essay on free healthcare

Should Healthcare Be Free? Essay on Medical System in America

Introduction, problem statement, why healthcare should be free, why healthcare should be paid, works cited.

The US government has historically taken a keen interest in the health of its citizens. As far back as the beginning of the 1900s, President Theodore Roosevelt declared that “nothing can be more important to a state than its public health: the state’s paramount concern should be the health of its people” (Gallup and Newport 135). Despite these, the United States is classified as the nation with the most expensive, and yet inefficient, health care system among developed nations.

An expensive health care system translates to an increasing proportion of the population being unable to access the much needed medical care. The New York Times reports that according to census survey carried out in the year 2007, an estimated 45.6 million people in the USA were uninsured and hence unlikely to receive comprehensive medical care from hospitals (1). Due to the perceived inefficiencies, there has been agreement that the current health care system is faulty and therefore in need of radical changes to make it better.

Majority of American’s are greatly dissatisfied with the current health care system which is extremely expensive and highly inefficient. While an effective system can be deemed to be one which is efficient, acceptable and at the same time equitable, the current system is lacking in this attributes.

The aim of this paper will be to analyze the effects that free health care system in America would have. This paper will argue that a health care system which guarantees free health care for all Americans is the most effective system and the government should therefore adopt such a system.

Free health care would result in a healthier nation since people would visit the doctors when necessary and follow prescriptions. Research by Wisk et al. indicated that both middle and lower class families were suffering from the high cost of health care (1). Some families opted to avoid going to the doctor when a member of the family is sick due to the high cost of visiting the doctor and the insurance premiums associated with health care.

In the event that they go to the doctor, they do not follow prescriptions strictly so as to reduce cost. Brown reveals that “60 percent of uninsured people skipped taking dosages of their medication or went without it because it cost too much” (6). Such practices are detrimental to a person’s health and they cost more in the long run.

The last few years have been characterized by financial crises and recessions which have negatively affected the financial well being of many Americans. In these economic realities, the cost of health care has continued to rise to levels that are unaffordable to many Americans. This loss of access to health care has led to people being troubled and generally frustrated. A report by Brown indicates that the price for prescription drugs in the US has escalated therefore becoming a financial burden for the citizens (6).

The productivity of this people is thereby greatly decreased as they live in uncertainty as to the assurance of their health and thereby spend more time worrying instead of being engaged in meaningful activities that can lead the country into even greater heights of prosperity. Free health care would lead to a peace of mind and therefore enable people to be more productive.

Since medical care is not free, many people have to make do with curative care since they cannot afford to visit medical facilities for checkups or any other form of preventive medical care. This assertion is corroborated by Colliver who reveals that many people are opting to go without preventative care or screening tests that might prevent more serious health problems due to the expenses (1).

Research shows that approximately 18,000 adults die annually due to lack of timely medical intervention (The New York Times 1). This is mostly as a result of lack of a comprehensive insurance cover which means that the people cannot receive medical attention until the disease has progressed into advanced stages. This is what has made medical care so expensive since “sick patients need more care than relatively healthy ones” (Sutherland, Fisher, and Skinner 1227).

This is an opinion shared by Sebelius who reveals that 85% of medical costs incurred in the country arise from people ailing from chronic conditions (1). She further notes that if screened early, these diseases such as diabetes and obesity can be prevented thus saving the medical cost to be incurred in their treatment. It therefore makes sense to have a health care system that makes it possible for everyone to access preventive care thus curbing these conditions before they are fully blown.

While most people assume that free health care will result in better services as more people will be able to access health care, this is not the case. The increase in people who are eligible for health care will lead to an increase in the patients’ level meaning that one may have to wait for long before receiving care due to shortage of medical personnel or the rationing of care.

A European doctor, Crespo Alphonse, reveals that when health care is free, people start overusing it with negative implications for the entire system (AP). In addition to this, free health care would invariably lead to cost cutting strategies by hospitals.

This would lead to scenario where finding specialized care is hard and the rate of medical mistakes would increase significantly. As a matter of fact, a survey on Switzerland hospitals found that medical errors had jumped by 40% owing to the introduction of mandatory health insurance (AP). While it is true that free health care will increase the number of people visiting the doctor, this may be a positive thing since it will encourage preventive care as opposed to the current emphasis on curative care.

Free health care is a move towards a socialistic system. As it is, the US is a nation that is built on strong capitalistic grounds. This is against the strong capitalistic grounds on which the United States society is build on. While detractors of the private insurance firms are always quick to point out that the firms make billions of dollars from the public, they fail to consider the tax that these firms give back to the federal government (Singer 1).

Free health care would render players in the health industry such as private insurance companies unprofitable. Free health care will bring about a shift from a profit oriented system to a more people oriented system. Without money as a motivation, research efforts will plummet thereby leading to a decrease in the medical advancement as investment in research will not be as extensive (Singer 1).

The Associate Press reveals that doctors may also lack to be as motivated if they are no incentives and thereby the quality of their work may weaken (1). As such, a free health care system would have far reaching consequences for the economy of the nation since the health care industry is a profitable industry for many.

The Healthcare system is one of the most important components of the U.S. social system since full productivity cannot be achieved without good health. This paper has argued that a free health care system would be the most effective system for America. To reinforce this assertion, the paper has articulated the benefits that the country would accrue from free health care.

With free health care, all Americans would be able to access health services when they need it leading to increased quality of life. In addition, many people would make use of preventive healthcare services, therefore reducing the financial burden that the expensive curative services result in.

The paper has taken care to point out that free health care has some demerits, most notably of which is overloading the health services with a high number of patients. Even so, the observably advantages to be reaped from the system far outweigh the perceived risks. As it is, decades of reform on the US health care system have failed to provide any lasting solution to the problem.

Making health care free for all may be the strategy that will provide a solution for the ideal health care system that has thus far remained elusive. From the arguments presented in this paper, it can irrefutably be stated that free health care will result in a better health care system for the country.

Associate Press. (AP). Europe’s free health care has a hefty price tag . 2009. Web.

Brown, Paul. Paying the Price: The High Cost of Prescription Drugs for Uninsured Americans. U.S. PIRG Education Fund, 2006.

Colliver, Victoria. “Jump in middle-income Americans who go without health insurance,” San Francisco Chronicle (SFGate), 2006.

Gallup, Andrew, and Newport Francis. The Gallup Poll: Public Opinion . Gallup Press, 2005. Print.

Sebelius, Kathleen. Health Insurance Reform Will Benefit All Americans . 2009. Web.

Singer, Peter. Why We Must Ration Health Care . 2009. Web.

Sutherland, Jason., Fisher Elliott, and Skinner Jonathan. “Getting Past Denial – The High Cost of Health Care in the United States” . New England Journal of Medicine 361;13, 2009).

The New York Times. The Uninsured . 2009. Web.

Wisk, Lauren. High Cost a Key Factor in Deciding to Forgo Health Care . 2011. Web.

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IvyPanda. (2023, October 29). Should Healthcare Be Free? Essay on Medical System in America. https://ivypanda.com/essays/free-health-care-in-america/

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IvyPanda . 2023. "Should Healthcare Be Free? Essay on Medical System in America." October 29, 2023. https://ivypanda.com/essays/free-health-care-in-america/.

1. IvyPanda . "Should Healthcare Be Free? Essay on Medical System in America." October 29, 2023. https://ivypanda.com/essays/free-health-care-in-america/.

Bibliography

IvyPanda . "Should Healthcare Be Free? Essay on Medical System in America." October 29, 2023. https://ivypanda.com/essays/free-health-care-in-america/.

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Free Healthcare in the United States: A Possible Solution to Public Health Disparities

Nov 23, 2020 | Author Hala Atassi , Public Health Policy

Access to healthcare is one of the remarkable indicators that defines the quality of people’s lives. Despite the thousands of advanced technologies and countless healthcare clinics and hospitals, many people still cannot afford healthcare or health insurance. This has been a global concern for years, which many countries have resolved. However, the United States has yet to significantly progress towards making healthcare more accessible to low-income communities. There are many solutions to this problem that can be implemented today, upon which millions of suffering Americans depend.

Some studies have shown over the years that expensive health care is due to the high cost of defensive medicine, or in other words, physicians ordering expensive tests that may be unnecessary, as a way to deflect legal responsibility from themselves. Deviating from defensive medicine in the healthcare industry might impact physicians economically, but more importantly, it will help achieve affordable healthcare. 

Obamacare (the Affordable Care Act of 2010) is one program that focuses on extending healthcare to Americans and reducing public health disparities. This program lays down a foundation that people under the age of 26 will receive accessible care from their parent or guardian’s health care plans. Afterward, they must pay for their health care plan. Also, the program stipulates that the government provides free healthcare to retired adults from age 55 to 64, to avoid any insurance plan complications. Essentially, Obamacare seeks to expand access to healthcare care, regardless of the scale of one’s medical diagnosis, to ultimately save lives that would have been lost due to the inability to pay expensive medical bills.

Easier access to healthcare will result in a healthier nation. The healthcare system is one of the most important components in life, as the United States’ economy cannot be fully efficient and benefit all people until everyone can access quality, affordable healthcare. Free healthcare (or at least cheaper healthcare) would be the most effective system for America, which other countries like Switzerland and Singapore have demonstrated. The money spent by citizens on their healthcare could be redirected to other social support systems in America, like expanding access to nutritious foods as well. Although free healthcare has many perks, it also has disadvantages. Most notably, overloading health services with a large number of patients would overwhelm already busy healthcare systems. Patients may overuse the perk of free healthcare, leaving not taxpayers to suffer, but rather medical professionals and healthcare systems. Even so, the perceptible advantages of affordable healthcare outweigh the disadvantages. As it is, years of attempts to ameliorate the United States healthcare system have failed the American people, and the situation remains devastating and life-threatening for low-income communities. There should be no debate though as to whether America needs to redesign the public health system, as healthcare is a human right, and nobody should be dying because they cannot afford to live, especially when the government has the economic means to take care of them.

Bibliography:

Gerisch, Mary. “Health Care As a Human Right.” American Bar Association , www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/the-state-of-healthcare-in-the-united-states/health-care-as-a-human-right/. 

“Free Health Care Policies.” World Health Organization , World Health Organization, 2020, www.who.int/news-room/fact-sheets/detail/free-health-care-policies. 

Gologorsky, Beverly. “Health Care in the US Should Be Affordable and Accessible.” The Nation , 9 May 2019, www.thenation.com/article/archive/tom-dispatch-health-care-should-be-affordable-and-accessible/. 

Luhby, Tami. “Here’s How Obamacare Has Changed America.” CNN , Cable News Network, 8 July 2019, www.cnn.com/2019/07/08/politics/obamacare-how-it-has-changed-america/index.html.

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Essay on Free Healthcare

Students are often asked to write an essay on Free Healthcare in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Free Healthcare

Introduction.

Free healthcare means medical services are provided without cost. It’s a system where the government pays for citizens’ health needs.

Benefits of Free Healthcare

Free healthcare ensures everyone gets medical attention, regardless of their financial status. It reduces health inequalities and promotes a healthier society.

Challenges of Free Healthcare

However, free healthcare can lead to long waiting times and may lower the quality of care. It can also put financial pressure on the government.

Despite challenges, free healthcare is essential for a fair society. It ensures everyone has access to medical care.

250 Words Essay on Free Healthcare

Free healthcare, a concept that advocates for the provision of health services without the direct charge to the patient, has been a subject of global debate. It is considered a fundamental human right by many, while others express concerns about its economic feasibility and quality.

Economic Implications

One of the primary arguments against free healthcare is the potential economic strain. Critics argue that it could lead to increased taxes and government spending, potentially destabilizing the economy. However, proponents counter this by stating that the economic benefits, such as reduced sick days and increased productivity, may outweigh the costs.

Healthcare Quality and Accessibility

Another concern is the potential decline in the quality of healthcare due to overburdened facilities and staff. However, proponents argue that free healthcare would increase accessibility, particularly for low-income individuals, leading to overall improved public health.

Universal Human Right

Advocates for free healthcare often cite the Universal Declaration of Human Rights, which states that everyone has a right to a standard of living adequate for health and well-being. They argue that free healthcare is a moral obligation of societies to ensure the well-being of all their members.

In conclusion, free healthcare is a complex issue with valid arguments on both sides. It requires careful consideration of economic implications, healthcare quality, and moral obligations. As future leaders, it is important for us to continue this discussion with empathy and critical thinking.

500 Words Essay on Free Healthcare

The idea of free healthcare has been a contentious topic for decades, stirring debates among policymakers, healthcare professionals, and citizens alike. In essence, free healthcare implies that the government provides medical services without charging the end-users. The concept is rooted in the belief that healthcare is a fundamental human right, irrespective of one’s financial standing. However, while the idea may seem ideal on the surface, it is critical to delve into its implications, advantages, and challenges.

Advantages of Free Healthcare

Undoubtedly, the most significant advantage of free healthcare is the universal access it provides. It ensures that every citizen, regardless of their socio-economic status, has the right to receive necessary medical attention. This can lead to a healthier society, as people are more likely to seek preventative care and treatment for illnesses when cost is not a barrier.

Furthermore, free healthcare can alleviate financial stress associated with medical costs. In many countries, medical debt is a leading cause of bankruptcy. Free healthcare can eliminate this burden, allowing individuals to allocate their resources to other essential areas such as education or housing.

Despite its potential benefits, free healthcare also presents significant challenges. The most prominent is the financial strain on the government. Funding free healthcare requires substantial public expenditure, which can lead to increased taxes or cuts in other public services.

Moreover, free healthcare may lead to longer wait times for procedures and treatments due to increased demand. This could potentially result in a lower standard of care if the system becomes overwhelmed. Additionally, there’s a risk of overuse or misuse of services since they are freely accessible, leading to inefficiencies in the system.

Free Healthcare: A Balancing Act

Given the advantages and challenges, implementing free healthcare requires a delicate balancing act. Policymakers must ensure that the provision of free healthcare does not compromise the quality of care or place an undue financial burden on the state.

One potential solution could be a hybrid healthcare system, where basic healthcare is provided for free, while additional services are charged. This could strike a balance between ensuring universal access to healthcare and maintaining the sustainability of the system.

In conclusion, free healthcare is a complex issue that necessitates careful consideration of its potential benefits and drawbacks. While it promises universal access and financial relief, it also poses significant challenges in terms of funding and service delivery. As such, a nuanced approach, potentially incorporating elements of both free and paid healthcare, may offer the most viable solution for achieving health equity and fiscal responsibility. The debate surrounding free healthcare underscores the broader question of how societies choose to prioritize and allocate resources, highlighting the interplay between economics, ethics, and public policy.

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Argumentative Essay: Healthcare Should Be Free

Imagine how helpless you would feel if you needed medical attention but could not get it because you were uninsured and could not afford the medical bill. Wouldn’t that make you feel dependent and unsupported because you can't receive the support you are entitled to? The US spends about $12,530 per person’s healthcare. Although the government provides its citizens with healthcare equally, not everyone needs the money for their healthcare, while others need more money than what is already provided to them. I think the American government should collectively spend for all of its citizens and make healthcare free for all Americans.. Healthcare is a human right that we should all be entitled to regardless of our class. It would save thousands of lives every year. Although many people argue that healthcare would increase the debt rate, free healthcare decreases the spending of the US.  Free healthcare should be enforced morally and logistically to all Americans. 

Healthcare should be provided to everyone at no cost because it is a basic human right that all Americans should be entitled to. In the article “Should All Americans Have the Right (Be Entitled) to Health Care?” It says, “The Declaration of Independence states that all men have “unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness,” [42] which necessarily entails having the health care needed to preserve life and pursue happiness.” This shows that healthcare is a right that all Americans should be entitled to. In this sentence, the author explains that the Declaration of Independence states that all men have the right to “Life, Liberty, and Pursuit to Happiness” this shows that healthcare is also considered a right, which falls into life and the pursuit of happiness. 

Healthcare saves thousands of lives which enforces the right to life and pursuit of happiness in the future. Free healthcare could save lives because many people die from illnesses they never got cured because of the cost of healthcare. In the article “Should All Americans Have the Right (Be Entitled) to Health Care?” Says, “According to a study from Harvard researchers, “lack of health insurance is associated with as many as 44,789 deaths per year,” which translates into a 40% increased risk of death among the uninsured.“ This proves that many people die because they were uninsured. This part of the passage shows a 40% increased risk of death among people who cannot get insured due to the lack of medical support given to the uninsured who can also not afford the medical bill. According to the “Centers for Medicare and Medicaid Services,” the number of people under the age of 65 who were uninsured at the time of the interview was 31.2 million people. This shows that many Americans under the age of 65 are uninsured and probably can not afford the medical bill. 

A common argument against this position is that free healthcare for all Americans would increase US debts. In the article “Should America Have Universal Health Care?” It says “From a study funded by the University of Massachusetts at Amherst, under a single-payer system where everyone has a right to healthcare, private and public healthcare spending could be lowered over 10 years by over 1.8 trillion dollars. This would be due to lower prescription and administrative drug costs.” Some people argue that free healthcare for all Americans would increase US debts. However, the text explains that providing free healthcare does not increase the spending of the US. Instead, It lowered the spending by $1.8 trillion because it lowered the price of drugs prescribed to patients. 

In conclusion, healthcare should be free for all Americans. All Americans should be provided free healthcare because it is a basic human right that all Americans should be entitled to. It would also save lives because many people die from illnesses they never got cured of due to the medical support they needed but did not receive and that was because they were uninsured. Logistically and Morally, Healthcare is a fundamental right that all Americans should be entitled to despite their income and what they can afford. This is an issue that requires us to come together and fight for our rights!

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Universal Healthcare in the United States of America: A Healthy Debate

Gabriel zieff.

1 Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; ude.cnu.liame@rrekz (Z.Y.K.); [email protected] (L.S.)

Zachary Y. Kerr

Justin b. moore.

2 Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA; ude.htlaehekaw@eroomsuj

This commentary offers discussion on the pros and cons of universal healthcare in the United States. Disadvantages of universal healthcare include significant upfront costs and logistical challenges. On the other hand, universal healthcare may lead to a healthier populace, and thus, in the long-term, help to mitigate the economic costs of an unhealthy nation. In particular, substantial health disparities exist in the United States, with low socio–economic status segments of the population subject to decreased access to quality healthcare and increased risk of non-communicable chronic conditions such as obesity and type II diabetes, among other determinants of poor health. While the implementation of universal healthcare would be complicated and challenging, we argue that shifting from a market-based system to a universal healthcare system is necessary. Universal healthcare will better facilitate and encourage sustainable, preventive health practices and be more advantageous for the long-term public health and economy of the United States.

1. Introduction

Healthcare is one of the most significant socio–political topics in the United States (U.S.), and citizens currently rank “healthcare” as the most important issue when it comes to voting [ 1 ]. The U.S. has historically utilized a mixed public/private approach to healthcare. In this approach, citizens or businesses can obtain health insurance from private (e.g., Blue Cross Blue Shield, Kaiser Permanente) insurance companies, while individuals may also qualify for public (e.g., Medicaid, Medicare, Veteran’s Affairs), government-subsidized health insurance. In contrast, the vast majority of post-industrial, Westernized nations have used various approaches to provide entirely or largely governmentally subsidized, universal healthcare to all citizens regardless of socio–economic status (SES), employment status, or ability to pay. The World Health Organization defines universal healthcare as “ensuring that all people have access to needed health services (including prevention, promotion, treatment, rehabilitation and palliation) of sufficient quality to be effective while also ensuring that the use of these services does not expose the user the financial hardship” [ 2 ]. Importantly, the Obama-era passage of the Affordable Care Act (ACA) sought to move the U.S. closer to universal healthcare by expanding health coverage for millions of Americans (e.g., via Medicaid expansion, launch of health insurance marketplaces for private coverage) including for citizens across income levels, age, race, and ethnicity.

Differing versions of universal healthcare are possible. The United Kingdom’s National Health Services can be considered a fairly traditional version of universal healthcare with few options for, and minimal use of, privatized care [ 3 ]. On the other hand, European countries like Switzerland, the Netherlands, and Germany have utilized a blended system with substantial government and market-based components [ 4 , 5 ]. For example, Germany uses a multi-payer healthcare system in which subsidized health care is widely available for low-income citizens, yet private options—which provide the same quality and level of care as the subsidized option—are also available to higher income individuals. Thus, universal healthcare does not necessarily preclude the role of private providers within the healthcare system, but rather ensures that equity and effectiveness of care at population and individual levels are a reference and expectation for the system as a whole. In line with this, versions of universal healthcare have been implemented by countries with diverse political backgrounds (e.g., not limited to traditionally “socialist/liberal” countries), including some with very high degrees of economic freedom [ 6 , 7 ].

Determining the degree to which a nation’s healthcare is “universal” is complex and is not a “black and white” issue. For example, government backing, public will, and basic financing structure, among many other factors must be extensively considered. While an in-depth analysis of each of these factors is beyond the scope of this commentary, there are clear advantages and disadvantages to purely private, market-based, and governmental, universal approaches to healthcare, as well as for policies that lie somewhere in-between. This opinion piece will highlight arguments for and against universal healthcare in the U.S., followed by the authors’ stance on this issue and concluding remarks.

2. Argument against Universal Healthcare

Though the majority of post-industrial Westernized nations employ a universal healthcare model, few—if any—of these nations are as geographically large, populous, or ethnically/racially diverse as the U.S. Different regions in the U.S. are defined by distinct cultural identities, citizens have unique religious and political values, and the populace spans the socio–economic spectrum. Moreover, heterogenous climates and population densities confer different health needs and challenges across the U.S. [ 8 ]. Thus, critics of universal healthcare in the U.S. argue that implementation would not be as feasible—organizationally or financially—as other developed nations [ 9 ]. There is indeed agreement that realization of universal healthcare in the U.S. would necessitate significant upfront costs [ 10 ]. These costs would include those related to: (i) physical and technological infrastructural changes to the healthcare system, including at the government level (i.e., federal, state, local) as well as the level of the provider (e.g., hospital, out-patient clinic, pharmacy, etc.); (ii) insuring/treating a significant, previously uninsured, and largely unhealthy segment of the population; and (iii) expansion of the range of services provided (e.g., dental, vision, hearing) [ 10 ].

The cost of a universal healthcare system would depend on its structure, benefit levels, and extent of coverage. However, most proposals would entail increased federal taxes, at least for higher earners [ 4 , 11 , 12 ]. One proposal for universal healthcare recently pushed included options such as a 7.5% payroll tax plus a 4% income tax on all Americans, with higher-income citizens subjected to higher taxes [ 13 ]. However, outside projections suggest that these tax proposals would not be sufficient to fund this plan. In terms of the national economic toll, cost estimations of this proposal range from USD 32 to 44 trillion across 10 years, while deficit estimations range from USD 1.1 to 2.1 trillion per year [ 14 ].

Beyond individual and federal costs, other common arguments against universal healthcare include the potential for general system inefficiency, including lengthy wait-times for patients and a hampering of medical entrepreneurship and innovation [ 3 , 12 , 15 , 16 ]. Such critiques are not new, as exemplified by rhetoric surrounding the Clinton Administration’s Health Security Act which was labeled as “government meddling” in medical care that would result in “big government inefficiency” [ 12 , 15 ]. The ACA has been met with similar resistance and bombast (e.g., the “repeal and replace” right-leaning rallying cry) as a result of perceived inefficiency and unwanted government involvement. As an example of lengthy wait times associated with universal coverage, in 2017 Canadians were on waiting lists for an estimated 1,040,791 procedures, and the median wait time for arthroplastic surgery was 20–52 weeks [ 17 ]. Similarly, average waiting time for elective hospital-based care in the United Kingdom is 46 days, while some patients wait over a year (3). Increased wait times in the U.S. would likely occur—at least in the short term—as a result of a steep rise in the number of primary and emergency care visits (due to eliminating the financial barrier to seek care), as well as general wastefulness, inefficiency, and disorganization that is often associated with bureaucratic, government-run agencies.

3. Argument for Universal Healthcare

Universal healthcare in the U.S., which may or may not include private market-based options, offer several noteworthy advantages compared to exclusive systems with inequitable access to quality care including: (i) addressing the growing chronic disease crisis; (ii) mitigating the economic costs associated with said crisis; (iii) reducing the vast health disparities that exist between differing SES segments of the population; and (iv) increasing opportunities for preventive health initiatives [ 18 , 19 , 20 , 21 ]. Perhaps the most striking advantage of a universal healthcare system in the U.S. is the potential to address the epidemic level of non-communicable chronic diseases such as cardiovascular diseases, type II diabetes, and obesity, all of which strain the national economy [ 22 , 23 ]. The economic strain associated with an unhealthy population is particularly evident among low SES individuals. Having a low SES is associated with many unfavorable health determinants, including decreased access to, and quality of health insurance which impact health outcomes and life expectancies [ 24 ]. Thus, the low SES segments of the population are in most need of accessible, quality health insurance, and economic strain results from an unhealthy and uninsured low SES [ 25 , 26 ]. For example, diabetics with low SES have a greater mortality risk than diabetics with higher SES, and the uninsured diabetic population is responsible for 55% more emergency room visits each year than their insured diabetic counterparts [ 27 , 28 ]. Like diabetes, hypertension—the leading risk factor for death worldwide [ 29 ], has a much higher prevalence among low SES populations [ 30 ]. It is estimated that individuals with uncontrolled hypertension have more than USD 2000 greater annual healthcare costs than their normotensive counterparts [ 31 ]. Lastly, the incidence of obesity is also much greater among low SES populations [ 32 ]. The costs of obesity in the U.S., when limited to lost productivity alone, have been projected to equate to USD 66 billion annually [ 33 ]. Accessible, affordable healthcare may enable earlier intervention to prevent—or limit risk associated with—non-communicable chronic diseases, improve the overall public health of the U.S., and decrease the economic strain associated with an unhealthy low-SES.

Preventive Initiatives within A Universal Healthcare Model

Beyond providing insurance coverage for a substantial, uninsured, and largely unhealthy segment of society—and thereby reducing disparities and unequal access to care among all segments of the population—there is great potential for universal healthcare models to embrace value-based care [ 4 , 20 , 34 ]. Value-based care can be thought of as appropriate and affordable care (tackling wastes), and integration of services and systems of care (i.e., hospital, primary, public health), including preventive care that considers the long-term health and economy of a nation [ 34 , 35 ]. In line with this, the ACA has worked in parallel with population-level health programs such as the Healthy People Initiative by targeting modifiable determinants of health including physical activity, obesity, and environmental quality, among others [ 36 ]. Given that a universal healthcare plan would force the government to pay for costly care and treatments related to complications resulting from preventable, non-communicable chronic diseases, the government may be more incentivized to (i) offer primary prevention of chronic disease risk prior to the onset of irreversible complications, and (ii) promote wide-spread preventive efforts across multiple societal domains. It is also worth acknowledging here that the national public health response to the novel Coronavirus-19 virus is a salient and striking contemporary example of a situation in which there continues to be a need to expeditiously coordinate multiple levels of policy, care, and prevention.

Preventive measures lessen costs associated with an uninsured and/or unhealthy population [ 37 ]. For example, investing USD 10 per person annually in community-based programs aimed at combatting physical inactivity, poor nutrition, and smoking in the U.S. could save more than USD 16 billion annually within five years, equating to a return of USD 5.60 for every dollar spent [ 38 ]. Another recent analysis suggests that if 18% more U.S. elementary-school children participated in 25 min of physical activity three times per week, savings attributed to medical costs and productivity would amount to USD 21.9 billion over their lifetime [ 39 ]. Additionally, simple behavioral changes can have major clinical implications. For example, simply brisk walking for 30 min per day (≥15 MET-hours/week) has been associated with a 50% reduction in type II diabetes [ 40 ]. While universal healthcare does not necessarily mean that health policies supporting prevention will be enacted, it may be more likely to promote healthy (i) lifestyle behaviors (e.g., physical activity), (ii) environmental factors (e.g., safe, green spaces in low and middle-income communities), and (iii.) policies (e.g., banning sweetened beverages in public schools) compared to a non-inclusive system [ 34 , 35 , 36 ].

Nordic nations provide an example of inclusive healthcare coupled with multi-layered preventive efforts [ 41 ]. In this model, all citizens are given the same comprehensive healthcare while social determinants of health are targeted. This includes “mobilizing and coordinating a large number of players in society,” which encourages cooperation among “players” including municipal political bodies, voluntary organizations, and educational institutions [ 41 ]. Developmental and infrastructural contributions from multiple segments of society to a healthcare system may also better encourage government accountability compared to a system in which a select group of private insurers and citizens are the only “stakeholders.” Coordinated efforts on various non-insurance-related fronts have focused on obesity, mental health, and physical activity [ 41 ]. Such coordinated efforts within the Nordic model have translated to positive health outcomes. For example, the Healthcare Access and Quality (HAQ) Index provides an overall score of 0–100 (0 being the worst) for healthcare access and quality across 195 countries and reflects rates of 32 preventable causes of death. Nordic nations had an average HAQ score of 95.4, with four of the five nations achieving scores within the top 10 worldwide [ 42 ]. Though far more heterogenous compared to Nordic nations, (e.g., culturally, geographically, racially, etc.), the U.S. had a score of 89 (29th overall) [ 42 ]. To provide further context, other industrialized nations, which are more comparable to the U.S. than Nordic nations, also ranked higher than the U.S. including Germany (92, 19th overall), Canada (94, 14th overall), Switzerland (96, 7th overall), and the Netherlands (96, 3rd overall) [ 42 ].

4. Conclusions

Non-inclusive, inequitable systems limit quality healthcare access to those who can afford it or have employer-sponsored insurance. These policies exacerbate health disparities by failing to prioritize preventive measures at the environmental, policy, and individual level. Low SES segments of the population are particularly vulnerable within a healthcare system that does not prioritize affordable care for all or address important determinants of health. Failing to prioritize comprehensive, affordable health insurance for all members of society and straying further from prevention will harm the health and economy of the U.S. While there are undoubtedly great economic costs associated with universal healthcare in the U.S., we argue that in the long-run, these costs will be worthwhile, and will eventually be offset by a healthier populace whose health is less economically burdensome. Passing of the Obama-era ACA was a positive step forward as evident by the decline in uninsured U.S. citizens (estimated 7–16.4 million) and Medicare’s lower rate of spending following the legislation [ 43 ]. The U.S. must resist the current political efforts to dislodge the inclusive tenets of the Affordable Care Act. Again, this is not to suggest that universal healthcare will be a cure-all, as social determinants of health must also be addressed. However, addressing these determinants will take time and universal healthcare for all U.S. citizens is needed now. Only through universal and inclusive healthcare will we be able to pave an economically sustainable path towards true public health.

Author Contributions

Conceptualization, G.Z., Z.Y.K., J.B.M., and L.S.; writing-original draft preparation, G.Z.; writing-review and editing, Z.Y.K., J.B.M., and L.S.; supervision, L.S. All authors have read and agreed to the published version of the manuscript.

This research received no external funding.

Conflicts of Interest

The authors declare no conflict of interest.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Exploring what works, what doesn’t, and why.

Healthcare is a human right – but not in the United States

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The Supreme Court’s ruling on Dobbs v. Jackson in June is just the latest blow to health rights in the United States. National medical associations in the U.S. agree that abortion is essential to reproductive healthcare. So why would abortion not be protected as such? Because the U.S. does not, and never has, protected a right to health.  

Good health is the foundation of a person’s life and liberty. Injury and disease are always disruptive, and sometimes crippling. We might have to stop working, cancel plans, quarantine, hire help, and in cases of long-term disability, build whole new support systems to accommodate a new normal.

The U.S. remains the only high-income nation in the world without universal access to healthcare. However, the U.S. has signed and ratified one of the most widely adopted international treaties that includes the duty to protect the right to life. Under international law, the right to life simply means that humans have a right to live, and that nobody can try to kill another. Healthcare, the United Nations says, is an essential part of that duty. In 2018, the U.N. Committee on Civil and Political Rights said the right to life cannot exist without equal access to affordable healthcare services (including in prisons), mental health services, and notably, access to abortion. The U.N. committee mentioned health more than a dozen times in its statement on the right to life.

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The bottom line is: the U.S. can’t claim to protect life if it fails to protect health. And it has consistently failed on all three of the U.N.’s measures— the latest being access to abortion.

In the U.S., our debates around healthcare, and especially abortion, are hampered by a lack of right to health. Instead, the Supreme Court in 1973 protected access to abortion through the rights to privacy and due process, not health. Privacy is mentioned only twice by the U.N. committee commentary on the right to life.

Since Dobbs, several state legislatures have declared it fair game to criminalize abortion procedures even in cases where pregnancy threatens maternal health or life. Despite ample evidence that restrictive abortion laws lead to spikes in maternal mortality and morbidity—core public health indicators—the Court prior to the Dobb’s decision has defended abortion as merely a matter of privacy, not health or life. We know this is a myth. Abortion is deeply tied to the ability to stay healthy and in some cases, alive.

Regardless, our political parties remain deeply polarized on access to healthcare, including abortion. But lawmakers should know there is historical backing in the U.S. for elevating a right to health. None other than U.S. president Franklin D. Roosevelt, first proposed healthcare as a human right in his State of the Union address in 1944, as part of his ‘Second Bill of Rights.’ His list featured aspirational economic and social guarantees to the American people, like the right to a decent home and, of course, the right to adequate medical care.

Eleanor Roosevelt later took the Second Bill of Rights to the U.N., where it contributed to the right to health being included in the Universal Declaration of Human Rights in 1948. The right to health is now accepted international law, and is part of numerous treaties, none of which the U.S. Senate has seen fit to ratify. The U.S. conservative movement has historically declared itself averse to adopting rights that might expand government function and responsibility. In contrast, state legislatures in red states are keen to expand government responsibility when it comes to abortion. The conservative movement condemns government interference in the delivery of healthcare—except when it comes to reproductive health. The American Medical Association has called abortion bans a “direct attack” on medicine, and a “brazen violation of patients’ rights to evidence-based reproductive health services.”

Excepting access to abortion, U.S. lawmakers have largely left healthcare to the markets, rather than government. True, the government funds programs like Medicaid and Medicare but these programs vary significantly in quality and access by state, falling far short of providing fair, equitable, universal access to good healthcare.

The only two places where the U.S. government accepts some responsibility for the provision of healthcare are 1) in prisons and mental health facilities; and 2) in the military. While healthcare services in the U.S. prison system are notoriously deficient, they nevertheless exist and are recognized as an entitlement, underpinning the right to life. As an example, in 2005 a federal court seized control of the failing healthcare system in California’s Department of Corrections citing preventable deaths. In the military, free healthcare is an entitlement, and the quality of that care is deemed good enough even for the U.S. president.

So why doesn’t everyone in the U.S. have the same rights?

It is an uphill battle in a country that sees health and healthcare as a private matter for markets and individuals to navigate. But if we want to improve public health in the U.S. we need to start legislating healthcare as a right—and recognize that achieving the highest possible standards of public health is a legitimate government function.

photo: Tony Gutierrez / AP Photo

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Free Healthcare: Advantages and Disadvantages

Nowadays, the healthcare system is one of the most successful business areas. Ideally, the country’s government should be responsible for providing citizens with equal healthcare opportunities. However, the public healthcare level is much lower than in private clinics, where people pay vast amounts of money to get professional treatment. Addressing this ethical issue, many believe that healthcare should be free for everyone. This change in the healthcare system has both positive and negative aspects related to treatment quality.

Free health care has a positive impact on the economy of the country. According to practical research, free healthcare increases people’s capability and allows them to work more productively (Allegri et al., 2020). Thus, by having free access to healthcare services, people can have their diseases treated in time. As a result, the general efficiency of the people’s work directly correlates with their health. The second positive aspect of free healthcare is that more people can consult high-quality doctors without saving money beforehand. Therefore, many illnesses’ symptoms can be recognized and treated quickly (Ridde & Samb, 2018). Thus, the total illness prevention level will increase, and many lives will be saved.

However, free healthcare also has negative implications for both patients and the government. Free healthcare makes the medical organization’s competition unnecessary and may decrease the motivation to develop the quality of the treatment services (Bah et al., 2019).

Therefore, without considering the service improvements necessary, medical providers can degrade the quality of treatment. Thus, many people can fall victims to medication mistakes, which can severely harm their health. To prevent this problem, the government should provide medical organizations with enough money for service development. This leads to the second disadvantage of free healthcare, which is the enormous governmental budget expenses. The other institutions’ budgeting can be severely damaged because of free healthcare (Allegri et al., 2020). The government should allocate money to healthcare, trying to balance all the spheres rationally.

Free healthcare has both positive and negative implications for treatment quality. While changing the inequity in the healthcare system for the better, such modifications can lead to severe problems with the governmental budget distribution and treatment quality. Each country’s government should accurately analyze the free healthcare perspectives and possible drawbacks to develop the individual strategy of improving citizens’ wellbeing. When appropriately planned, free healthcare programs’ advantages outweigh the disadvantages.

Allegri, M., Hillebrecht, M., Kuunibe, N., Lohmann, J., Nguyen, H., & Tougri, G. (2020). What happens when performance‐based financing meets free healthcare? Evidence from an interrupted time‐series analysis. Health Policy and Planning, 35 (8), 906–917. Web.

Bah, A., Hann, K., Jalloh, M., James, P., Sevalie, S., & Shmueli, A. (2019). Impact of the free healthcare initiative on wealth-related inequity in the utilization of maternal & child health services in Sierra Leone . BMC Health Services Research, 19 (352), 2–15. Web.

Ridde, V., & Samb, O. (2018). The impact of free healthcare on women’s capability: A qualitative study in rural Burkina Faso . Social Science & Medicine, 197 , 9–16. Web.

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Home — Essay Samples — Government & Politics — Health Care Reform — Should the Government Provide Free Health Care in America

Should The Government Provide Free Health Care in America

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120+ healthcare argumentative essay topics [+outline], dr. wilson mn.

• August 3, 2022
• Essay Topics and Ideas , Samples

If you’re a nursing student, then you know how important it is to choose Great Healthcare argumentative essay topics.

After all, your essay will be graded on both the content of your argument and how well you defend it. That’s why it’s so important to choose topics that you’re passionate about and that you can research thoroughly.

What You'll Learn

Strong Healthcare argumentative essay topics

To help you get started, here are some strong Healthcare argumentative essay topics to consider:

• Is there a nurse shortage in the United States? If so, what are the causes, and what can be done to mitigate it?
• What are the benefits and drawbacks of various types of Nurse staffing models?
• What are the implications of the current opioid epidemic on nurses and patients?
• Are there any ethical considerations that should be taken into account when providing care to terminally ill patients?
• What are the most effective ways to prevent or treat healthcare-acquired infections?
• Should nurses be allowed to prescribe medication? If so, under what circumstances?
• How can nurses best advocate for their patients’ rights?
• What is the role of nurses in disaster relief efforts?
• The high cost of healthcare in the United States.
• The debate over whether or not healthcare is a human right.
• The role of the government in providing healthcare.
• The pros and cons of the Affordable Care Act.
• The impact of healthcare on the economy.
• The problem of access to healthcare in rural areas.
• The debate over single-payer healthcare in the United States.
• The pros and cons of private health insurance.
• The rising cost of prescription drugs in the United States.
• The use of medical marijuana in the United States.
• The debates over end-of-life care and assisted suicide in the United States.

As you continue,  thestudycorp.com  has the top and most qualified writers to help with any of your assignments. All you need to do is  place an order  with us.

Controversial Healthcare topics

There is no shortage of controversial healthcare topics to write about. From the high cost of insurance to the debate over medical marijuana, there are plenty of issues to spark an interesting and thought-provoking argumentative essay.

Here are some Controversial healthcare argumentative essay topics to get you started:

1. Is healthcare a right or a privilege?

2. Should the government do more to regulate the healthcare industry?

3. What is the best way to provide quality healthcare for all?

4. Should medical marijuana be legalized?

5. How can we control the rising cost of healthcare?

6. Should cloning be used for medical research?

7. Is it ethical to use stem cells from embryos?

8. How can we improve access to quality healthcare?

9. What are the implications of the Affordable Care Act?

10. What role should pharmaceutical companies play in healthcare?

11. The problems with the current healthcare system in the United States.

12. The need for reform of the healthcare system in the United States.

Great healthcare argumentative essay topics

Healthcare is a controversial and complex issue, and there are many different angles that you can take when writing an argumentative essay on the topic. Here are some great healthcare argumentative essay topics to get you started:

1. Should the government provide free or low-cost healthcare to all citizens?

2. Is private healthcare better than public healthcare?

3. Should there be more regulation of the healthcare industry?

4. Are medical costs too high in the United States?

5. Should all Americans be required to have health insurance?

6. How can the rising cost of healthcare be controlled?

7. What is the best way to provide healthcare to aging Americans?

8. What role should the government play in controlling the cost of prescription drugs?

9. What impact will the Affordable Care Act have on the healthcare system in the United States?

Hot healthcare argumentative essay topics

Healthcare is always a hot-button issue. Whether it’s the Affordable Care Act, single-payer healthcare, or something else entirely, there’s always plenty to debate when it comes to healthcare. Here are some great healthcare argumentative essay topics to help get you started.

1. Is the Affordable Care Act working?

2. Should the government do more to provide healthcare for its citizens?

3. Should there be a single-payer healthcare system in the United States?

4. What are the pros and cons of the Affordable Care Act?

5. What impact has the Affordable Care Act had on healthcare costs in the United States?

6. Is the Affordable Care Act sustainable in the long run?

7. What challenges does the Affordable Care Act face?

8. What are the potential solutions to the problems with the Affordable Care Act?

9. Is single-payer healthcare a good idea?

10. What are the pros and cons of single-payer healthcare?

Argumentative topics related to healthcare

Healthcare is always an ever-evolving issue. It’s one of those topics that everyone has an opinion on and is always eager to discuss . That’s why it makes for such a great topic for an argumentative essay . If you’re looking for some fresh ideas, here are some great healthcare argumentative essay topics to get you started.

1. Is our healthcare system in need of a complete overhaul?

3. Are rising healthcare costs making it difficult for people to access care?

4. Is our current healthcare system sustainable in the long term?

5. Should we be doing more to prevent disease and promote wellness?

6. What role should the private sector play in providing healthcare?

7. What can be done to reduce the number of errors in our healthcare system?

8. How can we make sure that everyone has access to quality healthcare?

9. What can be done to improve communication and collaboration between different parts of the healthcare system?

10. How can we make sure that everyone has access to the care they need when they need it?

Argumentative essay topics about health

There are many different stakeholders in the healthcare debate, and each one has their own interests and perspectives. Here are some great healthcare argumentative essay topics to get you started:

1. Who should pay for healthcare?

2. Is healthcare a right or a privilege?

3. What is the role of the government in healthcare?

4. Should there be limits on what treatments insurance companies must cover?

5. How can we improve access to healthcare?

6. What are the most effective methods of preventing disease?

7. How can we improve the quality of care in our hospitals?

8. What are the best ways to control costs in the healthcare system?

9. How can we ensure that everyone has access to basic care?

10. What are the ethical implications of rationing healthcare?

Medical argumentative essay topics

• Is healthcare a fundamental human right?

2. Should there be limits on medical research using human subjects?

3. Should marijuana be legalized for medicinal purposes?

4. Should the government do more to regulate the use of prescription drugs?

5. Is alternative medicine effective?

6. Are there benefits to using placebos in medical treatment?

7. Should cosmetic surgery be covered by health insurance?

8. Is it ethical to buy organs on the black market?

9. Are there risks associated with taking herbal supplements?

10. Is it morally wrong to end a pregnancy?

11. Should physician-assisted suicide be legal?

12. Is it ethical to test new medical treatments on animals?

13. Should people with terminal illnesses have the right to end their lives?

14. Is it morally wrong to sell organs for transplantation?

15. Are there benefits to using stem cells from embryos in medical research?

16. Is it ethical to use human beings in medical experiments?

17. Should the government do more to fund medical research into cancer treatments?

18. Are there risks associated with genetic engineering of humans?

19. Is it ethical to clones humans for the purpose

Argumentative essays on mental illness

• Should there be more focus on mental health in schools?
• Are our current treatments for mental illness effective?
• Are mental health disorders more common now than they were in the past?
• How does social media impact mental health?
• How does trauma impact mental health?
• What are the most effective treatments for PTSD?
• Is therapy an effective treatment for mental illness?
• What causes mental illness?
• How can we destigmatize mental illness?
• How can we better support those with mental illness?
• Should insurance companies cover mental health treatments?
• What are the most effective treatments for depression?
• Should medication be used to treat mental illness?
• What are the most effective treatments for anxiety disorders?
• What are the most effective treatments for OCD?
• What are the most effective treatments for eating disorders?
• What are the most effective treatments for bipolar disorder?
• How can we better support caregivers of those with mental illness?
• What role does stigma play in mental illness?

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Free Health Care

What would the world be like if no one was denied access to medical health due to their financial status? So many people in the world cannot access quality health care because they cannot afford it. It is heart-wrenching to see both the young and old die because they have finances to cater for their treatment. This universal issue should be dealt with because it affects us all. Public health is a collective responsibility, and everyone should ensure that healthcare is accessible. Healthcare should be free because it helps promote social equity, reduce financial burdens, improve public health, and promote economic stability. This essay elaborates on each benefit and explains why we should have free health care.

Free health care promotes social equity. The financial ability of people in the community is different, so the quality of healthcare people receive differs based on their finances. For instance, people from the high social class have a higher chance of getting quality health care than those in the low social class. There are expensive medical treatments, and only the rich can afford them, while the poor end up dying. This is different from how it should be. Everyone should be given a chance to get treatment. Public health is not something that should be dependent on the social class of people. Everyone, regardless of their type, deserves quality healthcare. The World Health Organization is encouraging countries to adopt universal health coverage to help ensure that all people and communities receive quality health services without having to go through financial constraints (Fisher et al., 2022). In countries that use universal medical coverage, there has been a reduction in the impact of diseases and health inequities in general.

Free health care will help reduce the financial burden. When health care is free, people will not have to carry the burden of seeking medical treatment. Illness is not something that is planned for; it just happens. Most of the time, people have to go into their pockets to pay for all the treatment costs, especially those without medical insurance, which can be draining. The families that do not have the financial capability end up losing their loved ones because they cannot pay for their treatment. Others end up going into debt while paying for medical treatment, which can be prevented by making health care accessible. According to the World Health Organization 2023, protecting people from the financial consequences of paying for health services out of their pockets is essential.

Free health care improves public health. As it is popularly said, a healthy population is a healthy nation. This will only be possible when access to health care is not limited to anyone. It will help people access treatment for various diseases and preventive care, which will help reduce chronic illnesses (John & Shah, 2011). Through this, people can go on with their daily work and build the country’s economy. Free healthcare will also help ensure that all diseases are continuously monitored, and intervention methods to prevent them are implemented.

Additionally, free health care promotes economic stability. When the people of a nation are healthy, they are more productive. Most people worldwide need help to meet their primary healthcare needs, and some neglect these needs (World Bank, 2022). Over time, some illnesses that could have been controlled in the early stages progress and affect their productivity. When this happens, people cannot work, and the country’s economy becomes unstable. When people have access to free health care, they can work and be productive, improving the economic stability of their country.

In conclusion, free health care should promote social equity, reduce financial burden, improve public health, and promote economic stability. People do much work trying to make ends meet, and lack of health care should not be among their everyday struggles. The World Health Organization’s move to implement universal health care in all countries should be implemented so that people no longer struggle to access health care regardless of their social class or financial status.

Fisher, M., Freeman, T., Mackean, T., Friel, S., & Baum, F. (2022). Universal health coverage for health equity: From principle to practice; A response to the recent commentaries. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808346/

John, T. J., & Shah, N. K. (2011). Universal Healthcare & Nationwide Public Health: A tale of two declarations from one city. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193703/#:~:text=It%20also%20protects%20health%20by,a%20threat%20to%20people’s%20health.

World Bank. (2022, 6). Universal health coverage. https://www.worldbank.org/en/topic/universalhealthcoverage#:~:text=Supporting%20health%20represents%20a%20foundational,the%20majority%20held%20by%20women

World Health Organization. (2023, October 5). Universal health coverage (UHC). https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(UHC)#:~:text=Protecting%20people%20from%20the%20financial,destroying%20their%20futures%20and%20often

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Health Care in the United States, Essay Example

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In the United States, there has long been discussion about the quality and nature of the delivery of healthcare.  The debates have included who may receive such services, whether or not healthcare is a privilege or an entitlement, whether and how to make patient care affordable to all segments of the population, and the ways in which the government should, or should not, be involved in the provision of such services.  Indeed, many people feel that the healthcare in this country is the best in the world; others believe tha (The Free Dictionary)t our health delivery system is broken.  This paper shall examine different aspects of the healthcare system in our country, discussing whether it has been successful in providing essential services to American citizens.

The delivery of healthcare services is considered to be a system; according to the Free Diction- ary (Farlex, 2010), a system is defined as “a group of interacting, interrelated, or interdependent elements forming a complex whole.” This is an apt description of our healthcare structure, as it is compiled of patients, medical and mental health providers, hospitals, clinics, laboratories, insurance companies, and many other parties that are reliant on each other and that, when combined, make up the entity known as our healthcare system.

Those who believe that our healthcare system is the best in the world often point to the fact that leaders as well as private citizens from countries throughout the world frequently come to the United States to have surgeries and other treatments that they require for survival.  A more cynical view of this phenomenon is that if people have the money, they are able to purchase quality care in the U.S., a “survival of the fittest” situation.  Those who lack the resources to travel to the U.S. for medical treatment are simply out of luck, and often will die without the needed care.

In fact, reports by the World Health Organization and other groups consistently indicate that while the United States spends more than any other country on healthcare costs, Americans receive lower quality, less efficient and less fairness from the system.  These conclusions come as a result of studying quality of care, access to care, equity and the ability to lead long, productive lives.  (World Health Organization,2001.) What cannot be disputed is that the cost of healthcare is constantly rising, a fact which was the precipitant to the large movement to reform healthcare in our country in 2010.  More than 10 years ago, the goal of managed care was to drive down the costs of healthcare, but those promises did not materialize (Garsten, 2010.) A large segment of the population is either uninsured or underinsured, and it is speculated that over the next decade, these problems will only increase while other difficulties will arise (Garson, 2010.)

When examining the healthcare system, there are three aspects of care that call for evaluation: the impact of delivering care on the patient, the benefits and harms of that treatment, and the functioning of the healthcare system, as described in an article by Adrian Levy.  Levy argues that each of these outcomes should be assessed and should include both the successes and the limitations of each aspect.  The idea is that there should be operational measurements of patients’ interactions with the healthcare system that would include patients’ experiences in hospitals, using measurements of their functional abilities and their qualities of life following discharge.  The results of patients’ interactions with the healthcare system should be utilized to develop and improve the delivery of healthcare treatment, as well as to develop policy changes that would affect the entire field of healthcare in the United States.

One view of the state of American healthcare is that the system is fragmented; there have been many failed attempts by several presidents to introduce the idea of universal healthcare.  Instead, American citizens are saddled with a system in which government pays either directly or indirectly for over 50% of the healthcare in our country, but the actual delivery of insurance and of care is undertaken by an assortment of private insurers, for-profit hospitals, and other parties who raise costs without increasing quality of service (Wells, Krugman, 2006.) If the United States were to switch to a single-payer system such as that provided in Canada, the government would directly provide insurance which would most likely be less expensive and provide better results than our current system.

It is clear that throwing money at a problem does not necessarily resolve it; the fact that the United States spends more than twice as much on healthcare provision as any other country in the world only makes it more ironic that when it comes to evaluating the service, Americans fall appallingly flat.  In my opinion, if the new healthcare reform bill had included a public option which would have taken the profit margin out of the equation, the nation and its citizens would have been in a much better position to receive quality healthcare.  The fact that people die every day from preventable illnesses and conditions simply because they do not have affordable insurance is a national disgrace.  In addition, many of the people who have been the most adamantly against government “intrusion” into their healthcare are actually on Medicaid or Medicare, federally-funded programs.  Their lack of understanding of what the debate actually involves is striking, and they are rallying against what is in their own best interests.  These are people that equate Federal involvement in healthcare as socialism.  Unless and until our healthcare system is able to provide what is needed to all of its citizens, all claims that we have the best healthcare system in the world are, sadly, utterly hollow.

Adrian R Levy (2005, December). Categorizing outcomes of Health Care delivery. Clinical and investigative medicine, pp. 347-351.

Arthur Garson (2000). The U.S. Healthcare System 2010: Problems Principles and Potential Solutions. Retrieved July 3, 2010, from Circulation: The Journal of the American Heart Association: http://circ.ahajournals.org/cgi/reprint/101/16/2015

The Free Dictionary. (n.d.). Farlex. Retrieved July 3, 2010. http://www.thefreedictionary.com/system

World Health Organization. (2003, July). WHO World Health Report 2000. Retrieved July 3, 2010, from State of World Health: http://faculty.washington.edu/ely/Report2000.htm

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Home / Healthy Aging / AI in healthcare: The future of patient care and health management

AI in healthcare: The future of patient care and health management

Curious about artificial intelligence? Whether you're cautious or can't wait, there is a lot to consider when AI is used in a healthcare setting.

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With the widespread media coverage in recent months, it’s likely that you’ve heard about artificial intelligence (AI) — technology that enables computers to do things that would otherwise require a human’s brain. In other words, machines can be given access to large amounts of information, and trained to solve problems, spot patterns and make recommendations. Common examples of AI in everyday life are virtual assistants like Alexa and Siri.

What you might not know is that AI has been and is being used for a variety of healthcare applications. Here’s a look at how AI can be helpful in healthcare, and what to watch for as it evolves.

What can AI technology in healthcare do for me?

A report from the National Academy of Medicine identified three potential benefits of AI in healthcare: improving outcomes for both patients and clinical teams, lowering healthcare costs, and benefitting population health.

From preventive screenings to diagnosis and treatment, AI is being used throughout the continuum of care today. Here are two examples:

Preventive care

Cancer screenings that use radiology , like a mammogram or lung cancer screening, can leverage AI to help produce results faster.

For example, in polycystic kidney disease (PKD), researchers discovered that the size of the kidneys — specifically, an attribute known as total kidney volume — correlated with how rapidly kidney function was going to decline in the future.

But assessing total kidney volume, though incredibly informative, involves analyzing dozens of kidney images, one slide after another — a laborious process that can take about 45 minutes per patient. With the innovations developed at the PKD Center at Mayo Clinic, researchers now use artificial intelligence (AI) to automate the process, generating results in a matter of seconds.

Bradley J. Erickson, M.D., Ph.D., director of Mayo Clinic’s Radiology Informatics Lab, says that AI can complete time-consuming or mundane work for radiology professionals , like tracing tumors and structures, or measuring amounts of fat and muscle. “If a computer can do that first pass, that can help us a lot,” says Dr. Erickson.

Risk assessment

In a Mayo Clinic cardiolog y study , AI successfully identified people at risk of left ventricular dysfunction, which is the medical name for a weak heart pump , even though the individuals had no noticeable symptoms. And that’s far from the only intersection of cardiology and AI.

“We have an AI model now that can incidentally say , ‘Hey, you’ve got a lot of coronary artery calcium, and you’re at high risk for a heart attack or a stroke in five or 10 years,’ ” says Bhavik Patel, M.D., M.B.A., the chief artificial intelligence officer at Mayo Clinic in Arizona.

How can AI technology advance medicine and public health?

When it comes to supporting the overall health of a population, AI can help people manage chronic illnesses themselves — think asthma, diabetes and high blood pressure — by connecting certain people with relevant screening and therapy, and reminding them to take steps in their care, such as take medication.

AI also can help promote information on disease prevention online, reaching large numbers of people quickly, and even analyze text on social media to predict outbreaks. Considering the example of a widespread public health crisis, think of how these examples might have supported people during the early stages of COVID-19. For example, a study found that internet searches for terms related to COVID-19 were correlated with actual COVID-19 cases. Here, AI could have been used to predict where an outbreak would happen, and then help officials know how to best communicate and make decisions to help stop the spread.

How can AI solutions assist in providing superior patient care?

You might think that healthcare from a computer isn’t equal to what a human can provide. That’s true in many situations, but it isn’t always the case.

Studies have shown that in some situations, AI can do a more accurate job than humans. For example, AI has done a more accurate job than current pathology methods in predicting who will survive malignant mesothelioma , which is a type of cancer that impacts the internal organs. AI is used to identify colon polyps and has been shown to improve colonoscopy accuracy and diagnose colorectal cancer as accurately as skilled endoscopists can.

In a study of a social media forum, most people asking healthcare questions preferred responses from an AI-powered chatbot over those from physicians, ranking the chatbot’s answers higher in quality and empathy. However, the researchers conducting this study emphasize that their results only suggest the value of such chatbots in answering patients’ questions, and recommend it be followed up with a more convincing study.

How can physicians use AI and machine learning in healthcare?

One of the key things that AI may be able to do to help healthcare professionals is save them time . For example:

• Keeping up with current advances. When physicians are actively participating in caring for people and other clinical duties, it can be challenging for them to keep pace with evolving technological advances that support care. AI can work with huge volumes of information — from medical journals to healthcare records — and highlight the most relevant pieces.
• Taking care of tedious work. When a healthcare professional must complete tasks like writing clinical notes or filling out forms , AI could potentially complete the task faster than traditional methods, even if revision was needed to refine the first pass AI makes.

Despite the potential for AI to save time for healthcare professionals, AI isn’t intended to replace humans . The American Medical Association commonly refers to “augmented intelligence,” which stresses the importance of AI assisting, rather than replacing, healthcare professionals. In the case of current AI applications and technology, healthcare professionals are still needed to provide:

• Clinical context for the algorithms that train AI.
• Accurate and relevant information for AI to analyze.
• Translation of AI findings to be meaningful for patients.

A helpful comparison to reiterate the collaborative nature needed between AI and humans for healthcare is that in most cases, a human pilot is still needed to fly a plane. Although technology has enabled quite a bit of automation in flying today, people are needed to make adjustments, interpret the equipment’s data, and take over in cases of emergency.

What are the drawbacks of AI in healthcare?

Despite the many exciting possibilities for AI in healthcare, there are some risks to weigh:

• If not properly trained, AI can lead to bias and discrimination. For example, if AI is trained on electronic health records, it is building only on people that can access healthcare and is perpetuating any human bias captured within the records.
• AI chatbots can generate medical advice that is misleading or false, which is why there’s a need for effectively regulating their use.

Where can AI solutions take the healthcare industry next?

As AI continues to evolve and play a more prominent role in healthcare, the need for effective regulation and use becomes more critical. That’s why Mayo Clinic is a member of Health AI Partnership, which is focused on helping healthcare organizations evaluate and implement AI effectively, equitably and safely.

In terms of the possibilities for healthcare professionals to further integrate AI, Mark D. Stegall, M.D., a transplant surgeon and researcher at Mayo Clinic in Minnesota says, “I predict AI also will become an important decision-making tool for physicians.”

Mayo Clinic hopes that AI could help create new ways to diagnose, treat, predict, prevent and cure disease. This might be achieved by:

• Selecting and matching patients with the most promising clinical trials.
• Developing and setting up remote health-monitoring devices.
• Detecting currently imperceptible conditions.
• Anticipating disease-risk years in advance.

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