National health plan in America

Of late, the health care system of US has failed. Millions of people in the country are not insured, bureaucracy is expanding and medical costs have skyrocketed. The challenges in the medicine system have led to development of a national health program. It is believed that this program is minimizing the difficulties and with time, the level of medical provisions in the country will improve. The belief is supported by the functions which the program has enabled and the roles it is expected to play in future. Through the program, every citizen will be covered under one comprehensive public insurance program. This is a function that is in progress and driving many citizens towards safe ends of the medical arena (Esposito, 1994, p.10).

Through the prescriptions of the program too, the government has been made to pay nursing homes and hospitals specified amounts of money on annual basis to cater for operating expenses. The money funds capital costs in separate appropriations, paying ambulatory and physicians’ services. The fee schedule has been simplified by fee for service payments, a criterion that has the national health program gain mandatory acceptance and definition as payment for assignment, procedure or a service (Roemer, 1993, p.23). The program has also incorporated global budgets for clinics and hospitals which advocate for employment of salaried physicians, or perform this through per capita basis, capitation. Payments are made to be disbursed from a collective pool, with initial and final funding coming from one source. These costs will be minimized by saving on bureaucracy and billing, the anticipated authority of the national health program which will serve as the only payer for services that are on overall basis made to establish spending limits and improved health planning (Westerfield, 1953, p.15).

The issue on the government funding in medical health care facilities and services has not been achieved as expected because of the economic difficulties that the country has faced. However all efforts are being made to ensure that the set amount of funds is appropriately provided as economy is expected to improve especially after the new government comes to power. Since it is the cost of medical facilities that are challenging the citizens, effectiveness of the program highly rests on the government. The ability of the program to solve the problems in US has highly been questioned by the national community but the revelation is that the government has the great role in funding, and the economy limits it to participate. This means that the program will function effectively when the economy recovers (Flynn, 1997, p.13).

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The traditional tenets of medical practice have been threatened by pressure to make profit, competition and cost control. The program is extensive because it covers all necessary medical services including long term, rehabilitative and acute measures in administration, pathology, public health specialization, psychiatry, surgery and primary care doctoring. The measures ensure proper attention to mental health care, home care, public health care, medical supplies, drugs prescription, prevention measures, occupational health care, dental care and mental care. In conclusion, the national health program in the United States has not yet solved the problem, but has served as a unique path towards medical healing of the nation. The procedures and provisions proposed in the program should be implemented as fast as possible for solution to be arrived at. The faster the implementation of the program, the faster the realization of the solution. Therefore as at now the medication in the country is still at stake but there is hope if at all the program will be fully implemented (Pauly, 1980, p.45).


Esposito Chiarella (1994). America’s feeble weapon: Funding the medical institutions. Greenwood Press, London, p.10.

Flynn Rob (1997). Contracting for health: Quasi markets and the national health service. Oxford University, Oxford, p.13.

Pauly Mark (1980). National health insurance: What now, what later, what never. American Enterprise Institute, Washington, p.45.

Roemer Milton (1993). National Health Systems of the world: The issues-vol.2. Oxford University Press, Oxford, p.23.

Westerfield Donald (1993). National health care: Law, policy, strategy. Praeger Publishers, Mahwah, NJ, p.15.