In this assignment, you will explore how ethical behaviors can impact the issue you selected in Assignment 1. Write a four to five (4-5) page paper in which you: Propose two (2) ethical concerns that

QUALITY HEALTHCARE 6

Quality Healthcare for the American People

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Question 1

The healthcare system in the United States is described as a hybrid in nature with no single department financing the health system in entirety. The U.S. doesn't have a uniform and elaborate system of health, but the system is instead structured in terms of the private sector which is made up of private organizations, and individual employees and the public sector made up of local and state governments contributions (Finkelstein et al., 2015). The healthcare system structure in the U.S. is regarded as a hybrid in that there is no single national health department, a separate funding body of insurance, or a multi-paid national insurance fund for healthcare contributed by the U.S. citizens. In 2014, for instance, the private funds contributed a significant 48% of healthcare spending, having 20% from private business and 28% from households. The federal government, state and local governments contributed 28% and 17% respectively to the healthcare system.

The interactions between the private and public departments during the provision of health insurance in the United States are, to no small extent, is virtual in that there is no physical collaboration between them that can be seen outright. Instead, these departments do their funding separately, but their contributions are seen from the total national statistics that are provided by the healthcare system as a whole.

Question 2

The human resource aspect of any organization is essential, for it depicts whether the business organization will be successful or not in the market. The same element is even crucial in a delicate system such as the healthcare system whose outcomes are outright seen when the human resource aspect is ineffective (Chen et al., 2016). The United States healthcare system is characterized by many healthcare organizations, each having their Human Resource professionals. The role of these professionals not only entails the hiring of nurses and doctors but also undertaking the management of plants, sanitation, billing, and ensuring proper use of the financial resources coming to their facilities in a bid to ensure that the Americans get the best quality healthcare services.

Several professional bodies on Human resources have been formed in the United States to solicit voluntary membership from the heads of human resource departments in these healthcare organizations. This indicates how these professionals are critical in determining how the healthcare system in the United States progresses. Human resource managers, through the professional bodies, are encouraged to be tact in managing resources hence ensuring that quality is maintained in healthcare delivery.

Question 3

The budgeting part of an organizational structure is crucial in ensuring equitable allocation of financial resources to the different activities ensuring that all of them are adequately covered. In the United States healthcare system, having in mind that its organizational structure is made up of private and public sectors, the budgeting aspect is determined by the federal government. The government sets aside a budget for healthcare needs and institutes that the private sector and individuals need to pay to get insurance from health insurance companies. Such a budgeting strategy is crucial for ensuring safe, adequate, and quality medical or healthcare services to all citizens. The government budget allocates a significant amount of finances to the healthcare sector to set an example for the private sector and individuals to contribute to the industry by paying healthcare insurance wholeheartedly. In 2019 for instance, the United States federal contribution towards health was at $3.81 trillion, and the contributing is projected to reach $6.19 trillion by 2028 which is an excellent thing in the bid to attain the provision of safe, adequate, and quality medical or healthcare services to all citizens in America.

Question 4

The political environment surrounding the provision of better and quality health serviced to the United States citizens has been heating up recently. Many parties, including the private sector organizations and individuals, have been lobbying for changing how the healthcare sector in the United States is managed. These parties are pushing for legislation to be put in place to favor their political ideologies. For instance, the pharmaceutical industries and health insurance companies are year in year out, dashing out millions in attempts to get their reform ideologies heard and implemented. It is evident that even after the implementation of the Affordable Care Act (ACA), many Americans remained uninsured (Adepoju et al., 2015). The Trump administration also came in and became a setback to the already developed national instance of the kind and thwarted the small change the Act has had on the United States healthcare. Without a doubt, political responsiveness always presents challenges to the healthcare management (Rose, 2015). The varied ideological perceptions held by many stakeholders in the system are a challenge to the growth of the sector because all of them will always have different needs that need to be certified. Such a balance is still tough to achieve, and this means that the healthcare sector hardly progresses in the positive direction having these factors influencing it.

References

Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. Medical care, 54(2), 140.

Adepoju, O. E., Preston, M. A., & Gonzales, G. (2015). Health care disparities in the post–Affordable Care Act era. American Journal of Public Health, 105(S5), S665-S667.

Finkelstein, A., Taubman, S., America, P. N., & America, J. P. N. (2015). Using randomized evaluations to improve the efficiency of U.S. healthcare delivery. Cambridge, MA: J-PAL February.

Rose, S. (2015, April). Opting in, opting out: The politics of state Medicaid expansion. In The Forum (Vol. 13, No. 1, pp. 63-82). De Gruyter.