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The US health care system faces significant challenges that clearly indicate the urgent need for reforms (Donatelle, 1999). This will address poor quality, escalating costs and increasing numbers of Americans without health insurance coverage. This paper proposes the reforms that are going to see the United States go through remarkable developments in the health care delivery. These reforms are going to improve access to the right health care in the right setting consecutively. They will ensure that people are healthy, and they prevent avoidable complications of illnesses completely. In contrast to the current system, which encourages more procedures, tests and treatments that are best unnecessary, reforms will support greater access to health improving care.

When implemented, the reforms are going to ensure that people are going to opt for high quality health care at a lower cost and instantly access information that will enable them to make well informed decisions.  Moreover, health care is going to become affordable to the US population at large and therefore, those who have low incomes will not be excluded.

By tradition, the United States citizens received health care through locally owned and controlled community hospitals and personal physicians; but highly expanding and competitive health care delivery systems are quickly replacing the model.  In this 21st century, the transformation of the health care industry is being characterized by the changing reimbursement requirements, rising liability costs, increasing delivery costs, homogeneity of treatment and diagnosis methods and the emerging technologies. The health sector has become a dynamic part of the U.S economy. The following major developments in the Health care delivery have been proposed to cater ror the needs.

Universal health care.  The United States should have national health insurance programs that get finance through general taxes and run by the government. This will guarantee the affordability of health care as citizens will be entitled to receive health care services that include basic and routine and basic health care. This will be a solution to the lack of quality health care by a greater number of the US population in the development of a system of comprehensive health care coverage for all Americans.

Industrialization of health care. This is going to bring about the disintegration and standardization of the physician’s work as well as the creation of managerial superstructure. This promises better quality and more efficient health care. However, measures have to be taken into consideration to slow or reverse the harmful aspects of this process. Primary care needs should be valued more, and the reimbursement incentives that favour technical procedures rather than the cognitive services. Generalists should demonstrate and publicize the value of their work through research and advocacy. They should also look into other systems of care which preserve continuity of care and support the primary care provider while including the beneficial aspects of specialty services when needed.

Consumer- driven health care. Consumer driven health plans are aimed  to address the major objectives of managed care, containment of health care costs and development of healthful behaviors. These provisions effectively reduce expenses for many of the ambulatory and pharmaceutical care expenses presently currently being pushed by media advertising. Exclusive of payer reimbursement for them, this will help transfer expenses to consumers, or provide incentives to eliminate the purchases altogether. This approach will satisfy both the consumer and the payer, by restrictive insurance expenses for care and allowing individuals to purchase additional services (Carey, 2009).  In order to involve consumers in a meaningful way, plans must make available widespread electronic data to support decision making.

Changes in the delivery system and coverage expansions.  Successful payment and delivery development is needed to increase the value of health care with better quality and slower quality growth. At the same time, coverage expansion will be vital in addressing the underuse of efficient care, a challenge that is mostly experienced among the uninsured. This will encourage more Americans to purchase health insurance coverage as it will become more affordable and valuable. Delivery and expanding coverage are not only complimentary but also each is critical to achieving the other, therefore, major steps must be taken to ensure coverage for each American as the delivery system alone is not enough to ensure universal coverage.

Integration and accountability of health care. Primary care should be used as the driving hub for coordinated and continuous health services. Primary care envisioned role would include integrated health care by offering coordinated, comprehensive and continuous services (Mechanic, 2009). This development will also emphasize on the importance of patient-provider relationship and how it can best work to improve the health of each individual and thus strengthen the population. On accountability, the health care providers should provide quality health care in an efficient manner while on the patient behalf; they should safeguard their own health using the available resources sensibly.

Conclusion

Despite US health care expenditures, the US disease rates remain higher than many developed countries because the US has an expensive system that is only available to those who can afford it. United States should adopt the above proposed developments to ensure the per capita expenditures are more evenly distributed. The disease and mortality rates will also reduce. These developments will be of importance as they will focus on the collective needs of the population rather than on the individual needs.

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