Health Care US
The United States of America boasts one of the best health care systems in the whole world. U.S spends a large part of their gross domestic product (GDP) on the per capita basis on the health care. According to current reports, U.S. healthcare spending are approximately 15% of the GDP which is the highest in the world. It is estimated that the health share of the GDP will rise by 19.6% by 2016.
In U.S the health care is not the work of a single unit or organization. It is a joint effort of many separate legal entities. The individuals provide inpatient and outpatient services for commercial, charitable, or governmental entities. The health care system does not run entirely on the funds made available by the federal government. The funds come from both, the public and the private sides. In 2004, the private insurance paid for 36% of personal health expenditures, 15% were private out of pocket payments, while the federal, state and local governments paid 44%.
The 44% share of the US government on the health care made U.S the largest insurer in the nation. Around 84% of the U.S citizens have health insurance of which 60% have it through their employer, 9% people purchase individually and the rest are insured by government programs. The Americans who are not shielded under a health insurance cover are expected to pay privately for medical services. Health insurance is a costly affair in America and at times the medical bills are beyond the reach of common man. Therefore, health insurance is the topmost causes of bankruptcy in the United States.
The federal government of the United States does not guarantee universal health care to all its citizens. It relies on some publicly funded health are programs to provide health assistance to the elderly, disabled, children and the poor people. The federal government provides emergency health services to all the citizens irrespective of their paying capacity.
In 2000 the World Health Organization (WHO) ranked the health care system in United States 37th in the world. But the report also placed Americans overall health 72nd among 191 member nations included in the study. However, the report became an issue of debate. It was criticized by the conservative commentators as biased. The commentators claimed that the report lowered the grades of countries for having private or free health treatment and rated countries by comparing their expected health care performance instead of making an objective comparison of the quality of care provided in a country. Moreover, more than half of the Americans believe that they are in good health. In 2006 the annually released National Health Interview Survey by the Centers for Disease Control National Center for Health Statistics revealed that over 66% of the survey respondents are of the belief that they have an “excellent” or “very good” health.
At present United States like South Africa is trying to acquire universal coverage. There is a debate going on in these two big industrialized nations on the need to achieve universal health coverage and the best strategies to improve the U.S healthcare system.
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