Are the actors of American health care socially responsible ? Social responsibilities in the US health care system (Animat...
 
 
Summary <ul><li>How the system currently works </li></ul><ul><li>Focus </li></ul><ul><ul><li>Physicians & hospitals </li><...
US health care  (Source : Sekhri N., Cross border health insurance, California Health Care Foundation and Healthcare redes...
Caracteristics of US health care <ul><li>No central  (GOVERNMENTAL)  control </li></ul><ul><ul><li>Various payment, insura...
Caracteristics of US health care <ul><li>COST </li></ul><ul><ul><li>Very expensive </li></ul></ul><ul><li>RESULT </li></ul...
Physicians & hospitals <ul><li>Buy and use innovative medical technologies </li></ul><ul><ul><li>Active promotion by suppl...
Medical equipment & drugs <ul><li>Research drives innovation </li></ul><ul><li>New products & services may increase health...
Watch video
Health insurance <ul><li>Different types </li></ul><ul><ul><li>Commercial insurance  (HMO’s, PPO’s etc.) </li></ul></ul><u...
Current challenges <ul><li>Lifestyles and prevention </li></ul><ul><li>Immigration </li></ul><ul><li>Medical information t...
 
 
Retrieved from  http://tpmdc.talkingpointsmemo.com/2009/07/anti-health-care-reform-infographic-linked-on-drudge-makes-elem...
Health care as a  « wicked problem » <ul><li>« A problem for which each attempt to create a solution changes the understan...
Health care as a  « wicked problem »
Conclusion <ul><li>Market justice </li></ul><ul><li>Social justice </li></ul><ul><li>Find an equilibrium </li></ul><ul><li...
Sources <ul><li>Internet sources </li></ul><ul><ul><li>http://www.whitehouse.gov/blog/2010/01/12/health-insurance-companie...
<ul><li>You’ll find the presentation on : </li></ul><ul><li>THANK YOU FOR YOUR ATTENTION </li></ul><ul><li>YANNIG ROTH </l...
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Social Responsibilities In The Us Health Care System

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Are the actors of American health care socially responsible ?

A presentation held after watching the movie "Sicko", and about the American health care system... wicked problem !

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  • Social responsibility is the ability of an individual or organization to act responsibliy regarding its environment, which means being aware of one’s actions’ consequences and contributing to the welfare of the society. According to the World Health Organization (WHO), a «  Good and Fair Health Care System  » should respond to three criteria : Ensure good health Responsiveness to requirements and expectations Fair financing and distribution Regarding the film Sicko, there’s a clear contrast between the «  freedom to settle for practicionners  » praised by the American Medical Association (AMA) (=health professional shortage areas and medically underserved areas and populations?) and the «  freedom not to make choices  » that the Canadian surgeon describes regarding surgical choicesmotivated by peculiar aspects.
  • Social Responsibilities In The Us Health Care System

    1. 1. Are the actors of American health care socially responsible ? Social responsibilities in the US health care system (Animated presentation)
    2. 4. Summary <ul><li>How the system currently works </li></ul><ul><li>Focus </li></ul><ul><ul><li>Physicians & hospitals </li></ul></ul><ul><ul><li>Medical equipment & drugs </li></ul></ul><ul><ul><li>Health insurance </li></ul></ul><ul><li>Current challenges </li></ul><ul><li>Health care as a « wicked problem » </li></ul><ul><li> Conclusion </li></ul>
    3. 5. US health care (Source : Sekhri N., Cross border health insurance, California Health Care Foundation and Healthcare redesign intenational, 1999) <ul><li>Elderly & disabled </li></ul><ul><li>Poor, elderly & disabled </li></ul><ul><li>Workers & families </li></ul><ul><li>Those without coverage </li></ul>Private & Public <ul><li>Government, employer & employee </li></ul><ul><li>Government, state, employer & employee (MEDICAID) </li></ul><ul><li>Private employer & employee </li></ul><ul><li>Private individuals </li></ul>Private insurers & Managed Care Organizations
    4. 6. Caracteristics of US health care <ul><li>No central (GOVERNMENTAL) control </li></ul><ul><ul><li>Various payment, insurance & </li></ul></ul><ul><ul><li>delivery mechanisms </li></ul></ul><ul><ul><li>Private & public financing </li></ul></ul><ul><li>Multiple-payer system or pluralistic </li></ul><ul><li>Technology-driven </li></ul><ul><li>Access depends on insurance coverage </li></ul>
    5. 7. Caracteristics of US health care <ul><li>COST </li></ul><ul><ul><li>Very expensive </li></ul></ul><ul><li>RESULT </li></ul><ul><ul><li>Income-based rationing </li></ul></ul><ul><ul><li>Tendency to skip care </li></ul></ul><ul><li>ACCESS </li></ul><ul><ul><li>It’s not universal – unequal </li></ul></ul><ul><ul><li>Private companies’ power </li></ul></ul><ul><ul><li>Low access to health care </li></ul></ul><ul><li>QUALITY </li></ul><ul><ul><li>Overall bad quality </li></ul></ul><ul><li>COMPETITION </li></ul><ul><ul><li>Freedom of choice </li></ul></ul><ul><ul><li>High-quality care </li></ul></ul><ul><ul><li>Short waiting-times </li></ul></ul><ul><li>CUSTOMER EMPOWERMENT </li></ul><ul><ul><li>Informed and responsible </li></ul></ul><ul><li>GOVERNMENT PRESENCE </li></ul><ul><ul><li>Non-profit alternatives </li></ul></ul>
    6. 8. Physicians & hospitals <ul><li>Buy and use innovative medical technologies </li></ul><ul><ul><li>Active promotion by suppliers </li></ul></ul><ul><ul><li>Obligation to deliver best possible care </li></ul></ul><ul><ul><li>Marketing argument </li></ul></ul><ul><li>Poor relationships w/ patients </li></ul><ul><ul><li>Poor communication </li></ul></ul><ul><ul><li>Only information source </li></ul></ul><ul><ul><li>Unperfect pricing information </li></ul></ul>
    7. 9. Medical equipment & drugs <ul><li>Research drives innovation </li></ul><ul><li>New products & services may increase health service utilization </li></ul><ul><li>Medical technology rises costs </li></ul>
    8. 10. Watch video
    9. 11. Health insurance <ul><li>Different types </li></ul><ul><ul><li>Commercial insurance (HMO’s, PPO’s etc.) </li></ul></ul><ul><ul><li>Public insurance </li></ul></ul><ul><li>Have restrictive conditions </li></ul><ul><ul><li>Price-based limitations </li></ul></ul><ul><ul><li>Health-based denials </li></ul></ul><ul><ul><li>Income-based restrictions </li></ul></ul>
    10. 12. Current challenges <ul><li>Lifestyles and prevention </li></ul><ul><li>Immigration </li></ul><ul><li>Medical information technology </li></ul>
    11. 15. Retrieved from http://tpmdc.talkingpointsmemo.com/2009/07/anti-health-care-reform-infographic-linked-on-drudge-makes-elementary-errors.php on January 30th 2010
    12. 16. Health care as a « wicked problem » <ul><li>« A problem for which each attempt to create a solution changes the understanding of the problem » </li></ul>
    13. 17. Health care as a « wicked problem »
    14. 18. Conclusion <ul><li>Market justice </li></ul><ul><li>Social justice </li></ul><ul><li>Find an equilibrium </li></ul><ul><li>Role of charity </li></ul>
    15. 19. Sources <ul><li>Internet sources </li></ul><ul><ul><li>http://www.whitehouse.gov/blog/2010/01/12/health-insurance-companies-exposed-again Retrieved on January 26th 2010 </li></ul></ul><ul><ul><li>http://www.census.gov/hhes/www/hlthins/hlthin08.html Retrieved January 26th 2010 </li></ul></ul><ul><ul><li>http://www.prospect.org/cs/articles?article=ten_reasons_why_american_health_care_is_so_bad Retrieved January 30th 2010 </li></ul></ul><ul><ul><li>http://www.aetna.com/about/aoti/aetna_perspective/healthcare_cost.html Retrieved January 30th 2010 </li></ul></ul><ul><ul><li>http://www.netadvantage.standardandpoors.com.ezproxy.lib.uwf.edu/NASApp/NetAdvantage/showIndustrySurvey.do?code=hmc Retrieved January 31st 2010 </li></ul></ul><ul><ul><li>http://www.huffingtonpost.com/2009/09/18/in-health-care-number-of_n_291881.html Retrieved January 31st 2010 </li></ul></ul><ul><li>Books </li></ul><ul><ul><li>Leiyu Shi & Douglas A. Singh (2009), Essentials of the U.S. Health Care System, Second edition, Jones & Bartlett Publishers, p. 10 </li></ul></ul><ul><ul><li>Dr Coy Irvin, (2010, January) Is the real question access?, Northwest Florida’s Business Climate, P.14-15 </li></ul></ul><ul><li>Studies & papers </li></ul><ul><ul><li>C. Schoen, S. R. Collins, J. L. Kriss, and M. M. Doty, How Many Are Underinsured? Trends Among U.S. Adults, 2003 and 2007, Health Affairs Web Exclusive, June 10, 2008:w298–w309 </li></ul></ul><ul><ul><li>Bureau of Labor Education of the University of Maine, (2001). The U.S. Health Care Sytem : Best In The World, or Just the Most Expensive ? </li></ul></ul><ul><ul><li>Rittel, H.W.J., & Webber, M.W. (1973).  Dilemmas in a general theory of planning.  Policy Sciences, 4(2), 155-169. </li></ul></ul><ul><ul><li>University of Arizona (2006, September). Immigration and U.S. Health Care Costs, Udall Center Fact Sheet on Immigration Policy (2) </li></ul></ul>
    16. 20. <ul><li>You’ll find the presentation on : </li></ul><ul><li>THANK YOU FOR YOUR ATTENTION </li></ul><ul><li>YANNIG ROTH </li></ul><ul><li>Monday, February 1 st of 2010 </li></ul><ul><li>University of West Florida </li></ul><ul><li>Current Social Problems – SGY2010 </li></ul>

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