Answer each response with 100 words APA format and in cite text. Use at least 1 peer reviewed journal as references to support response. Please be respectful and professional.

Response#1Megan

What is the Real and Perceived Performance of the US Health Care System

According to Leavitt, Chaffee, & Masong (2013), health care in the United States has many problems including and not limited to: safety concerns, poor and inconsistent quality, and staff shortages. I think the real and perceived performance of the health care system depends entirely on whom is asked. I think many people the system has a poor performance. Care is expensive and has many flaws and errors. On the other hand there are other people whom think the healthcare system is performing well. They have had good experiences and their costs of healthcare have been realistic and not put them in a detrimental financial situation. I think regardless where people think the performance of the U.S. health care system currently lies, everyone can be in agreement that there is room for tremendous improvements.

Different Views Between Patients, Providers, Payers, and Policy Makers

There is undoubtedly different views between the various parties. Where care providers may be frustrated with parts of the system, patients may not be as frustrated. Especially when there is the presence of value based care that forces providers to be more pleasing and engaging to patients, friend and their families (Poku, Behkami, & Bates, 2017). I think health care is changing rapidly and has room to become more consistently received by all parties involved.

References

Leavitt, J. K., Chaffee, M. W., Masong, D. J. (2013). Policy and Politics in Nursing and Health Care (6th Edition). New York: Elsevier Publishing.

Poku, M., Behkami, N., & Bates, D. (2017). Patient Relationship Management: What the U.S. Healthcare System Can Learn from Other Industries. JGIM: Journal Of General Internal Medicine, 32(1), 101-104. doi:10.1007/s11606-016-3836-6

Response#2Karen

Overall, there is a general dissatisfaction with the American health care system. A poll in 2011 showed most Americans believe the quality of U.S. health care is average at best—sober news for the nation’s health care leaders. More than half of American adults surveyed (55%) barely give the quality of American health care a passing grade—a C or D on a standard report card scale (Datz, 2011). More than one in 10 (11%) give the quality of care an F. In addition, nearly half (47%) of Americans give the quality of hospital care in the country a rating of C, D or F.

American health care faces a crisis in quality. There is a dangerous divide between the potential for the high level of quality care that our health system promises, and the uneven quality that it actually delivers. Clearly, consumers are aware of it. There are too many errors, too much misuse of medical treatments and, too often, poorly coordinated care among a patient’s different health care providers (Datz, 2011)

Consumers like the choice of different plans available, but they do not like the costs of the plans.

Providers are mostly dissatisfied with the growing population that is being met which a shortage of physicians and facilities which puts much more pressure on them in the future.

Policy makers are dissatisfied with the resistance being met by consumers when frustrated with how the government tries to overreach. However, policy makers still believe that health care reform will address obvious systemic issues (Government Gets Lower Ratings for Handling Health Care, Environment, Disaster Response, 2017).

References

Datz, T. (2011). When it comes to quality, new poll shows Americans give U.S. health care low grades. Retrieved from Harvard School of Public Health website: https://www.hsph.harvard.edu/news/press-releases/p…

Government Gets Lower Ratings for Handling Health Care, Environment, Disaster Response.(2017, December 14). Retrieved from People-Press.org website: http://www.people-press.org/2017/12/14/government-…

Answer each question with 200 words APA format and in cite text. Use at least 2 peer reviewed journal as references.

DQ6: Please share your research, experience, and thoughts: Using the ethical principle of justice, determine whether health care in this country should be a right or a privilege. Are the uninsured and the insured “unequals” that should be treated according to their differences? Does the type of health insurance that one has also create a system of “unequals”? If so, are the unequals being treated according to their differences? Specifically, what should health care providers “do” to positively contribute to help foster a healthier society? Your research, experience, and opinion are welcomed in this forum.

DQ7: Please share your research, experience, and thoughts: In today’s society, we are dealing with a New Era, health care access and coverage for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community in the United States are on the rise. While these changes are expected to increase health insurance coverage and access for LGBT individuals and their families, many challenges and questions remain, including:

• What will be the impact of state policy choices on access and coverage?
• How will new protections against discrimination be translated into practice and where do gaps remain?
• Now that gay marriage is legal in most states, is the more conservative institution of healthcare positioned for this change?
• Should this group become a protected class under law?

**Note that some states are designing legislation to abolish counseling for transgender individuals–which tends to always fail. Should policy simply be to provide “treatment” and surgery for these individuals? Recently a transgender teen threw herself in front of a bus and died because her counseling had failed–and surgery seemed farther away.

DQ8:Consider the chaos of the fiscal component of all health care venues these days, especially due to changes in insurance competitiveness and mandatory coverages–and how these changes impact both policy and quality of care. In your closing remarks in week eight, reflect back on what we have learned together in this course–and ask if you have “found the balance”–and if so, do you better understand how both the clinical and administrative houses can find common ground for the perpetuation of health care, whether it’s a state funded, religious, county/parish funded, national private for-profit chain, or something in-between, it’s the patient who must be at the center–yet all the while, bills must be paid, right? So, what is your “take away” from our time together that is most memorable–and applicable. Also, your constructive commentary on how we may improve on this course for the students who will follow you will be most appreciated–so, please share them here.