One of the ten basic characteristics that differentiate the US healthcare delivery system is that the healthcare delivery system of the US has multiple payers.
There is no single payer in the US healthcare delivery system and the multiple payer system represents billing and collection nightmares.In the analysis done by the World Health Organization in 2000 to evaluate the health systems of the 191 participating countries, three primary objectives were presented to evaluate the characteristics of a good health system.The three primary objectives were good health, responsiveness and fairness in financing. According to the report done by the World Health Organization, the United States of America had the most expensive health care system in the world. The apparent reason for the fact that the US had the most expensive health care system is that because of the complex multiple payer system in the country.
The multiple payer systems together with the increasing costs in the advancement of medical technology had largely contributed to the issue that that US had the most expensive health care system in the world. The multiple payer system of the health care system of the United States comprises of the Individual businesses, the government, the private insurers and the health service providers (Figure 1).The payment of the individuals and business health system come from the taxes, premiums and direct or out-of-the pocket payments from the different patients or insurers. The provided government insurances that exist in the United States include Medicare, Medicaid, VA, S-CHIP, public employees premiums, and the tax subsidies of the people.Another basic characteristic that differentiate the US health care system from that of the other countries is the focus on quality of the health care system. The American consumer greatly requires higher expectation on the quality of the health care system that the country had. According to the health statistics of the richest and the most industrialized countries in the world “Healthcare delivery systems”reported in 1991, the American people are the most dissatisfied to the quality of their health care system.
Of the ten participating largest industrialized countries of the world, the United States of America had ranked (ranking: 10) as the lowest when it comes to the health care satisfaction of the American people (Randall et al, 65). Although the United States of America had the most expensive health care system, it was the least in terms of quality.To differentiate the health care system of the United States of America from that of the other countries it is observed that it is not accessible to all the citizens equally.Access of the different health care system of the state is basically limited to those who hold health insurances.
Moreover, the rampant production of boutique medicines for the treatment of different illness had also been unequal for the American people.Those who can only afford the expensive health care system of the state can avail of the different services of the health care system. This is the reason why many of the American people stay uninsured or they have already decided to stay uninsured because of money matter.Individuals with higher incomes in the society can choose to whether what is the best health care options will they avail while low income families had only opted for the government provided health care system.It is always evident that in the United States of America, poor people have a limited access to the services that the health care system is providing. This is a common fact in the United States of America even though most of the American people think that the health care system of the state is very reasonable.Inequity proved that while the poor people have a little access to the services of the health care system, the wealthy people have the full access to this expensive health care system.
If ever this wealthy people don’t have the coverage of the health care procedure in their health insurances, they can always afford to pay in order to avail such services.