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Essay / Research Paper Abstract
14 pages in length. Health care reform has been a high-priority issue in myriad presidential campaigns; if it were not such a sticking point between government bureaucrats and the vast number of underinsured citizens, it would not hold such a prominent position in the quest for winning the election. Despite the fervent promises made while candidates court the constituency's votes, however, the ultimate outcome fails to resemble the initial pledge. Such is the case with organized health care, an idea that may have at one time looked optimistic on paper but has failed quite spectacularly at reaching even a marginally successful status. Bibliography lists 16 sources.
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File: LM1_TLCHlthCrImp.rtf
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underinsured citizens, it would not hold such a prominent position in the quest for winning the election. Despite the fervent promises made while candidates court the constituencys votes, however,
the ultimate outcome fails to resemble the initial pledge. Such is the case with organized health care, an idea that may have at one time looked optimistic on paper
but has failed quite spectacularly at reaching even a marginally successful status. According to the Agency for Health Care Policy and Research (AHCPR), the three primary elements essential for
every organized health care delivery systems include 1) patient care, 2) operations and 3) performance (AHCPR no date). To say this description is an oxymoron where realized inadequacies are
concerned is an understatement indeed. Because it is the legislators goal to maximize votes for re-election, they will advocate passage of health care laws resulting in the greatest chance
of getting re-elected. This process favors organized groups that turn out voters and programs that provide immediate benefits. It is these politically powerful groups and values that have
prevented the passage of national health insurance (Wu 2001). II. IS THERE ANYTHING RIGHT ABOUT THE SYSTEM? The major players in the
United States health services system include physicians, health service institution administrators, insurance companies, large employers and the government (Shi & Singh 2003). The negative effects of the often-conflicting self-interests
of these players are extreme difficulty keeping tabs on myriad health plans; significant need for numerous claims processors; detail-oriented payment requirements that often result in denied claims, which in turn
require more processing; issues with partial payment; lengthy collection efforts; and complex government programs. The positive are few and far between in a system that costs itself untold numbers
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