Fire Paper


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of South Dakota

Fire Paper

modern documentary, entitled ‘Escaping Fire’ reveals a vision into the flaws of
the U.S. healthcare system. The producers goal is to show the rapid increase in
medical and health care expenses observed over the past few years. As a nation,
we have one of the most complex health care systems. Its in-depth knowledge can
take years of research and practice. Eligible consumers seeking coverage can be
misled or taken advantage of by insurance companies or brokers if adequate
research is not conducted.

Problems in US Healthcare System

Problems in US Healthcare System mostly loom around high cost of services and people
not being able to pay for them.  But despite
the expensive medical care there are other issues which lag in United States such
as doctor patient time, obesity, Veteran care system and Veteran mental health.


US healthcare system is one
of the most expensive globally.  How is it possible? and what exactly
makes it so expensive? 
Administrative staffing constitutes one quarter of insurance costs, while the
remuneration of doctors is even higher. Prescription medications and medical
equipment are more expensive in the US, when compared to other countries, even
when that equipment is produced by the same company. Americans also receive
notably more medical care than people with the same ailments in other
countries. Currently, domestic
patients with health care coverage are tasked with determining the value of
test, drug, or procedure. Third parties externally moderate this decision
through co-payments, deductibles, noncoverage, and other such mechanisms (McMahon & Chopra, 2013). Physicians and
hospitals are compensated, regardless of whether the services rendered are
deemed necessary. Despite the complexity of costs, Americans’ spending on
health services continues to rise.


A Physician network means being a great team member who
recognizes that the surest route to sustained quality care is through effective
teamwork (Cochran & Kenney (2014). A Physicians’ efficiency is
often rated by of the amount of time that they have to do their work. Twenty
years ago, it was found that one of the primary sources of physician
satisfaction was patient relationships. Similarly, a dissatisfaction was
continuous on-call responsibilities, pressures of work load, and too little
personal free time (Dugdale, Epstein & Pantilat, 2012). Physicians per
average are given 10 mins per patient for a visit because their schedules are
so overbooked.  A good example observed
in the documentary is when patients are desperate just to talk to someone. Physicians who are rushed, or deprived of
adequate examination time can often misdiagnose. This can be compounded by
patients that have more than one problem to discuss.


Obesity arises when the
body consumes more calories than it consumes. A mere 20 calories a day more- a
teaspoon of sugar, gives a mass increase of almost two pounds annually. A
weight gain increase over 20% of the ideal weight that is adjusted to sex and
age, is called obesity. Obesity the result of poor eating habits and lack of
physical activity, while others are predisposed genetically. Obesity is a
serious disease that has serious consequences for bodily functions (Heinemann at
al., 2013). It increases the risk of type 2 diabetes and over 90 percent. 
People with this type of diabetes are obese.  An overweight person while
resting has pressure on the spine that is ¼ of their weight. Each extra pound
creates a burden for the joints. It may also lead to degeneration and various
deformities and related ailments: pain, swelling, limitation of mobility in the
joints. With obesity, the spine curves up, and desmopathy occurs. The majority
of overweight people suffer from all kinds of health issues, which can lead to
additional health care expenses.


The Veteran health care
system, commonly known as Veteran
Affairs offers an affordable coverage for veterans of foreign wars. It is
subject to challenges of disorganization due to government bureaucracy.
Veterans face specific war related stress disorders, and injuries that affect
many and are lifelong. While Veteran health facility staffing levels have
increased, regional medical and mental health staff has not consistently met
the demand to ensure timely coverage and minimize wait times for getting healthcare.


            In combination with military-related diseases, many
veterans develop substance use disorders (SUDs) and a large number ultimately
commit suicide. Many male veterans are diagnosed with depression, heavy or
binge drinking and alcohol-related problems. These are heavy burdens on healthcare
system.  Thus, identifying and treating
mental health illness has the greatest potential to mitigate suicide risk.
Unfortunately, reluctance to seek help or treatment makes diagnosing and
treating mental illness difficult in this population (Hoge, Auchterlonie &
Milliken, 2006).

In conclusion responsibility for one’s own health rests on the shoulders of American
citizens, however, reform of the system is needed. One of the priorities
that should be addressed in Health System is to make healthcare affordable. It would
be great if employers could offer more insurance plans so people could choose and
control what’s best for them. Also, Disease Management should focus on prevention over cure
which would help with one of my listed major obesity problem in United States. Preventive
care can help not to be driven for quick fixes but rather to be driven by patient






















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