PSCI 3325 Lecture Notes - Lecture 29: Patient Protection And Affordable Care Act, Preventive Healthcare, Medical Malpractice
25 Jan 2017
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Characteristics of the us system: not necessarily unique to the us. Decentralized market: other wealthy countries have a universal form of healthcare, we have for-profit/non-profit hospitals, for-/non-profit insurance companies, majority of money comes from government and out of pocket. Third party payers and fee for service payment: third party - neither the company/doctor or patient pays, fee for service payment - they get paid for outputs, not outcomes. Paying for x-rays, not how well they treat you. The nature of medical care: norms and emotions: dealing with human health and life. I don"t care how long it costs, save my life. Worry about money later: professional ethic of doctors, responsibility to make people better. Specialization and technology: medical profession is dominated by specialists and technology. Vast majority of them are specialists and less are general practitioners: pushing things in the direction of running costs up. Not as much attention paid on efficiency, non-glamorous preventive care.
