美國(guó)醫(yī)療保障制度-medical-care-system

1、2021/3/231 The medical care system The medical care system in America in America -By Macy/Joyce Carissa/willa 2021/3/232 In recent years, medical care In recent years, medical care spending in the United Statesspending in the United States has grown to fifteen percenthas grown to fifteen percent of

2、the economy. of the economy. The care is often described asThe care is often described as the best in the world,the best in the world, but the cost is a big problem.but the cost is a big problem. 2021/3/233 2021/3/234 Medical science today saves many more lives. But this can also mean major debt. Go

3、vernment programs provide health insurance to the poor and elderly. Others depend on private insurance. Companies guarantee to pay part or all of the costs of care. But the more the policy covers, the higher the price. 2021/3/235 2021/3/236 Around sixty percent of working Americans have health insur

4、ance through their jobs. Their employers usually pay at least part of the cost. But, as those costs increase, employers feel the pressure. Some employers no longer offer health coverage. Others have increased the share paid by their employees 2021/3/237 Getting insurance can be Getting insurance can

5、 be difficult for thosedifficult for those who work only part time,who work only part time, The same is true forThe same is true for people who are already people who are already sick. Some Americans havesick. Some Americans have no health insurance.no health insurance. 2021/3/238 Some uninsured peo

6、ple get care at university teaching hospitals. A number of religious and humanitarian agencies like the Salvation Army offer free or low-cost care. But hospital emergency rooms are where many poor people go even for minor problems. This adds to hospital costs. 2021/3/239 2021/3/2310 Public patient d

7、octor is the trustful; a good physician- patient relationship is conducive to health and health care 2021/3/2319 Second, set up free medical care ho spital specifically for the low- income family. 2021/3/2320 Third, no insurance, pe ople can also apply for t emporary relief. 2021/3/2321 Fourth, the

8、business sponsor. For establishing public image considerations, some pharmaceutical companies often provide free medicines to patients, to some extent, alleviating the financial burden of medical treatment of the low- income patients . 2021/3/2322 Disadvantages Although the U.S. health care system a

9、chieve a full coverage, but there are still many problems. one of that is the heavy financial burden of the federal government 2021/3/2323 2021/3/2324 Another one is extremely expensive medical expenses. The mechanism of the insurance company paying the most of medical expenses results in costly med

10、ical expenses. Because of impressive illness insurance premiums, insurance companies encourage customers actively to buy the insurance of serious illness, and it leads to that prevention programs are no buyers which results in high medical costs. 2021/3/2325 2021/3/2326 The third one is the negative

11、 effects of the existing mechanism. Tens of millions of people in the United States has no health insurance. These low-income people ,who are not in line with government health insurance program eligibility criteria, refuse to buy more expensive commercial health insurance,because of the legal prote

12、ction of rights of low-income people enjoying medical treatment and the encourage of lag incentive mechanism of hospital charges .Instead of that, they choose to dependent on government and social assistance. Then that leads to a huge potential risk of the U.S. health care system, 2021/3/2327 Princi

13、ples for reform Of the U.S. health care system are intended to serve as a guide for Congress to encourage bi-partisan action to improve both individual health and the collective health care system in the United States. 2021/3/2328 1. Health care coverage for all is needed to ensure quality of care a

14、nd to improve the health status of Americans. 2. In reforming the health care system, we as a society must respect the ethical imperative of providing health care to individuals, responsible stewardship of community resources, and the importance of personal health responsibility. 2021/3/2329 3. Less

15、 complicated administrative systems are essential to reduce costs, create a more efficient health care system, and maximize funding for health care services 4. Cost management by all stakeholders, consistent with achieving quality health care, is critical to attaining a workable, affordable and sust

16、ainable health care system 5. Access to and financing for appropriate health services must be a shared public/private cooperative effort, and a system which will allow individuals/employers to purchase additional services or insurance. 2021/3/2330 2021/3/2331 History of health care reform in the Uni

17、ted States 1965 President Lyndon Johnson enacted legislation which introduced Medicare, covering both hospital and general medical insurance for senior citizens 1985 The Consolidated Omnibus Budget Reconciliation Act of 1985 amended the Employee Retirement Income Security Act of 1974 to give some em

18、ployees the ability to continue health insurance coverage after leaving employment 1997 The State Childrens Health Insurance Program, or SCHIP, was established by the federal government in 1997 to provide health insurance to children in families at or below 200 percent of the federal poverty line 20

19、21/3/2332 2021/3/2333 After decades of failed attempts by a string of Democratic presidents and a year of bitter partisan combat, President Obama signed legislation Patient Protection and Affordable Care Act on March 23, 2010 to overhaul the nations health care system and guarantee access to medical

20、 insurance for tens of millions of Americans The health care law seeks to extend Medicaid and provide federal subsidies to help lower- and middle-income Americans buy private coverage. 2021/3/2334 2021/3/2335 Americas health care reform was strongly resisted by a financial insurance companies and th

21、eir lobby groups for the reason of destorying their interests 2021/3/2336 American health care reform acquires the ordinary peoples support for the reason of solving the problems of national insurance coverage 2021/3/2337 Remember! Whatever the disease, you must be registered by making a appointment

22、 by phone in advance , or you will be blocked at the door! As well known to everyone , medical care costs are expensive .Here are some advice for the people who come to America for the first time 2021/3/2338 1. If your situation is not serious enough to require hospitalization, recommend you go to t