Question

How do we ration health care in our present system? What are the financial costs of this rationing? What are the social costs? Please answer up to one page.

Base it current economics.

Answer 1

Rationing is the allocation of the scarce resources which is necessary in the health care system with holding a potentially beneficial treatments from some individuals . Rationing is an unavoidable because its need is limitless and resources are not available much ,

Although rationing has been defined in slightly different ways by the different -different groups, Mostly definition have only cluster around and focus central idea that- denying a potentially beneficial treatment to a patient on the grounds of scarcity . The focus on the potentially beneficial treatments is appropriate because virtually no treatment in medicine offers certain benefit for an individual patient because a central point to focus on cntroversy is whether the potential benefit i s large enough or likely enough to occur in order to justify the expenses .

There is also important to note that not all the efforts to be control health care costs involving rationing . For example - , while choosing a less expensive treatment by the patient over a more - expensive one does not entail rationing if the both are equally effective , because on selecting the less costs treatment of the two does not result in teh patient being deniedd a potenially beneficial treatment . while additionally , strategies focused on reducing the adminsitrative costs and waste in the health care ( e.g ;- waste means here - reducing the duplicative testing and the administrative insufficiences ) These are fenerally not be rationing because they do not entail denying patients potentially beneficial care .

Rationing can be occured at the multiple levels. The clearest conceptual distinction exists between the macroallocation and the microallocation decisions .The macroallocation occur at the society level that includes the concerning decision about how to allocate funds across a range of public goods . For example ;- macroallocation decisions determine the how a particullar society 's public funds are allocated across the social goods such as in teh defence and education , infrastruce , health care and public health care .Whereas Microallocation decisions involve bedside decisions about whether an individual patient will or will not be recieve the scarce medical resources . Although conceptually distinct that teh these both decisions are related to each other . For example ;- restrictive macroallocation decsions regarding the health care funding that will create more situations in which individuals patients must be denied potentiallly beneficial treatments .

Health services coverages sometimes the limited through the specification of a menu of a core health are services that is minimum health care package that to bemade available for the public . According to the certain health care services outside of this package will be unavailable to all the patients , The practitioners can use clinical guidelines that assist the practitioners on which they use diagnostic test for others , that how to provide the surgical , medical and the nursing services and how long the atient should stay in the hospitals , In additionally policy makers use the cost -benefits and thecost effectiveness analyses to finalize the benefits package ( minimum the health care package ) .Payment mechanism as incentives that influence the behaviour of health care professionals to decrease or increase the number of the patients ( through salary o rthe fee for the service ) . and refferal of the patien to the others health care facilities ( through salary , or tehfee for the service ) .