U.S Health Policy

The debate surrounding the Health care reform becomes more and more intense with the issue of whether to establish a universal health care or not being the major concern.

It is a well-known fact that the United States health care is the most expensive in the world but this is not felt since abut 15.2 percent of the population does not have health insurance (Shi and Stevens, 2005, p. 70).

This particular uniqueness in the U.S. healthcare provided an intense campaign in promoting reforms within health care policies. In every issue – especially if the venue of debate is within a democratic party – opposing sides are both intense in either deterring or advancing these reforms.

The continuous debates – more specifically with the issue of single-payer proposal – cause further delays in advancing any kinds of reforms to the healthcare policy. Public opinion either complicates or confuses the masses. This division is an impediment to proceed to the supposed next step of collecting healthcare data to be able to establish the measure in providing universal healthcare.

The collection of data is essential to determine information about the patients and the kind of services should be given. However, due to the lack of decision, everything is delayed and takes a couple of steps backward in fulfilling the reform.

Another concern revolving around this issue of health care is regarding the perverse incentives that are implemented to physicians and hospitals. First of all, perverse incentives focus on a limited offer of service given by medical people and facilities.

This is basically rooted from the usage of Medicare in which prices and services are fixed. In this case, medical facilities receive compensation fixed from the categories according to Medicare, the quality of service tend to be limited as well.

 This can turn into a crisis if third-party method of providing health care services will continue because not all have access to Medicare and hospitals and physicians are not being encouraged to be competitive in their provision of service.

For a highly-industrialized country, healthcare should be a top priority. The U.S government should make a step towards reform as soon as possible for its growth heavily relies on the health of its populace.


Shi, L., and Stevens, G.D. (2005). Vulnerable Populations in the United States. USA: John Wiley & Sons