Health Care Unintended Consequences?

It’s now well known that health outcomes are deeply influenced by a wide range of social elements outdoors of health care. The dramatic variations in morbidity, mortality, and danger components that researchers have documented inside and between countries are patterned after basic social determinants of health, resembling schooling and revenue, 1,2 as well as place-based traits of the bodily and social environment in which people reside and the macrostructural insurance policies that shape them. Southeast Asia is likely one of the most catastrophe-susceptible regions on the planet; the Indian Ocean earthquake off the coast of Sumatra in 2004 brought on a devastating tsunami in Aceh, Indonesia, and nations on the perimeter of the Indian Ocean — one of the worst natural disasters ever recorded. International locations within the northern part of the area, such because the Philippines and Viet Nam, are badly affected by seasonal typhoons that have elevated in intensity over time. The Philippines and Indonesia are situated on the Pacific Ring of Fireplace, a zone liable to earthquakes and volcanoes, the place around 90 p.c of the world’s earthquakes occur.

The increase in funds to main care docs is coupled with monetary incentives for them to increase preventive services and to enhance high quality. This in combination with increased payments should create much-needed incentives that can shift us away from excessive cost, high tech, financially lucrative, after-the-reality (and sometimes not beneficial in the aged) healing care to decrease cost persistent disease prevention and health promotion. At a minimum, the latter should lower prices by reducing the long run excessive prices that result from the negative sequelae of unmanaged disease and disability.

The issue is in characterizing insurance coverage as a type of prospective payment. An alternate—and doubtless extra correct—view is that insurance coverage is the sharing of danger, … Read More ...