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07-10-2017, 10:16 AM
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Decades of trying, but health reform remains elusive in US
The country "**w spends more than $75 billion annually on health care... yet despite this huge annual national outlay, millions of citizens do **t have adequate access to health care." That observation could have been offered by current President Donald Trump, or predecessor Barack Obama. But it was Richard Nixon’s lament, way back in 1972. The US has a longstanding reputation for world-class medicine, doctors and hospitals, but for Decades it has also been riddled with gaping holes that have left millions without health insurance. Every president in living memory -- including Bill Clinton and his wife Hillary -- has made some kind of effort to plug the gaps. But the problems persist to this day, only multiplied. During the 1970s, health care costs represented seven percent of the US eco**my. Eight presidents later, that figure has ballooned to 18 percent. The rate is half again more than that of France, with results worse than most other wealthy nations. An American girl born today is expected to live four years less than her French counterpart. Republicans today are seeking a fresh overhaul. When the Senate re-convenes Monday after a 10-day break, Trump will be under intense pressure to find a middle path that wins over e**ugh conservatives and moderates in his party. At the heart of today’s problem is the US system’s split personality -- part private, part public -- which complicates broader efforts at reform. From the late 1920s, Americans began purchasing private insurance coverage. After World War II, US companies started offering their employees health insurance, and millions signed on. But that did little to help unemployed, poor or elderly citizens. In 1965 the federal government stepped in, creating the Medicare programme for those age 65 and above and Medicaid for lower income and disabled Americans. Tens of millions still fell through the *****s. Then came 2010’s Affordable Care Act (ACA), Obama’s signature domestic achievement, which lowered the share of uninsured to about 10 percent. While that is a historic low, 26 million Americans remain without coverage. Health care expenses have swelled in part due to lack of government regulation. Costs increased each year at an unsustainable rate, along with the advent of new tech**logies like MRI scanning and 3D mammography. "This is the only industry where tech**logy advances have increased costs instead of lowering them," wrote journalist Steven Brill in his 2015 book "America’s Bitter Pill." "When it comes to medical care, cutting-edge products are irresistible; they are used -- and priced -- accordingly." In the United States, if you break a leg, the private hospital sends your private insurer the bill, which typically amounts to several thousand dollars for a few hours in the emergency room. Each examination, X-ray and follow up incurs new charges. With "Obamacare", a move was made to shift away from the costly and inefficient fee-for-service model to payments to hospitals based on quality of care. أكثر... ??????? ??????: Decades of trying, but health reform remains elusive in US || ??????: ahlam1399 || ??????: اسم منتداك
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