Question

should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market -driven reforms. please take a stand .how are the problems of cost ,access, and quality likely to be addressed in each circumstance?

Answer 1

Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage. Reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, avoidable complications of illnesses to the greatest extent possible. Thoughtfully constructed reforms would support greater access to health-improving care — in contrast to the current system, which encourages more tests, procedures, and treatments that are at best unnecessary and at worst harmful.( Williams et al ,2009)

Barriers to quality of care lie in fundamental, systemwide factors that impede large-scale change. Notable among these is the third-party financing arrangement that dominates the healthcare system. Long-term goals for healthcare reform should address this barrier to higher quality of care. A new model for healthcare financing that includes patient awareness of the cost of care will encourage better quality and reduced spending by engaging patients in the pursuit of value, aligning incentives for insurers to reduce costs with patients' desire to receive excellent care, and holding providers accountable for the quality and cost of the care they provide. Several new programs implemented under the Patient Protection and Affordable Care Act aim to catalyze improvement in the quality of care, but the law takes the wrong approach, directing incentives at providers only and maintaining a system that excludes patients from the search for high-value care.(Nix ,2015)

According to dictionary market driven reforns is an economy controlled by market forces rather than by government action. Market driven reforms can be better choice in reshaping health care system .

Ref:

1.Niall Brennan, Nicole Caferella,S. Lawrence Kocot, Aaron Mckethan, Reginald D Williams II ,2009,Improving Quality and Value in the U.S. Health Care System,Brookings executive summary.

2.Nix KA, O'Shea JS , 2015, Improving Healthcare Quality in the United States: A New Approach.,NCBI journal, PUBMED