A medical institution of suitable profile
All citizens of our u . S . Deserve the safety of well-known fitness care that ensures get admission to based totally on desires instead of income.
It is a fundamental human proper and an vital measure of social justice. The authorities need to play the critical role of regulating, financing, and presenting health care. Everyone faces the opportunity of poor health.
The risk should be shared broadly to make sure fair treatment and equitable charges, and everybody need to proportion obligation for contributing to the gadget thru revolutionary financing.
The value of health care is growing. Over the beyond years its expenditure have risen faster than the cost increases said in other sectors of the financial system. As a rely of fact, the loose market would not work for the health care machine.
* * *
There are two methods of financing fitness care:
The first is a personal technique of financing, by the usage of employees' and agencies' money as rates for acquisition of private insurance, which affords hospital therapy. The installed order leaves some distance in the back of forty seven million people with out medical health insurance.
The 2nd manner, that is used by all evolved international locations of the sector, is with the aid of taxing the people for fitness care, which generates a pool of money, financing it via the budgets of the countries. The people of our u . S . Prefer non-public medical insurance and private fitness care. Getting accustomed, in the route of time to the present system, our human beings reject all other proposals unbiased in their merits.
An analysis of the acting device of personal health insurance indicates that this in essence is a social technique of distribution of accumulated rates. The insurance corporations acquire premiums from all insured people and spend part of them for fitness care of needy patients. As we see, personal remains most effective the misappropriation of income. Social distribution is carried out now not on the size of the total country, but is most effective restricted by each health insurance agency.
Medical insurance agencies use as the premise of their operations an unfair practice. They pick out for medical health insurance simplest surprisingly young, healthful, working human beings, which rarely are ill. They constantly boom the top class fees, excluding retirees who need substantially extra care. Thus, the medical health insurance groups established for themselves hothouse situations. They make billions of bucks in earnings, which in essence is a simple misappropriation of unused manner of wholesome humans, that don't need clinical offerings. Justifiably those way ought to be set apart in a special fund and used for care while these people retire.
Under the prevailing device, health insurance organizations have each cause to limit our care and growth our co-payments and deductibles. HMOs are well-known for refusing to cover essential sanatorium live, denying humans coverage for emergency room visits and balking at medically important processes and therapy. The predominant reason our system is so high priced is that it has to aid income-hungry HMOs. In the U.S. Thirty percent of each top class greenback goes to pay for administrative charges and earnings.
HMOs stand as a vain impediment in between doctors and their sufferers. A question happens. It is essential to have HMOs within the gadget?The answer is obvious. There is not any want for HMOs. This is an unnecessary link and it want to be abolished. It is vital to establish a machine that lets in companies to pay attention on care, not on earnings margins.
* * *
The health care machine wishes a essential exchange and development. It is composed exactly that is vital to decide a ripe task about development of medical care, simultaneous decreasing the expenditures and imparting all citizens of our u . S . A . With goo care. This major problem brooks no further delay. It is usually known that health care in our us of a equates with small enterprise, and all individuals are involved, like each enterprise, in receiving the best possible income.
Breaking up the hospital treatment into small scientific places of work do not favor the improvement on this area and the fundamental clinical tasks of lowering the price of hospital therapy by means of following reasons:
superior scientific generation can't be used in those places of work;conditions don't exist for a excessive degree of prepared health services;docs prefer to minimize the time for clinical examination of patients;fee for service is not the exceptional idea on this field.
The enumerated shortcomings in its turn lead to:
the growth of serving medical personnel and administrative expenses;deterioration of efficacy of outpatient treatment, will increase visits of sufferers and pointless referrals to hospitals;mixture boom of fees on medical care.
* * *
Under current situations of irrational company of hospital treatment in our us of a, it is necessary to look for new systems to fulfill the requirements of cutting-edge fact.
Inevitably comes to thoughts a end of advisability to reorganize the complete shape of hospital therapy. Instead of superb numbers of small unproductive clinical offices it is most advantageous to arrange big-scale multi profile scientific clinics, every of them to be attached to a near hospital and working in two shifts.
These outpatients' clinics ought to be equipped with present day scientific and records - laptop era, as well as present day laboratories, and carry out in all of them important clinical examinations, assessments, approaches and many others., significantly elevating the great of hospital therapy and hard work productivity of all clinical staff.
Another essential measure - essential alternate of present payment gadget for scientific doctors care. We offer the introduction of pay with the aid of the hour remuneration device in the form of charge of salaries. Salaries for docs ought to be hooked up in dependence with the qualification, confirmed each five years, exemplary one hundred fifty-2 hundred-250 thousand bucks yearly. Besides that must be hooked up a distribution of bonuses for correctly achieved surgeries and splendid scientific remedies of patients. This certainly will transfer over the attention of clinical doctors to exceptional health services for sufferers. In essence, most effective such radical modifications may be referred to as hospital treatment reform.
* * *
It is beneficial to installation a public, non-income agency for hospital treatment of the populace of the complete country, with branches in all states. The management of the non-income business enterprise ought to be achieved by way of the first-rate specialists in medicinal drug, technological know-how, economics, price range and public relationship. They must take full duty for the medical care of the whole populace and using method for financing it. It need to consist of powerful mechanisms for controlling fees of medical care. All controversial questions need to be decided between scientific docs-experts from this employer and treating docs. This may be a controlled health care machine. Managed care displays the u . S .'s distinctive method to a everyday human project. The price of medical care ought to be contained. The rational for restrict setting rules need to be express and readily available to the public. The rational have to display how the coverage promotes appropriate care for individuals and most fulfilling use of to be had assets for the big populace.
It is advisable to free the medical docs from the need of insurance in opposition to instances of committing scientific mistakes, lifting of them the heavy burden of useless wasted expenses. Medical doctors, undoubted have to deliver the obligation for committing crook negligence in the performance in their responsibilities, causing irreparable harm to the fitness of treating patients.
* * *
It arises a query. How to carry out the financing of fitness care within the new term?
The predominant element and the best source of financing should be the usage of a unique tax for these functions. It need to be labored out a scientifically grounded percent of tax for the earnings of workers and income of groups and companies, generating a fund, which should defray expenses on health care. To this fund have to be directed the way from Medicare and Medicaid. Thus, all the means for financing hospital therapy have to be directed from the budgets to the general public non-income agency. This organization, in a proper way, must workout in element an estimate expenditure of its price range. Within affordable limits of this price range could be maintained the full medical care gadget.
A medical institution of suitable profile have to training session one of these finances. If one may additionally positioned it that way, absolutely we will assume that the renovation value of medical care underneath the new favorable conditions can be considerably lower than at gift time. It seems to us, that the proposed perfected gadget units a guard to out of control expenses of hospital treatment, which below the gadget of unlimited presentation of bills to Insurance organizations, Medicare and Medicaid will become just like a snowball, uninterruptedly going downhill on the verge of catastrophe.
The device of medical care and financing of a brand new kind have to determine the topical issues of modern-day fitness care.
Only the whole reorganization of the fitness care device will deliver down the clinical cost. Otherwise the value will rose continuously.
It is a fundamental human proper and an vital measure of social justice. The authorities need to play the critical role of regulating, financing, and presenting health care. Everyone faces the opportunity of poor health.
The risk should be shared broadly to make sure fair treatment and equitable charges, and everybody need to proportion obligation for contributing to the gadget thru revolutionary financing.
The value of health care is growing. Over the beyond years its expenditure have risen faster than the cost increases said in other sectors of the financial system. As a rely of fact, the loose market would not work for the health care machine.
* * *
There are two methods of financing fitness care:
The first is a personal technique of financing, by the usage of employees' and agencies' money as rates for acquisition of private insurance, which affords hospital therapy. The installed order leaves some distance in the back of forty seven million people with out medical health insurance.
The 2nd manner, that is used by all evolved international locations of the sector, is with the aid of taxing the people for fitness care, which generates a pool of money, financing it via the budgets of the countries. The people of our u . S . Prefer non-public medical insurance and private fitness care. Getting accustomed, in the route of time to the present system, our human beings reject all other proposals unbiased in their merits.
An analysis of the acting device of personal health insurance indicates that this in essence is a social technique of distribution of accumulated rates. The insurance corporations acquire premiums from all insured people and spend part of them for fitness care of needy patients. As we see, personal remains most effective the misappropriation of income. Social distribution is carried out now not on the size of the total country, but is most effective restricted by each health insurance agency.
Medical insurance agencies use as the premise of their operations an unfair practice. They pick out for medical health insurance simplest surprisingly young, healthful, working human beings, which rarely are ill. They constantly boom the top class fees, excluding retirees who need substantially extra care. Thus, the medical health insurance groups established for themselves hothouse situations. They make billions of bucks in earnings, which in essence is a simple misappropriation of unused manner of wholesome humans, that don't need clinical offerings. Justifiably those way ought to be set apart in a special fund and used for care while these people retire.
Under the prevailing device, health insurance organizations have each cause to limit our care and growth our co-payments and deductibles. HMOs are well-known for refusing to cover essential sanatorium live, denying humans coverage for emergency room visits and balking at medically important processes and therapy. The predominant reason our system is so high priced is that it has to aid income-hungry HMOs. In the U.S. Thirty percent of each top class greenback goes to pay for administrative charges and earnings.
HMOs stand as a vain impediment in between doctors and their sufferers. A question happens. It is essential to have HMOs within the gadget?The answer is obvious. There is not any want for HMOs. This is an unnecessary link and it want to be abolished. It is vital to establish a machine that lets in companies to pay attention on care, not on earnings margins.
* * *
The health care machine wishes a essential exchange and development. It is composed exactly that is vital to decide a ripe task about development of medical care, simultaneous decreasing the expenditures and imparting all citizens of our u . S . A . With goo care. This major problem brooks no further delay. It is usually known that health care in our us of a equates with small enterprise, and all individuals are involved, like each enterprise, in receiving the best possible income.
Breaking up the hospital treatment into small scientific places of work do not favor the improvement on this area and the fundamental clinical tasks of lowering the price of hospital therapy by means of following reasons:
superior scientific generation can't be used in those places of work;conditions don't exist for a excessive degree of prepared health services;docs prefer to minimize the time for clinical examination of patients;fee for service is not the exceptional idea on this field.
The enumerated shortcomings in its turn lead to:
the growth of serving medical personnel and administrative expenses;deterioration of efficacy of outpatient treatment, will increase visits of sufferers and pointless referrals to hospitals;mixture boom of fees on medical care.
* * *
Under current situations of irrational company of hospital treatment in our us of a, it is necessary to look for new systems to fulfill the requirements of cutting-edge fact.
Inevitably comes to thoughts a end of advisability to reorganize the complete shape of hospital therapy. Instead of superb numbers of small unproductive clinical offices it is most advantageous to arrange big-scale multi profile scientific clinics, every of them to be attached to a near hospital and working in two shifts.
These outpatients' clinics ought to be equipped with present day scientific and records - laptop era, as well as present day laboratories, and carry out in all of them important clinical examinations, assessments, approaches and many others., significantly elevating the great of hospital therapy and hard work productivity of all clinical staff.
Another essential measure - essential alternate of present payment gadget for scientific doctors care. We offer the introduction of pay with the aid of the hour remuneration device in the form of charge of salaries. Salaries for docs ought to be hooked up in dependence with the qualification, confirmed each five years, exemplary one hundred fifty-2 hundred-250 thousand bucks yearly. Besides that must be hooked up a distribution of bonuses for correctly achieved surgeries and splendid scientific remedies of patients. This certainly will transfer over the attention of clinical doctors to exceptional health services for sufferers. In essence, most effective such radical modifications may be referred to as hospital treatment reform.
* * *
It is beneficial to installation a public, non-income agency for hospital treatment of the populace of the complete country, with branches in all states. The management of the non-income business enterprise ought to be achieved by way of the first-rate specialists in medicinal drug, technological know-how, economics, price range and public relationship. They must take full duty for the medical care of the whole populace and using method for financing it. It need to consist of powerful mechanisms for controlling fees of medical care. All controversial questions need to be decided between scientific docs-experts from this employer and treating docs. This may be a controlled health care machine. Managed care displays the u . S .'s distinctive method to a everyday human project. The price of medical care ought to be contained. The rational for restrict setting rules need to be express and readily available to the public. The rational have to display how the coverage promotes appropriate care for individuals and most fulfilling use of to be had assets for the big populace.
It is advisable to free the medical docs from the need of insurance in opposition to instances of committing scientific mistakes, lifting of them the heavy burden of useless wasted expenses. Medical doctors, undoubted have to deliver the obligation for committing crook negligence in the performance in their responsibilities, causing irreparable harm to the fitness of treating patients.
* * *
It arises a query. How to carry out the financing of fitness care within the new term?
The predominant element and the best source of financing should be the usage of a unique tax for these functions. It need to be labored out a scientifically grounded percent of tax for the earnings of workers and income of groups and companies, generating a fund, which should defray expenses on health care. To this fund have to be directed the way from Medicare and Medicaid. Thus, all the means for financing hospital therapy have to be directed from the budgets to the general public non-income agency. This organization, in a proper way, must workout in element an estimate expenditure of its price range. Within affordable limits of this price range could be maintained the full medical care gadget.
A medical institution of suitable profile have to training session one of these finances. If one may additionally positioned it that way, absolutely we will assume that the renovation value of medical care underneath the new favorable conditions can be considerably lower than at gift time. It seems to us, that the proposed perfected gadget units a guard to out of control expenses of hospital treatment, which below the gadget of unlimited presentation of bills to Insurance organizations, Medicare and Medicaid will become just like a snowball, uninterruptedly going downhill on the verge of catastrophe.
The device of medical care and financing of a brand new kind have to determine the topical issues of modern-day fitness care.
Only the whole reorganization of the fitness care device will deliver down the clinical cost. Otherwise the value will rose continuously.
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