The most important reason for this different why US The poltical and economic strength of privete medical, hospital, insurance
government less invoved han any other country is company and now manage care sectors of health services econmy and their
opposition to what term " governmenent control interference"
Medicare and medicaid rules more than 130,000 pages of rules meeting regulatory demands of all relevant agencies
require up 1 h of paperwork for every 1 h patient care.
Burden of clinical and documentation and clinical duties Has been widely discussed across settings
Certain area of the healthcare delivery system that are Care of sick poor, mentally ill, special, distant population groups native
not dominated by the private sector: Americans, elderly, infectious disease control& other personal public health
services.
Government responsibility for Healy protection consisted Promotion of sanitation and communicable disease control.
of
US was much more heavily involved in health care Initiatives as Medicare and Medicaid , government regulation of spending and
delivery system in both degree and kind in 2007 than it payment and the environment , the development and approval of
was in 1946 pharmaceutical, and support of biomedical research and health professionals
education as well as tradition public health services and care for poor in certain
jurisdictions.
Medical care also meant Personal health services or direct health care delivery
Pauper stigma Signifying " poor equals bad"
Income is related to health in 3 ways: The gross nation product of countries
Income of individuals
Income of inequalities among rich nations and among geographic areas
Question of role of government in healthcare has still not What is the most appropriate nature of that governmental presence?
been answered definitively in the US How should government's role relate to that of the private sector?
Should public health consist only of a necessary residuum of activities not met by
private providers? Page 121
A basic principle of the US constitution is that sovereign To be share between the federal and state government principle called
power is federalism
US constitution is an agreement among the original 13 In tenth Amendment of the constitution " the people of the United State.
states to delegate some of their inherent powers to
federal government
Government authority to regulate for the protection of " police power" the power to provide for the health, safety and welfare of the
public health and to provide health services base on people
constitution basis for the federal government's health The powers to tax and spend to provide for the general welfare
authority is found in
Other basic constitutional principle affecting health and Separation of power.
health services is
, US Healthcare System Chapters 4-6 | Complete Practice Questions & Verified Answers
The constitution divides the sovereign power of the Executive, legislative, and judicial
federal government in 3 branches:
Constitution spells out curbs on the power of each System of checks and balances.
breach exercised by other two called
Judicial review of the constitutionality of their action is It was established early 19 century by the third Chief Justice of the subprime
not found in the constitution court , John Marshall
Legislative branch Create laws to safeguard the public' health from clean water to protecting the
health of workers.
Which roles and entities can deliver services to which Legislatures also enact the legal framework within which the health care delivery
persons under what conditions and requirements system functions, determining which individuals and institutions are authorized to
Judiciary Handles disputes related to healthcare services such as malpractice, practicing
without license
It adjudicates contract cases between provider and patients on one side, manage
care organization on other. It provide the right under due process and equal
protection of fifth and fourteen amendments
Exacutive or government in health care Delivers healthcare services, drafts and enforces provider / payer regulations
and administers financing programs
Federal level Provision of personal health services : uniformed services& families
Native Americans
Military veterans
State level For specific diseases example: mental illness or TB
Local level Poor
All level Prisoners.
Judicial and executive branches from the civil and Federal, state and local levels
criminal justice at
Community health services: All levels supply: public health services
Example: pure water, sanitary sewage disposal , food and drug inspection &
regulation, communicable disease control, vital statistic, and public health
laboratory work.
Shared work with private sector
Example: public health education
, American cancer society, AHA
Private organization such as Sierra club and natural Are active in environmental protection
resources defense council
Government participate in financing in 3 ways Pays for operation of own program( both personal and community)
Through grants and contracts to nongovernmental agencies, biomedical search
or medical education
Medicare and Medicaid