The failing healthcare system for urban America
SOC220 Socials Problems
Week 6 Discussion
DQ1 There are many arguments and much research that demonstrates the failing healthcare system for urban America. Researching the issue of failing healthcare, develop a list of historic as well as contemporary healthcare inequalities and consider how you agree/disagree. Provide support to your arguments. Historically, what has been done to help alleviate this social problem? What are some effective modern day solutions being proposed? Explain why they are effective.
DQ2 What do you think is the most pressing social problem facing America throughout the term of the last five presidents and today? What do you feel is the role of the government in the process of dealing with the social problems of their time on the micro and macro levels? What do you think has shaped your views?
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The failing healthcare system for urban America
Introduction
If you live in a city, the chances are that you have access to some form of health care. But if you need to see a doctor, chances are that it will be an expensive and stressful experience. You might end up paying cash at an urgent care center where the wait time is often long because there’s no insurance for any treatment facility. Or maybe your primary care physician sends you somewhere else where they charge extra fees for everything from blood tests to x-rays. Then there’s always the fear that something could go wrong during treatment—and even though we’re all insured by our employers or through Medicare/Medicaid programs, those coverages rarely cover everything…
If you live in a city and need to see a doctor, chances are you will find one. But the quality of care is another matter.
If you live in a city and need to see a doctor, chances are you will find one. But the quality of care is another matter.
Doctors are overworked and underpaid, which means they often don’t have time to examine patients or talk with them about their health issues. They also don’t have enough time to keep up with new developments in their field—and this means that some doctors may not know about new treatments or medications for conditions like cancer or diabetes that could save lives or make problems less severe.
America has the best health care system in the world. We just don’t have it.
America has the best health care system in the world. We just don’t have it.
In fact, our nation’s healthcare system is one of the most expensive and inefficient in all of human history. This is not because we haven’t tried: The United States has spent trillions of dollars on health care since its inception and yet our outcomes remain poor compared to other developed countries like Canada and England that provide universal coverage through single-payer systems like Medicare or Medicaid (Medicaid provides insurance for low-income Americans).
The reason why so many people can afford private insurance but not comprehensive public coverage isn’t because there aren’t enough resources to fund them; rather it’s because our fragmented system makes coordination difficult at best—and impossible at worst if you’re paying out of pocket instead!
Some doctors are famous for their speed rather than their expertise.
Many people are looking for a doctor who can provide them with fast and effective treatment. But this isn’t always the best indicator of quality. Doctors can be excellent at their job, but they don’t have to be born with magic hands—they just need to be well trained in their field and able to explain the treatment plan in a way that makes sense to patients. If you’re looking for an eye doctor who can give you glasses that look like regular glasses, but also have special lenses inside that let you see even better than before (and maybe even help prevent blindness), then yeah: speed is important! But if all your care involves going into an operating room every few months so surgeons can remove tumors from inside your brain or liver… then no one should expect anything less than perfection from those who treat them there (or anywhere else).
The stressful, unpleasant and chaotic conditions under which physicians practice leads to mistakes.
The stressful, unpleasant and chaotic conditions under which physicians practice leads to mistakes.
The quality of health care is not what it should be. Physicians are overworked and underpaid for their work in a system that makes it difficult for them to do their job well—and they’re only getting worse thanks to increasingly complex insurance regulations and an ever-growing population of patients who need care. If you ever wondered why your doctor didn’t seem like he or she was listening or had any time for you, this might be why: because they don’t have enough time! In addition, there are so many insurance companies competing against each other that they can’t even agree on how much money doctors deserve or how best to pay them (or even how many hours per day).
The lack of time to examine and talk with patients makes practicing medicine frustrating and unsatisfying for many doctors.
The lack of time to examine and talk with patients makes practicing medicine frustrating and unsatisfying for many doctors. One doctor told me that he had been practicing medicine for 20 years, but he wasn’t able to spend a single minute with his patients because he was always running from one emergency room or hospital department to another. He said it was like he was never able to take any breaks between shifts at work.
When a patient comes into your office, you need to know what’s wrong with them so that you can provide the right care in a timely manner—but these days many people aren’t even going into doctors’ offices anymore! If they do go in, they may not have much time left before their appointment ends up being canceled due to lack of space (and thus no longer having access). And even if there’s enough room available when someone shows up at your door? Well then maybe now would be good time for us all just get along better together instead…
America is the only country that doesn’t provide universal coverage for its citizens.
The United States is the only country in the developed world that doesn’t provide universal coverage for its citizens. This means that Americans are not guaranteed access to healthcare regardless of their income or ability to pay, and people often have to wait months or years before they can see a doctor. The system is so broken that it’s been called “the most expensive failure ever.”
The root causes of these problems are clear:
The root causes of these problems are clear:
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Lack of time to examine and talk with patients makes practicing medicine frustrating and unsatisfying for many doctors.
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The stressful, unpleasant and chaotic conditions under which physicians practice leads to mistakes.
Doctors are required to see thousands of patients during each week’s workday—and many feel like they have no choice but to spend their days running around town doing things like taking xrays or ordering tests that take hours rather than minutes (and sometimes even days).
The economic drivers behind this country’s health care system demand fragmentation and specialization over continuity and coordination of patient care.
The health care system is a free market: it’s for profit, and it’s fragmented. The symptoms of this freedom are obvious. One of the most common complaints patients make about their doctors is that they don’t know what to ask or how to communicate with them when they have questions or concerns. There isn’t enough time in one day for both patient and doctor to figure out how best to address those issues together; instead, you may end up spending all day at work trying to get through your medical history before your appointment with your primary care provider, who then spends half an hour discussing something completely unrelated with another staffer (who isn’t even a real doctor). If you do finally see the right person—and this is often not true even then—you’ll likely receive an answer that doesn’t actually explain anything but just makes sure everyone on staff knows where they stand relative too each other
Conclusion
The clear conclusion is that we need to do something about our health care system. We need a better model so that doctors can focus on patients instead of their own workloads, and one where coordination of care among specialists and primary care physicians is possible. The current fragmented model is expensive and inefficient, but it’s also the only game in town. So unless you want your doctor to be a solo practitioner who works long hours with few breaks because they have no choice but not pay into Medicare or Medicaid (in which case they will), then something needs to change soon!
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