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Anonymous Posted 16 years ago
Essay & Composition Writing
Essay ((1))
Hello, I have a essay to turn in for a phislosphy class but english is second language for me, so can people please help me on this essay, critique it, or whatsover. thanks 
Health Care
Health care is an important issue that affects many parts of this country. Today many factors affect the distribution of health care. Factors include the fair distribution of this commodity, to the rationing of health care so the system is better sustained future generations. However, the biggest and main problem that the health care system of this country faces is its cost.
The biggest problem in health care is its cost. that Health care entails. One of the biggest problems that we face is the amount of money that people pay. According to the reputable Kaiser foundation, the cost of health care has increased by 131 % (Kaiser).
These increases have affected America adversely in many ways. Many families in this country have been affected economically by this tremendous growth in health care expenditure. These affects have been so tremendous that according to a CNN report on health care; 62.1 percent of all bankruptcies in this country have happened because of health care expenditure (Tamkins). According to this same report, most of these bankruptcies have been due to someone in a family getting an illness, which incurs tremendous costs for poor to middle class families (Tamkins). However, with the passing of health care reform proponents of the bill hope, that the reform passed will control costs for families being adversely affected by health care costs.
An additional problem that affects health care is the cost of the government program of Medicare. The cost of Medicare is great; according to the national center policy analysis the cost of Medicare totals at 89 trillion dollars. The cost of Medicare makes it the highest costing government program that we currently have. These costs do not look to be going down in any time soon. With the retirement of the "baby boomer" generation, the roll on Medicare will likely grow by 30 million people according to some figures.
So with the costs being so great we are going to need to make some very tough decisions, which will probably be unpopular. One of the first things we are going to need to do is to raise the current age for Medicare to an age that will make the system of Medicare more sustainable. When the program was originally passed people died a lot earlier, so the Medicare program was a lifeline for those in the seniority of age. Yet today live longer life's , and the system sadly cannot be sustained when people are living at times twenty years more then they did when the system was created. Secondly, we are going to need to make some tough decisions on end of life care. According to a study, cited in a March 2009 returner's article, the last year of a person's life entails one third of all Medicare costs (Stern) . One suggestion and this might seem extreme is that we give patient in the end of their life the choice to end it, before the costs really kick in. By doing this in a dignified, and humane way we will allow those wanting to depart this world, to depart it in a peaceful, and serene manner.
Another thing that government should do to reform costs is to improve the tort legal system, which greatly affects medical expenditure in this country. Tort law suits in the US costs a lot of money and contributes to the many negative side effects in this country. One of the biggest side effects from tort lawsuits is that doctors due to worries of these lawsuits spend unnecessary amounts on unnecessary medical procedures. According to a September 2009 poll of 1,379 doctors, most believe that tort reform is the best medical cost cutting idea (Jones PAR 2). The sentiment of reforming tort law was best put by a respondent of the poll who said this: "Tort reform would lessen the costs incurred by defensive medicine and would encourage volunteerism at home rather than abroad." (Jones Par 11) So many things are needed to health care and tort reform is one of these things.
A major thing that is disused when discussing health reform is the need to ration health care, so that we can sustain the current system. Recently as part of this class, we discussed this issue when we read an article by Peter Singer a noted Unitarian philosopher. Singer in his article on rationing said that we needed to ration health care based on quality of life and the amount of years that one will live. Rationing on the bases of quality of life or QALY means that we ration on the basis of disability, which I believe is wrong, because it is very discriminatory. The other method of rationing I believe is also wrong because it forgoes many questions that should be asked. An example of a question that should be asked is the diet that someone has, meaning if you eat things with an excess of fat, cheese, citric acids, nitrates, and other harmful nutrients then that must be taken into account. In addition, if someone smokes three or four packs from the time their 16 or so and gets cancer when they are 30 and we compare their case to someone who has never smoked but because of genetics gets a similar disease, then we must take that into account. What I am trying to say is that people's actions count, and that must be the main factor in rationing if we ration on a national basis.
Recently to address some of the problems that our health care system faces the government has enacted several reforms. Basic principles of the bill that I have observed from health care reform are to expand coverage to the 30 million people who currently don't have health care. Another principle is to reform the system so that people with pre existing conditions not be discriminated by private insurance companies, and the government is going to cut several hundred billion of "waste and fraud" in Medicare to make it more sustainable. I believe that the bill did not go far enough. Because first there was no reform of the tort legal system that I believe contributes to unnecessary medical practices. Secondly, the bill does not do anything to really cut costs, because it promises everything. Watching television and watching speeches by politicians at times, the only thing that they promise is positive. In addition, when a politician only promises positive things I believe their lying. Therefore, to cut costs I believe that the government as I mentioned needs to raise the health care age, and as I mentioned again we need to make some hard decisions in the case of end of life care, which contributes enormously to the health care system in this country.
One more problem that I believe we have in the health care system is that the system that we currently have is divided. What do I mean? We have a system that is divided between a private and public system. Having such a system I believe does not work, so either we completely privatize the countries health care system, or we completely nationalize it like many countries across the world already have done. Personally, I believe we need to privatize the system. Having a private system stimulates the completion of private insurance companies to get customers. In addition, while having a private system I believe we need regulations that limit the monopolies that private companies have. Monopolies are detrimental to the effectiveness in distributing insurance. That is why I believe a complete public nationalized plan is wrong because a government, which controls completely the distribution of health care, does not need to compete for customers nor do they need to be as effective as a private company needs to be because naturally they control all the distribution of health care.
Health Care is something that affects the life's of many American, and the overall system that this country. Therefore, to reform health care we need to consider many factors in this very important question. To me the biggest question is the question of costs. If we do not reform the costs of health care the viability of the system that we currently have will be adversely affected, and the stability of the country will also be affected negatively, so if we are to do anything we need to do something about the costs that this system currently entails.
Works Cited
Jones, Terry. "Doctors' Best Medical Cost-Cutting Ideas: Tort Reform, Tort Reform And Tort Reform." (2010): n. pag. Web. 11 Apr 2010. <http://www.tipponline.com/healthcare/doctors-best-medical-cost-cutting-ideas tort-reform-tort-reform-and-tort-reform>.
Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.
Stern , Andrew. "Discussing end-of-life care lowers cost-U.S. study." Returneres (2009): n. pag. Web. 16 Apr 2010. <http://www.reuters.com/article/idUSN06415881>;.
Tamkins, Theresa . "Medical bills prompt more than 60 percent of U.S. bankruptcies." CNN (2009): n. pag. Web. 11 Apr 2010. <http://www.cnn.com/2009/HEALTH/06/05/bankruptcy.medical.bills/>;.
Villarreal , Pamela . Social Security and Medicare Projections: 2009 662. (2009): n. pag. Web. 11 Apr 2010. <http://www.ncpa.org/pub/ba662>;.
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Health Care
Health care is an important issue that affects many parts of this country. Today many factors affect the distribution of health care. Factors include the fair distribution of this commodity, to the rationing of health care so the system is better sustained future generations. However, the biggest and main problem that the health care system of this country faces is its cost.
The biggest problem in health care is its cost. that Health care entails. One of the biggest problems that we face is the amount of money that people pay. According to the reputable Kaiser foundation, the cost of health care has increased by 131 % (Kaiser).
These increases have affected America adversely in many ways. Many families in this country have been affected economically by this tremendous growth in health care expenditure. These affects have been so tremendous that according to a CNN report on health care; 62.1 percent of all bankruptcies in this country have happened because of health care expenditure (Tamkins). According to this same report, most of these bankruptcies have been due to someone in a family getting an illness, which incurs tremendous costs for poor to middle class families (Tamkins). However, with the passing of health care reform proponents of the bill hope, that the reform passed will control costs for families being adversely affected by health care costs.
An additional problem that affects health care is the cost of the government program of Medicare. The cost of Medicare is great; according to the national center policy analysis the cost of Medicare totals at 89 trillion dollars. The cost of Medicare makes it the highest costing government program that we currently have. These costs do not look to be going down in any time soon. With the retirement of the "baby boomer" generation, the roll on Medicare will likely grow by 30 million people according to some figures.
So with the costs being so great we are going to need to make some very tough decisions, which will probably be unpopular. One of the first things we are going to need to do is to raise the current age for Medicare to an age that will make the system of Medicare more sustainable. When the program was originally passed people died a lot earlier, so the Medicare program was a lifeline for those in the seniority of age. Yet today live longer life's , and the system sadly cannot be sustained when people are living at times twenty years more then they did when the system was created. Secondly, we are going to need to make some tough decisions on end of life care. According to a study, cited in a March 2009 returner's article, the last year of a person's life entails one third of all Medicare costs (Stern) . One suggestion and this might seem extreme is that we give patient in the end of their life the choice to end it, before the costs really kick in. By doing this in a dignified, and humane way we will allow those wanting to depart this world, to depart it in a peaceful, and serene manner.
Another thing that government should do to reform costs is to improve the tort legal system, which greatly affects medical expenditure in this country. Tort law suits in the US costs a lot of money and contributes to the many negative side effects in this country. One of the biggest side effects from tort lawsuits is that doctors due to worries of these lawsuits spend unnecessary amounts on unnecessary medical procedures. According to a September 2009 poll of 1,379 doctors, most believe that tort reform is the best medical cost cutting idea (Jones PAR 2). The sentiment of reforming tort law was best put by a respondent of the poll who said this: "Tort reform would lessen the costs incurred by defensive medicine and would encourage volunteerism at home rather than abroad." (Jones Par 11) So many things are needed to health care and tort reform is one of these things.
A major thing that is disused when discussing health reform is the need to ration health care, so that we can sustain the current system. Recently as part of this class, we discussed this issue when we read an article by Peter Singer a noted Unitarian philosopher. Singer in his article on rationing said that we needed to ration health care based on quality of life and the amount of years that one will live. Rationing on the bases of quality of life or QALY means that we ration on the basis of disability, which I believe is wrong, because it is very discriminatory. The other method of rationing I believe is also wrong because it forgoes many questions that should be asked. An example of a question that should be asked is the diet that someone has, meaning if you eat things with an excess of fat, cheese, citric acids, nitrates, and other harmful nutrients then that must be taken into account. In addition, if someone smokes three or four packs from the time their 16 or so and gets cancer when they are 30 and we compare their case to someone who has never smoked but because of genetics gets a similar disease, then we must take that into account. What I am trying to say is that people's actions count, and that must be the main factor in rationing if we ration on a national basis.
Recently to address some of the problems that our health care system faces the government has enacted several reforms. Basic principles of the bill that I have observed from health care reform are to expand coverage to the 30 million people who currently don't have health care. Another principle is to reform the system so that people with pre existing conditions not be discriminated by private insurance companies, and the government is going to cut several hundred billion of "waste and fraud" in Medicare to make it more sustainable. I believe that the bill did not go far enough. Because first there was no reform of the tort legal system that I believe contributes to unnecessary medical practices. Secondly, the bill does not do anything to really cut costs, because it promises everything. Watching television and watching speeches by politicians at times, the only thing that they promise is positive. In addition, when a politician only promises positive things I believe their lying. Therefore, to cut costs I believe that the government as I mentioned needs to raise the health care age, and as I mentioned again we need to make some hard decisions in the case of end of life care, which contributes enormously to the health care system in this country.
One more problem that I believe we have in the health care system is that the system that we currently have is divided. What do I mean? We have a system that is divided between a private and public system. Having such a system I believe does not work, so either we completely privatize the countries health care system, or we completely nationalize it like many countries across the world already have done. Personally, I believe we need to privatize the system. Having a private system stimulates the completion of private insurance companies to get customers. In addition, while having a private system I believe we need regulations that limit the monopolies that private companies have. Monopolies are detrimental to the effectiveness in distributing insurance. That is why I believe a complete public nationalized plan is wrong because a government, which controls completely the distribution of health care, does not need to compete for customers nor do they need to be as effective as a private company needs to be because naturally they control all the distribution of health care.
Health Care is something that affects the life's of many American, and the overall system that this country. Therefore, to reform health care we need to consider many factors in this very important question. To me the biggest question is the question of costs. If we do not reform the costs of health care the viability of the system that we currently have will be adversely affected, and the stability of the country will also be affected negatively, so if we are to do anything we need to do something about the costs that this system currently entails.
Works Cited
Jones, Terry. "Doctors' Best Medical Cost-Cutting Ideas: Tort Reform, Tort Reform And Tort Reform." (2010): n. pag. Web. 11 Apr 2010. <http://www.tipponline.com/healthcare/doctors-best-medical-cost-cutting-ideas tort-reform-tort-reform-and-tort-reform>.
Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2009.
Stern , Andrew. "Discussing end-of-life care lowers cost-U.S. study." Returneres (2009): n. pag. Web. 16 Apr 2010. <http://www.reuters.com/article/idUSN06415881>;.
Tamkins, Theresa . "Medical bills prompt more than 60 percent of U.S. bankruptcies." CNN (2009): n. pag. Web. 11 Apr 2010. <http://www.cnn.com/2009/HEALTH/06/05/bankruptcy.medical.bills/>;.
Villarreal , Pamela . Social Security and Medicare Projections: 2009 662. (2009): n. pag. Web. 11 Apr 2010. <http://www.ncpa.org/pub/ba662>;.
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Top answer
My 2¢: * You're using both spellings " H ealth C are" and " h ealth c are". You should stick to the last spelling variant, if "health care" is not at the beginning of a sentence and not a part of the name of any organisation, like in "Health Care Financing Administration". * " this country" – which country?
- My 2¢: * You're using both spellings " H ealth C are" and " h ealth c are".
- You should stick to the last spelling variant, if "health care" is not at the beginning of a sentence and not a part of the name of any organisation, like in "Health Care Financing Administration".
- * " this country" – which country?
- =) You have not told yet.
- " – "Today" is some kind of an introductory phrase and as such should be separated from the rest of the sentence by a comma.
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1 Answers
0
My 2¢:
* You're using both spellings "Health Care" and "health care". You should stick to the last spelling variant, if "health care" is not at the beginning of a sentence and not a part of the name of any organisation, like in "Health Care Financing Administration".
* "this country" – which country? =) You have not told yet.
* "Today
* You're using both spellings "Health Care" and "health care". You should stick to the last spelling variant, if "health care" is not at the beginning of a sentence and not a part of the name of any organisation, like in "Health Care Financing Administration".
* "this country" – which country? =) You have not told yet.
* "Today
0
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