower and mortality is higher, although there is disagreement over whether this relatively poor performance on mortality is due to structural problems with the health-care system. Because a myriad of cultural, socioeconomic, environmental and genetic factors affects health status, it is difficult to determine the extent to which deficiencies are health-system related, though it seems that at least some of the problems with United States performance with respect to health outcomes are a result of poor access to care. The absence of insurance inhibits a patient’s ability to receive well-directed, coordinated, and continuous care to primary and specialty services if referred. Legal risk affects the decision making of the health practitioners resulting from the tendency of lawsuit. This contributes to the high cost and inefficiency in the healthcare system.
Squires, D., & Anderson, C. (2015). US health care from a global perspective: spending, use of services, prices, and health in 13 countries. The Commonwealth Fund, 15, 1-16.