Module 1. (Health Care System) Discussion Question:

THis is for just basic ideas!! (Overview of U.S. Health Care and Benchmark Developments

Welcome to Module 1! This module provides an overview of the U.S. health care industry and the major legislative, political, economic, organizational, and professional influences that have transformed health care.

Time Requirements:

The amount of time required to complete assignments in this module is approximately 17 to 20 hours.

Objectives:

After completing this module, students should be able to:

Differentiate among levels of application of preventive measures in tracing the natural history of disease in humans.
Analyze the conflicting concerns, interests, and influences of the major stakeholders in the U.S. health care industry.
Trace the major historical and political developments in U.S. health care, including the efforts of the Obama administration to complete a major reform of the U.S. healthcare system
Evaluate the influence of the aging population and rising costs on the health care system
Articulate how the basic issues of cost, quality, and access can create ethical dilemmas in the delivery of health care
Assess the growing influence of pharmaceutical and insurance companies on the costs and procedures of medical practice
Readings:

Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett. (Chapters 1 and 2).

Goals Alignment:

University Mission Goals-

Exhibits self-directed learning that demonstrates professional behavior and ethics,
Functions successfully in multiple roles and teams showing cultural competence,
Exhibits a self-awareness of professional behavior through leadership and advocacy,
Demonstrates professional performance through research by using evidence-based, and
Leverages technology to produce high-value work products.
Program Goals-

This module sets the tone for the course to come and encourages students to create learning goals for themselves in the course.
Course Goals-

This module sets the tone for the course to come and encourages students to create learning goals for themselves in the course.
Professional Standards:

Background for practice from sciences and humanities
Master’s-level nursing practice
Summary:

This module provided a general overview of the U.S. health care industry, its policy makers, it values and priorities, and its various responses to health care diseases and problems. A template for understanding the natural histories of diseases and the levels of medical intervention was illustrated. Major influences in the continuing growth and change of the US health services system were presented as a foundation for further exploration. The conflicts of interest and ethical dilemmas resulting from medicine’s technologic advances and the advent of managed care were also introduced.

Module 1 also described the major developments in health care in the US and the important legislative, political, economic, organizational, and professional influences that have transformed health care from a relatively simple process to a huge, complex, corporation-dominated industry. The effects of medical education, scientific advances, rising costs, changing population demographics, and American values regarding health care were analyzed.))) this is for just basic ideas. you don’t have to read.

Module 1: Discussion Question

Start by reading and following these instructions:

Discussion Question:

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

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?