PowerPoint Part 2
The United States health care system
Presented By:
HCA 205: Introduction To Health Care
Martha Jennings
January 27, 2019
I’m pursuing my Bachelors In Healthcare Administration. I have been in the United States Navy for 6 years and within those 6 years I have 2 years of experience in the healthcare. In 2017 I obtained my Pharmaceutical license and work at HIV clinic for six months. After that I decided I wanted to be a nurse so I spent 6 months volunteering at the Naval Hospital working with ER patients, Cancer patients, and mental health patients. I am excited to talk about this week PowerPoint topic seeing how its close to home for me.
1
Overview
Explain Health Care System
Describe each revolutionary factors in the 17th,18th,19th,20th, and 21st Century
Explain how each revolutionary factor changed the healthcare system
Describe each major development from a financial, legal, ethical, regulatory, and social perspectives.
Explain how each development transformed the healthcare system.
Explain how the three stakeholders has impacted the healthcare system in both a positive and negative way.
The United States health care system is considered to be among the most unique in the world’s industrialized countries. Within this PowerPoint presentation I am going to go over how the healthcare system has evolved from the 17th century to the 21st. Furthermore, I will also be discussing how from a financial, legal, ethical, regulatory, and social perspectives how much the healthcare system has transformed. Lastly, I will be closing this PowerPoint with three stakeholders I have chosen and briefly explaining the impact that it has had on our healthcare system in both a positive and negative way.
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The 17th century
During the 17th century leech therapy was a popular cure all for all health issues. It was said that the leeches would suck out any disease from the body.
During this time physicians were not used like they are today. In the 17th century the physician would go see the patient where they lived and the patient had self-home remedies they would use to cure there disease.
Dr. Bond and Benjamin Franklin founded the “Pennsylvania Hospital”. This facility was the first facility devoted to assisting mentally ill and became a major impact on the field of psychiatry. This impact open up the first American medical school known as “ University Of Pennsylvania”
Dr. Bond and Benjamin Franklin accomplishments shed a light publicly on the severity of mental illness . After they opened the ward in New York people began to see mental illness as a social issue.
These accomplishments listed above helped transform the health care system into what it is today because we are able to walk into any healthcare facility and receive proper treatment and care. In the early 17th century they didn’t have the luxury because leech therapy and self-home remedies was the answer to all issues and diseases.
The 18th century
During the 18th century, a group of doctors in the country gained popularity for their excellence in obstetrics and surgery.
They were noted to conduct extensive medical research that included the human anatomy and physiology that is used in surgical pathology today.
Morphine and anesthesia were discovered in this century. With William Morton volunteering to be the first to experiment with anesthesia for dental patients impacted the health care system in a major way. Surgical procedures wouldn’t be what they are today if it wasn’t for his bravery.
The 18th Century Cont.’
It also provided details on the poor living conditions in the country especially in Boston.
This led to the formation of the state health department and the local boards of health that would deal with these challenges.
In some town like the New York, the organization was established for the first time.
The 19th century
During the 19th century, there were increased cases of HIV/AID, cholera, yellow fever, typhoid in the country that raised the need for improved public health.
A report, the Shattuck report, that was published by the Massachusetts Sanitary Commission in 1850 provided details of the seriousness of the health problem.
This century transformed the health care system because of the disease it opened a lot of people eyes to sanitary conditions. This century is when we reinforced measures to help the public resist disease.
The 20th century
During the 20th century, especially after the world war two, there was increased medical improvements especially in the pharmaceutical and technological fronts.
The study of disease pattern was conducted for the first time and there was the emergence of clinical epidemiology that was considered one of the most successful medical progress in the country. The Affordable Care Act was signed into law in this century.
The accomplishments in this century has helped transformed the healthcare system into what it is today because of the increased role of government policy, prosperity of medicine, and the new advancements used today to prolong life.
The 21st Century
During this century Medicare is in deep fiscal trouble. We don’t have enough people paying into it compared to the number of people projected to actually use it.
During this century we continue to face problems with inequitable access, variable quality and runaway cost. Most people today don’t even health care insurance due to anyone of these reasons: employment, don’t need it, citizenship issues, not eligible, and other financial reasons.
With this issue continuing to go on a lot of people are risking there lives and the lives of others around them. All it take is the spread of one disease with proper care to start killing a nation. This issue is impacting the health care system tremendously because its putting others at risk.
Major Developments
From a financial aspect we started off well in the 17th century. With new advancement in technology, new medication being introduced , healthcare facilities and schools being founded, and the founding of new healthcare policies we did good over the centuries. Its not until we starting creeping into the 19th century to present that we start running into issues from a financial aspect. Different changes and the government and lack of funding is causing a lot of these issues.
From a legal aspect we recognized more in the 19th century our failures and quickly sought out new ways to fix them.
From a ethical perspective the healthcare system has evolved over time because we started reflecting on the failures of our changes to correct them and to start paying attention more to the changes needed to fix society.
Regulatory we changed from not having insurances and health care policy implemented. To being implemented with changes to help make it more affordable no matter the social class.
From a social perceptive we started recognizing some of our issues publicly which cause the developments and opening of a lot of health care facilities. That public acknowledgment helped transform our healthcare system because more people are willing to seek out help and there is a lot of resources to help them today.
The Affordable Care Act
The Affordable Care Act was major overhaul of the U.S. health-care system.
This act impacted the healthcare system in a positive way because the system aims at reducing the amount of uncompensated care the average United States. It also aims to cover pre-existing conditions and children can remain on there parents health insurance plans no matter how old they get.
At the same time it has impacted the healthcare system in a negative way because the family is expected to pay in order to have the health insurance and failure to do so a tax penalty will be imposed. It also raises the income tax rate, which causes many people to pay the tax rather than pay for coverage.
American Nurses Association (ANA)
The American Nurses Association is a professional organization to advance and protect the profession of nursing.
This Association has impacted the healthcare system in a positive way because it has given nurses the opportunities to grow professionally. It is also allowed them to be the forefront of improving the quality of health care for all.
This Association has impacted the healthcare system in a negative way because of the political, religious and personal agendas that may be associated. There is always some type of underlining issue you must not talk about but everyone knows.
Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services (CMS) is part of the U.S. Department of Health and Human Services. CMS has a primary role of overseeing a number of federal healthcare programs.
This impacted the healthcare system in a positive way because it helped evolve health information technology with an example being the electronic health records
This Service impacts the healthcare system in a negative way because of numerous federal care programs it overseas. That time of commitment leaves room for errors and mistakes which can lead to lack of funding.
References
Koh, H. K., & Sebelius, K. G. (2010). Promoting prevention through the affordable care act. New England Journal of Medicine, 363(14), 1296-1299.
Carson, B., & Murphey, C. (1992). Think big: Unleashing your potential for excellence. Zondervan.
Batnitzky, A., Hayes, D., & Vinall, P. E. (2018). The U.S. healthcare system: An introduction. Retrieved from https://content.ashford.edu
United States Department of Labor, Bureau of Labor Statistics. (n.d.). Occupational outlook handbook: Healthcare occupations (Links to an external site.)Links to an external site.. Retrieved from http://www.bls.gov/ooh/healthcare/home.htm
PBS. (n.d.). Healthcare timeline (Links to an external site.)Links to an external site.. Retrieved from http://www.pbs.org/healthcarecrisis/history.htm
Physicians for a National Health Program. (n.d.). A brief history: Universal health care efforts in the US (Links to an external site.)Links to an external site.. Retrieved from http://www.pnhp.org/facts/a-brief-history-universal-health-care-efforts-in-the-us