health care term paper
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Health care term paper

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“Quality is the third leg of the three-legged stool of essential elements in health services research and health care delivery. No evaluation of a health care system or discussion of health care policy issues is complete without attention to it. One difficulty in the quality area, as compared to the cost one, is that measurement is less clear and the U.S. health care system not easily amenable to evaluation. No clear and complete consensus exists about how to measure health care system outputs or quality. In part, this is due to a lack of clear definition of health. The linkages between the health care system and the production of health, even if one simplistically defines health as the reduction in the amount of death, also is not always clear. Cost and quality issues are inextricably linked, but this paper will start with a discussion of costs of health care and concerns related to costs and the financing of health care.”
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“In 1989 Oregon became the first state in the nation to adopt legislation that would explicitly ration health care for the poor. The Oregon Basic Health Services Act (OBHSA) guarantees health care to all those who fall below the federal poverty level but limits that care to what expert opinion, community sentiment, legislative judgment, and fiscal reality deem a "basic level of services." In the words of the law's chief architect, "Everyone will be in the health care lifeboat. Not everyone will eat steak, but at least everyone will eat." The fact that it will be primarily the poor who will be deprived of "steak" in the Oregon health care lifeboat is just one of many facets of the plan that troubles its opponents. The Oregon rationing plan has left few observers neutral. It has been characterized as "bold," "pioneering," "rational," a "brave medical experiment," and "fundamentally flawed," "unfair," and "unethical." What proponents and opponents of the Oregon law agree on is that the current "system" is seriously, and probably irreparably, flawed. Something must be done to control spiralling health care costs and to expand access to an estimated 32 to 37 million uninsured Americans. Where observers and participants disagree is over the question of whether or not the Oregon plan offers a fair, workable, and responsible solution.”
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