|dc.description.abstract||For the past fifty years the American health care system has turned into an inefficient, expensive and in turn discriminatory system which is heading for destruction unless some major action is taken soon. Between 1965 and 1985, the U.S. gross national product (GNP) grew fivefold, while spending on health care grew tenfold (22,
p. 52). The purpose of this paper is to begin to understand the workings of the U.S. health care system including where it has been, where it is going, and what can be done to solve its inherent problems. Particular attention will be placed on pointing out most of its deficiencies as well as what has been attempted thus far to
erase those deficiencies.
The first step in understanding the system will be to briefly discuss some of the major issues or problems of the U.S. health care
industry. This will provide a overview of the system•s current
situation and will be used as a platform to begin studying the
industry•s inherent shortcomings. The second step will be to begin
researching into the the history of the U.S. health care industry so as
to better understand the road which the system has come down. This
will provide two main benefits: first, it will enable one to
understand the basis of the system and, in turn, the major problems
of the system and, second, it will point out many of the attempted
corrective measures taken and failed thus far. In particular, the
history covered will include from the turn of the century up to the
present with much emphasis put on the government•s implementation
of Medicaid and Medicare as well as the cost containment measures
taken in the mid eighties to try and curb the negative spending
effects of such programs.
The next step will be to look at the system•s current situation
by examining and analyzing the most recent U.S. health care
expenditure data (1990). This data will be helpful in understanding
the system's immediate situation by showing where the U.S. health
care money comes from and where it goes to.
Finally, the debate surrounding the many different solutions
can be looked at and, hopefully, broken down to determine the best
U.S. health care plan possible. The current solutions that will be
1. Taxing of currently non-taxable related compensation.
2. Creation of a national Health Maintenance Organization
(HMO) type system
3. Initiation of more stringent cost-containment measures.
4. Preventive medicine.
5. A National health insurance policy.
The health care issue in the United States is a high profile and
volatile one which needs to be examined if any solution is going to
be found soon. Of course, no solution is obvious nor simple and, as a
result, one must be able to form their own opinions. The object of
this paper is to not only provide its own solutions to U.S. health care
issues, but also give the reader the ability to form his/her own
opinions through the knowledge obtained in reading it.||en_US