The U.S. has an unfortunate history of establishing health promotion and disease prevention as a top priority. The insurance system has encouraged treatment-oriented rather than prevention-oriented health care philosophy. Insurance rarely paid for disease prevention before managed care. One would think that by avoiding the circumstances that lend to a chhronic illness or death from happening would be a priority, but there seems to be more satisfaction and remuneration from saving lives instead. (Sultz & Young, 2017).
Doctors are apprehensive that if they do not provide every test possible, they may be liable for a missed diagnosis., this is part of the over utilization of high-technology …show more content…
By overcharging paying patients to support services for the poor, a not-for-profit can finance care. Refusing to serve nonpaying patients, while at the same time taking a substantial portion of paying patients, will leave nonprofits with more of the poor to help but with fewer paying patients to subsidize their care. The essential characteristics of a market-driven health care system are those that are cost-cutting, reducing utilization of services, and maximization of revenues, while getting a return on investments has profoundly affected its methods of delivery and financing with the restructuring of healthcare. Financial motivations and reimbursement are closely associated and too often negatively transform healthcare in a market-driven health system (Silva, 1998). Non-profit systems remain embedded in communities and therefore are more likely also to deliver costly but necessary services. For-profit systems are more concerned with a return on investments and would give less significant priority to these essential characteristics of health care. “When profit becomes the principal goal of any enterprise, all other partial goals, no matter how noble, are sooner or later sacrificed." (Carroll, 2012, p. …show more content…
The United States is one of the only countries in the developed world not to have a single-payer system in place. Countries like Canada, Spain, Australia, and the United Kingdom have healthcare provided by private organizations and doctors. The combination of public and private organizations, public providers, and everything from hospital visits to prescription drugs to mental health care—is covered for all residents by the state, via taxes determined by the state in the single-payer system. They provide a baseline of care and universal care to the residents, and all residents receive primary coverage regardless of income, occupation, or health status. Supplemental insurance can be purchased if the person wishes to cover the cost that is not included in the core, baseline of care (Adamczyk, 2017). Therefore, if there is a way that every resident could have health coverage, why is the United States so reluctant to change to the single payer