Health Care Crisis in the U.S.
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Americans believe they are facing a crisis in health care marked by rising costs for providing health care along with an increase in the number of people who are either uninsured or under-insured. This problem has long been ignored by policymakers, but recently President Clinton has put the issue in the forefront of political debate and has spurred a flurry of suggestions. The administration has put forward a health care plan, and the Republicans have responded with a health care initiative of their own. The problem itself has been well documented. In the last 15 years, the number of uninsured Americans has grown, and most estimates in 1991 place the number lacking public or private coverage at between 31 and 36 million. According to the 1987 National Medical Expenditure Survey, some 47.8 million people lacked insurance for all or part of 1987, and the U.S. Bureau of the Census found that from the first quarter of 1986 to the last quarter of 1988, 63.6 million people lacked coverage for at least one month and 31.5 million lacked it in the final quarter of 1988. In terms of age, those between 19 and 24 years of age are the most likely to be uninsured, and 20.3 percent of this group were uninsured for all of 1987 and another 18.2 percent for part of the year. Children under 18 years of age were the next most likely to be uninsured so that one in four were uninsured either all or part of the year. Of those aged 25 to 54 years, 19.8 percent were uninsured all
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igh degree of social inequality, community fragmentation, vested interests, and cultural motor patterns.
The power-coercive strategy is rejected because in the health care debate especially, people fear precisely that--a redistribution of resources--since they feel that this will mean they lose something while others gain. People again fear losing what they have, and they also fear any coercion from the government in areas like health care. Indeed, the greatest opposition to be overcome by any plan is opposition from those a proposed plan might help because the arguments to date have created fears of loss, fears of coercion, and fears of intervention:
The major barrier to decision and change is fear: fear that the price tag to cover medical care for the uninsured will be too high and impossible to control. (Moore, 1991, 2108)
These fears may be related to the myth of trauma, the idea that change is an ordeal and a crisis. People who want to reform the health care system believe the system is in a crisis and that through change they will relieve it. Too great a change, though, is itself perceived as a crisis and so as counter-productive to the desired goal.
The development of this problem has been affected by change
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Some common words found in the essay are:
Congressional Republicans, Democratic Republican, HMOs Change, Bureau Census, Evaluating Change, President Clinton, health care, January Rationing, Background Americans, Clinton Plan, American Medical, health care system, care system, care debate, medical care, health care debate, change program, insurance companies, medical system, targets change, hospital administrators, health care initiative, change health care, health system, rationing health care,
Approximate Word count = 1955
Approximate Pages = 8 (250 words per page)
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