Health Status and Health Care Services in China with comparison to the United States
HSM310 Introduction to Health Services Management Course Project December 12, 2010
A health care system refers to the comprehensive organization, structures and strategies through which Medicare and health care is made available by the government to its citizens. A health care system is a product of countries politics. It is a nations system of governance that will dictate upon the most convenient model of health care to adopt. There is no universally acceptable method, and in adopting each; a government has to take into account a variety of factors, which would range from available finances vis-a-vis the total population. A comparison of two models of health care or two countries approach to the provision of health services has to encompass the core issues of financing and health care management. Health sector is the most vital industry in a country and how effectively or ineffectively it is handled goes forth to reveal the social, political and economic policies of a country towards its citizens. A biggest investment of a government has to be in its people and what better way to do it than to invest in the health sector.
The purpose of this paper is to focus at the comparison of the United States health care system with that of China. It will focus at financing and management of both systems, how they compare and contrast as well as the merits and demerits of each. Despite the fact that United States spends the most in health care in proportion to its gross domestic product, it is among the nations in the developed world that lack a comprehensive health care. Provision of health care in the United States remains the reserve of some several entities that are recognized and mandated by the law to carry out such services. Around 16% of the GDP in the United States is usually channeled towards health care and according to budgetary estimates; this figure will have increased tremendously in ten years to come.
A comparison of the united states health care and that of china world be compounded by the fact that China is huge, disjointed and very populous, it has a diversity that can only be compared to Europe’s. A simple analysis of its system reveals huge disparities with that of the United States. Dissimilarities that exist can be attributed to the dominant economic and political paradigm in both countries. While China has been leaning towards communism the United States is highly capitalistic and the structures of its system have to be understood from this angle. The system is undergoing intense restructuring to see it cater for the rural for or at least emulate a successful characterized by that of Canada.
The health care system in the United States is decentralized. This means that various institutions are mandated with the responsibility of providing health care to the public there is the health insurance. This simply is a system where individuals contribute a certain amount of cash to an insurance firm that has been established for non-profit management of these funds. Close to 85% of all Americans at the moment are subscribed to such an insurance scheme. Health care insurance in the United States may either be private or managed. Private health insurance is where an individual or employers make contributions to the health insurance institutions. Unlike the decentralization in the United States, China health care is centralized and the ministry of public health is the one fully charged with the responsibility of health care delivery. The whole network and policy of the health industry is a responsibility of the government. In the U.S, the system is two tiers that both the government and the private sector contribute towards health care. In the recent past, the China health insurance unlike in the United States, has been overtime limited to the government employers who reside in the urban centers only. Those that live in the...
Bibliography: Calman N. Making health equality a reality: the Bronx takes action. Health Aff (Millwood). 2005 Mar-Apr; 24(2): 91-98.
Chernew M, Cutler DM, Keenan PS. Increasing health insurance costs and the decline in insurance coverage. Health Serv Res. 2005 Aug; 40(4): 21-39.
Falen T. U.S. Health care policy and the rising uninsured: an alternative solution. J Health Soc Policy. 2004; 19(4): 1-25.
Mundinger MO, Thomas E, Smolowitz J, et al. Essential health care: affordable for all? Nurs Econ. 2004 Sep-Oct; 22(5): 239-44
Banister, Judith Population, public health and the environment in China. In: China Quarterly, No. 156, 1998; 986-1015
Feng, Xueshan / Tang, S. / Bloom, G. / Segall, M. / Gu, Y. Cooperative medical schemes in contemporary rural China. In: Social Science and Medicine, Vol. 41, No. 8, 1995; 1111-1118
Liu, X. Z. / Wang, J. L. An introduction to China 's healthcare system. In: Journal for Public Health Policy, Vol. 12, 1991; 104-116
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