How come Americans so worked up about health care change? Statements such as “don’t touch my Medicare” or “everyone really should have access to state of the skill health care regardless of cost” are in my judgment uninformed and visceral reactions that indicate a poor knowledge of our health health care system’s history, its current and future resources and the funding challenges that America faces going forwards. While we all question how the health treatment system has reached what some consider as a crisis stage. Let’s try to take some of the emotion out of the debate by in short , examining how medical care in this country emerged and just how that has formed our thinking and culture about health care. With that as a foundation why don’t we look at the advantages and disadvantages of the Obama government medical care reform proposals and let’s look at the concepts put forth by the Republicans? Elysium
Access to cutting edge health care services is something we can all agree would be a positive thing for this country. Experiencing a significant illness is one of life’s major challenges and face it without the ways to pay for it is favorably frightening. But as we shall see, after we know the facts, we will see that reaching this goal will not be easy without our individual contributions.
These are the topics I will touch on try to make some sense out of what is happening to American health care and things we can personally decide on make things better.
A recently available history of American health care – what has driven the expense so high?
Key elements of the Obama health care plan
The Republican view of health care – free market competition
Universal gain access to state of the art health care – a worthy goal but is not easy to achieve
what do we do?
Initially, let’s get a little historical perspective on North american health care. This is not can be an exhausted look into that history but it will provide us with an appreciation of how the care system and our expectations for it developed. What forced costs higher and higher?
To start with, let’s turn to the American civil battle. In that war, old tactics and the combat inflicted by modern guns of the era put together to cause ghastly results. Not generally known is that almost all of the fatalities on both sides of that war were not the result of real combat but to what happened after a battlefield wound was inflicted. To commence with, evacuation of the wounded moved at a snail’s pace which caused severe delays for the wounded. Secondly, many wounds were subjected to wound care, related surgical treatments and/or amputations of the damaged limbs and this often led to the attack of massive infection. Thus you might survive a battle wound only to die as a consequence of medical care providers who although well-intentioned, their interventions were often quite lethal. High death tolls can even be ascribed to every day sicknesses and diseases in a time when no antibiotics existed. In total something such as 600, 000 fatalities occurred from all triggers, over 2% of the U. S. population at the time!
Let’s by pass to the first 1 / 2 of the 20th 100 years for a few additional perspective also to lead all of us up to more modern times. After the municipal war there was steady advancements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques in addition to physician education and training. But for the most part the best that doctors could offer their patients was obviously a “wait and see” procedure. Medicine could handle bone fractures and increasingly make an effort risky surgeries (now generally performed in sterile medical environments) but medicines weren’t yet available to manage serious illnesses. The the greater part of deaths remained the result of untreatable conditions such as tuberculosis, pneumonia, scarlet fever and measles and/or related complications. General practitioners were increasingly aware of heart and vascular conditions, and cancer nevertheless they experienced almost nothing which to treat these conditions.
This kind of very basic review of American health background helps us to understand that until quite recently (around the 1950’s) we acquired almost no technologies with which to deal with serious or even minor ailments. In this article is a critical point we need to understand; “nothing to take care of you with means that visits to the doctor whenever were relegated to emergencies so in such a scenario costs are curtailed. The simple truth is that there was little for doctors to offer and therefore nearly nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for out-of-pocket, that means by way of an individuals personal resources. Presently there was no such thing as wellbeing and14911 certainly not health insurance paid by an employer. Except for the very destitute who were lucky to find their way into a charity hospital, health health care costs were the responsibility of the individual.