You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the Discussion Question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.
Discussion Question: OPTION 1
With so many different stakeholders in the health care system, many with powerful political lobbies, it is understandable that the government has been unable, until the Patient Protection and Affordable Care Act of 2010, to effectively address the problems of cost, access, and quality. Despite this recent legislature, employers and the public have deep concerns about the ever-increasing costs of health care. Physicians, hospitals and other providers continue to voice displeasure with managed health plans’ requirements and restrictions, while employers and the insured are railing against potential huge premium increases. Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms? Please take a stance of either pro-government or pro-free enterprise factions and explain how the public will fare in each situation. How are the problems of cost, access, and quality likely to be addressed in each circumstance?
OR: OPTION 2
The practice of medicine, long valued for individual entrepreneurship and physician control, has undergone dramatic change. Physicians now face vexing oversight of case and utilization management and loss of control over the allocation of health care dollars. Managed care organizations control health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing payments for others. Since medicine is now a less attractive career option, will fewer high performing individuals choose to become physicians? What are the implications for the quality of care?
OPTION 1 Expert Answer and Explanation
The government should still implement aggressive policies that can be used in reshaping the healthcare system due to the following reasons. First, the role of government in reshaping healthcare has, on many occasions, made health services accessible to more people. For instance, Tomaszewski (2017) report that the Affordable Care Act has provided health insurance for more than 20 million Americans. Second, the act made it possible for American citizens to get more insurance packages for their dollar. Thus, currently, even people in low-income communities can get a certain level of coverage through the act. Through cost-sharing reduction, the ACA has provided millions of American families to buy affordable health cover. Third, Shaw andTewdwr-Jones (2017) argue that if healthcare is left for the private sector, many people will not have equal access to care. Private stakeholders in the healthcare sector came into the industry for business, and thus all their actions are based on profits. Therefore, when left drive the sector, people from low-income communities will not get quality care.
The regulations implemented by the government ensure that the drugs and other healthcare services are available to the public at a regulated price. Shaw andTewdwr-Jones (2017) mention that government regulations prevent hospitals and other healthcare stakeholders from overcharging the public. Lastly, the government should be allowed to reform the sector because it can ensure that people delivering the services are qualified and have the required knowledge and certification. However, Porter and Kaplan (2016) mention that the government should always consult the private sector when it wants to develop and implement healthcare reforms. The authors mention that the ACA has failed to achieve its goals because the other stakeholders were not involved.
Porter, M. E., & Kaplan, R. S. (2016). How to pay for health care. Harv Bus Rev, 94(7-8), 88-98. Retrieved from https://www.semanticscholar.org/paper/How-to-Pay-for-Health-Care-Bundled-payments-will-Kaplan-Porter/e9f5dceed5def3c8bd81bceb06495500fd4a6fef
Shaw, K., & Tewdwr-Jones, M. (2017). “Disorganised Devolution”: Reshaping Metropolitan Governance in England in a Period of Austerity. Raumforschung und Raumordnung-Spatial Research and Planning, 75(3), 211-224. https://link.springer.com/article/10.1007/s13147-016-0435-2
Tomaszewski, K. A. (2017). Personal Health Budgets–Should Patients Be Able to Manage their Care in a Way that Suits Them? A Concise Narrative Review. Horyzonty Wychowania, 16(40), 147-157. https://www.ceeol.com/search/article-detail?id=719275