HCA-255
Brian Short
September 28, 2014
U.S. Healthcare System Paper
Government Involvement and Funding
The United States health care system is financed privately and publicly. Private coverage is through employers primarily and makes up approximately 54% of total healthcare expenditure. The federal government finances the remaining 46%. ( National Center for Health Statistics, 2009). ( Shi and Singh, 2013 ). Canada has a national insurance system that provides fifty/ fifty cost of sharing for territorial or provincial medical insurance plans. The Canadian system provides free universal coverage with care at the point of contact and is publically funded with tax dollars, even though it is privately ran ("Canadian Health Care," 2004-2007) . The government of both nations are heavily involved in its nations health care on the legislative levels and contribute Medical Professions
Components of the of the U.S. system are physicians, nursing, midwifery personnel, pharmacist, and psychiatrists. Canadian components includes physicians, nursing and midwifery personnel, dentists, environment and public health professionals, and psychiatrist ( World Health Organization,2013 ). In Canada most doctors are in private practice and are paid by a fee for service basis by one public insurance entity. American providers are largely in private practice as well and are paid on a fee for service but reimbursement may come threw a variety of public and private programs.
Coverage and Access
The number of uninsured Americans, those without public or private insurance coverage was an estimated 48.2 million citizens ; which represented 18.2% of the population ( National Center for Health Statistics,2011). Many U.S. residents have limited access to the most basic care ( Anderson et el., 2003). (Shi & Singh, 2013) The U.S. had total
References: Canadian Healthcare. (2004-2007). Retrieved from http://www.canadian-healthcare.org/ Murray, M.D., J. L., PHIL, D., & Frenk, M.D., Ph.D., M.P.H., J. (2010). Ranking 37th — Measuring the Performance of the US Health Care System. New England Journal of Medicine, 362(2), 98-99. Retrieved from NEJM.org. Shi, L., & Singh, D. A. (2013). Essentials of the U.S. health care system (3rd ed.). Burlington, MA: Jones & Bartlett Learning. World Health Organization. World Health Organization, (2013). World health statistics (ISBN 978 92 4 156458 8). Retrieved from World Health Organization website: http://www.who.int/gho/publications/world_health_statistics/EN_WHS2013_Full.pdf?ua=1