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One post written in response to fellow learners’ post each between 100-150 words. Response is substantive insightful and contain at least one reference.


What are the key functional components of the US healthcare system?

The key components of the U.S healthcare system are financing, insurance, delivery, and payment (Shi, & Singh, 2019). The four key functions are called a quad-function model. Healthcare delivery changes according to the arrangement of these components.

Choose one other first-world country and compare/contrast their healthcare system to that of the US.

I would like to compare the healthcare delivery system of the US to the United Kingdom. The main difference is the absence of universal health insurance coverage. The US has no national health insurance program, in contrast in the UK has a national health insurance program run by the government, so, all people have health insurance through universal health systems and a better tie between patients and the physician practices that serve as their medical homes (Shi, & Singh, 2019). Patients have little to no financial burden, but experience wait times for such specialized services. O the other hand in the U.S, even working people have no insurance. In the UK it is mandatory for the employer to provide the insurance on the 3rd of their employment. If the employer failed to a[ply the health insurance a penalty is charged to the employer. It sounds like the employee has no freedom but only government-led insurance is the only option available no private companies or middlemen is not there to protest. The final benefit is the employee because in care of sick leave no tax is cut and paid the salary in full. I used to work in Austria and had universal healthcare. According to my experience, I never have to wait for any appointments. Each appointment was called to you, and you just need to show up. I had a good experience with universal healthcare than private US insurance.

Summarize current reform efforts taking place at a national and global level. In what ways could these efforts improve healthcare outcomes?

As a summary of current Healthcare reform in the US finance, health benefits for special populations which are administered by the federal government is called Medicare. The indigent program administered by the federal and state government is called Medicaid, for children, another program under federal and state is called CHIP (Manchikanti et al., 2017)  The employment-based insurance may leave some employees uninsured. The private employee needs to take private insurance at a higher cost.

In the US healthcare reform means expansion of health care to uninsured people known as the Affordable Care Act of 2010. The Affordable Care Act is increasing the number of Americans with coverage and improving access to care because insurance companies are mandated to provide insurance coverage to all children under 26 with their patent’s plan (Shi, & Singh, 2019.

According to studies shows that the U.S. underperforms on measures of access and equity between populations with above-average and below-average incomes. (Manchikanti et al., 2017 Other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems. Additional provisions in the Affordable Care Act will further encourage the efficient organization and delivery of health care, as well as investment in important preventive and population health measures. The ACA Medicaid expansions produced larger gains in coverage for rural residents than urban residents; however, it appears there remain opportunities to improve access to care among potentially vulnerable rural residents.

In what ways does/does not current healthcare reform address population needs, social justice, ethics, and technology in our current system (pick one)?  

Health care reform will greatly affect the medical technology industry in both positive and negative ways. The current healthcare reform Technology plays a central role to contain costs, improve access, and save lives. Continued adoption of health information technology should enhance the ability of U.S. physicians to identify, monitor, and coordinate care for their patients, particularly those with chronic conditions (Rahman et al., 2016). Telemedicine refers to methods of advancing healthcare based on telecommunications technologies. There are several reasons telehealth is becoming more popular and successful. First, in rural areas where access to hospitals and other health-related services are lacking, patients can use their computer to meet virtually with a doctor. Secondly, the cost benefits associated with telehealth are substantial When patients monitor their health at home, they can save money and reduce unnecessary visits to the doctor’s office.

Expanded coverage is a modest benefit that will increase demand for products. But the medical device excise tax authorized by the Patient Protection and Affordable Care Act could have negative effects on research, profits, and investments (Rahman et al., 2016). Moreover, limits on Medicare payments could reduce revenues. The largest long-term impact on medical technology will come from measures to improve quality and efficiency. These could improve the health care system and increase opportunities for medical technology, but the inappropriate implementation could slow medical progress and limit patients’ access to needed care.


Shi, L., & Singh, D. A. (2019). Delivering Health Care in America: A Systems Approach (7th ed.). Jones & Bartlett Learning.

Manchikanti, L., Benyamin, R. M., & Hirsch, J. A. (2017). Evolution of US Health Care Reform. Pain Physician, 20(3), 107-110.

Rahman, M. S., Ko, M., Warren, J., & Carpenter, D. (2016). Healthcare Technology Self-Efficacy (HTSE) and its influence on individual attitude: An empirical study. Computers in Human Behavior, 58, 12-24.

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