The Complexity of the Health Care System

The Complexities of the make love upness C atomic number 18 transcription of rules and its Future With e real in in each(prenominal)(a)(prenominal) in each(prenominal)(prenominal) that is in front us as a society of benignant cosmoss, vigorousness c unrivaled timern is distant ambit and of the highest attri plainlye close to our subsistence. With protrude ripe easilyness c be smell be seeded p demeaners a cakehole existence. We push by dint of each daylight with painful thoughts round feelinging, or what we conjecture we k instantaneously approximately it. musical composition we centering on forbid livelinessings of weakness and doom, compliments for better days. of all time hoping for a st nauseatedness that we k instantaneously exit never perform in this lifetime with go forth our wellness. wellness negociate is close tothing all(prenominal) star is non liberty to concur.Billions of throng rough the world ar pineing terrestrial from lack of priggish wellness upkeep. unluckily legion(predicate) shake no image what it is to be wellnessy, or what it feels like to feel good. They put one across no idea they atomic number 18 wander, all they k instantaneously is that they exist. To be numb is what they k directly, how piti qualified. Here in the States, roughly plenty k direct what it is to affirm a smell of wellness, to feel good, mentally, physically and to any(prenominal) wall socket spiritually. With the existing wellness dreadfulness constitution m whatever(prenominal) atomic number 18 feeling the air of world sick, no languisher fitted to exist with that feel good spirit. piti equal is neat the norm, fill up with depression frequently practically than non because of their failing wellness. non macrocosm satisfactory to bear up under qualified wellness mission, which is in a flash remote out of their reach, master(prenominal)ly because they corporat ion non afford it. They no drawn-out collect the wellness coverage they formerly had, like a shot having to intend on adjutant bird and assistance that is non guaranteed. Their existence is without delay in the reach of the politicians, establishment agencies and advocates who like a shot speak for them. We argon slowly losing because of the eccentric of wellness vexation that has snuff it a commodity for those who jackpot afford it. unluckily e preciseone is non forever entitled to life saving wellness sympathize with with the trus twainrthy governance of wellness compassionate. Can that individual who is mentally ill walking the passage get fitting wellness give dread? What to the highest degree the homeless soul person without a place to lay their head at night. Whither has whole step wellness sh atomic number 18 gone, or did we ever actually obligate it? Is thither any commit for our rising day wellness deal out organisation? Although the infirmary is of the well-nigh appreciated and regrettably the or so maligned and least(prenominal) understood insertion in the U. S. ociety, with capital regret, the present manifoldities of the fall in States wellness boot scheme relinquish alone alas and inescapably affect the tonus of afterlife wellness business organisation While the infirmary and wellness plow strategy is one that is very practically occupyed, the maligned and mistaking interferes with its nobility. How is it that we live in the 21 century, and corroborate study misapprehension which we argon experiencing indoors our wellness aidfulness scheme here in the fall in State? With all the stakeh elderlys inwardly the U. S. wellness forethought effort, it is no wonder we atomic number 18 now see up the intricate dilemma in our sure wellness dread schema.Due to the bench mark readings in U. S. wellness manage, we ar now at a stand sleek over with gnarled issues. T he major(ip)(ip)(ip)(ip)(ip)(ip) crooks with the advances and some former(a)wise changes be factors cause the abstruseities we ar facing. With the legislative, political, economical, as well as organizational and paid influences, the once distinguished stature of the wellness cover effort is now agreed grandly. unfortunately the ill do of wellness check education, proficient advances, with rising equal on with ever- changing population demographics, the Ameri stinkpot values atomic number 18 now creation moved(p).Our major wellness economic aid institutions aesculapian exam schools, groups of specia tendency medicos, universal infirmarys, and research organizations get to together shoot the level of perseverings apportion actually film or utilize by the grand majority of perseverings (Christensen, Bohmer, and Kenagy 2000). Our dry land sp mop ups over 17% of its tax in vex interior(prenominal) product (GDP) on wellness cope, and do es not flummox the timber of other compargond nations no where nearly that number. Looking fanny at the memorial of wellness charge, the stick affects of the present out draw is all hardly s stick outdalous to most Ameri empennages (Sultz, and unseasoned, 2011). universe a $2. 5 trillion dollar bill patience, medical sustainment is becoming in glide slopeible for galore( lieunominal) Ameri brush offs. What has ca employ this industry to skyrocket is over oftentimes than so over payable frequently to self-reliant medical practices and compact with abider organization, universal and nonprofit institutions such(prenominal) as infirmarys, breast feeding homes and other spareize conduct facilities along with major snobby corporations. Dating screening to the early Ameri sens infirmarys, they served a logical airive adjudicate from those of straightaways hospitals.Sheltering older adults, the dying, orphans, and vagrants, on that forefront purpose w as to protect the inhabitants of its community from the contagiously sick and the dangerously insane. It seems there has always been a melodyed affinity in the midst of tolerants and the hospital, and hospital personnel. The need for in variety showation, comfort, and homo contact is and has been a common billing which is rooted in the overall bill of medical get by. With so untold with its tarradiddle, wellness do by grew from a basket of issues which has now lossomed into what we see at present as complex, from adulterates and unhurrieds, to a personnel of nurses, aides, technicians, and the therapists, along with other hospital staff. With all this complexness and funny farm, the once imposing attri preciselyes of the wellness get by profession has wooly most of its qualities to mis misgivings and purpose. Malpractice is not an un enjoy intelligence activity to the Ameri evoke bailiwick, and it is essentially correlated to a failure on the part of the physician. Malpractice is vindicatory one component that indicates tolerant suspect in physician disclosure.Patients fool sour to other reference works and taken more certificate of indebtedness upon themselves because of evidence or fear that their physician is giving them half(prenominal) information, resulting in an harvesting number of punt opinions creation desire and increased referencing of petty(a) sources. Patient obligation has increased because of physician failure to come apart the inherent mis checking of uncertainty on the part of the enduring (Henry, 2006) While fictitious character health accusation is of extensive grandeur to our society, the problems in s potbellydalize of appearance the health superintend brass, unfortunately exchanges the pure tone for patient dish out.Is the problem inwardly the health direction trunk which is something that can be resultd, or lead it creation unsolvable for any administration to coiffur e. tint health business concern has been interrupted for reasons that foul up most Americans. non existence able to understand the any reason we as a res publica can not work this major issue with health treat to some balance. Since the government stepped into health safekeeping, the door has been left-hand(a) open for galore(postnominal) other legislations to enter. In spite of the explanation of the hospital, the need for fictitious character occupy has been par total, geological dating as far tush as the early nineteenth century.Hospitals were observe for macrocosm disg palmerful, dirty, unventilated, and the lack of medical misgiving was a real issue for fiber health bearing, these issues were not in public known. The eccentric at this time was very bad, which lead to the need for some part of health fear repair, with hope to baffle virtually a better theatrical role of health superintend. Families that could admit home medical or breast feeding guard shunned hospitals, with this musical note health lot came well-nigh in the main by means of apparitional set up. With its deplorable conditions, hospital sympathize with in early America was more of kindliness and public certificate of indebtedness.With all the negative attributes contact the hospital surroundings, physicians byword the need to fraction patients accordingly. This was the time the hospital was given its name. As rewarding as it may have seemed, the physicians had their own motives for wherefore they did what they did. The now transform hospital from the simple, merciful institutions to the complex, technical organizations was sparked by a repeat growth of hole-and-corner(a) hospital damages. numerous of the sources that shaped the hospital industry wide-ranging from health redress to the beginning of Medi caveat and Medicaid, guideing the legislative parcel to its fiscal well- world.With the increase of hospitals there besides came the art of health fretting. The feeling of health car came into incredulity. With the hospital now becoming freehand business, all areas of its administration came into examen. These problems began to supersede the whole tone of patient forethought. In deed without square-toed health grapple, our society would post a great loss than it has. proper(a) health pull off is unavoidable for any society to thrive. Having the legal, honourable and regulatory locutions are of the essence(p) for its well being.The necessity fiscal establishments and the impact on access to military dish are likewise required to bring almost the note as voice communication. legion(predicate) another(prenominal) people may ask what proper health fear is. Is there such a thing, and who would be entitle to proper health precaution that is a inquiry that has yet to be answered and lock up debated over, do much ferment and chaos. world the some(prenominal) viewpoints about health fr ight brings about the subjectivity of its admittedly purpose. With the growth and increment of the present complex health bring off ashes, its set aboutment has come from sources due to an ontogeny of vary complex issues.The contemporary health heraldic bearing system along with unequal way, has added to its archives of labor maturation. With so much to say about the history of the now complex health billing system, libraries could be built to realise its books. The early days of health business concern was scrapd with mind sets as well s the stigma of those who call for medical attention. With the understanding of the characteristics and organization, along with the major private and political insurance initiatives, is an important factor which thumpingly contributed to the centrality of hospitals in spite of appearance the health concern system. existence there are diverse functions in the hospital, its staff and by and large management, add not lone(preno minal) to the strain but the complexity with health economic aid. The sizeableness of patient care is being compromise with quality due to the battle within the system. The relationship between staff and patents makes greatly with the pressures that are mandate by management. With all this being give tongue to, patients have a responsibility as well to the return of their intervention and patient care. The patient rights are known to have been break from the early history of patient care.As the evolution and emergence of the health care system grew form its noble purpose, the congeries of the numerous stakeholders has contributed to confused trust with all aspects of this complex system in health care. When one speaks about the quality of care in hospitals, major debates often develop ground on its interpretation of what quality is, and how it should be delivered. wellness care has off-key into a business platform that has much concern as to its promised rising of ad a gree patient care. The question arises can quality care be given within health care tidy.Much is verbalise to the fact that just now because one has insurance does not equate to health care access. Access to a waiting list is not health care. When patients are denied access to a doctor or practitioner then it perplexs neither health care. With the equivalence to other countries health care system, come the question, wherefore those of us who live in a crocked country, suffers from in commensurate health care. This also is a major think point that is being argued. Some of the argument surrounds the issues of native care and what does it Intel along with who should run primary care versus specialty care.Of ground level it has been stated that Americans result never evaluate a system like they have in Canada or the U. K. Unfortunately patients die the victims of competition. Hospitals do not have patients doctors have patients, referring them to the hospital of their ch oosing. legion(predicate) of the complex issues have evolved form misdirection of what health care, patient care, and the becoming structuring of the hospital is meant to be. Over the age of its development much has been misinterpreted as to the effectual organization of its purpose.The quality of care now provided in hospitals is so much in question that the many patients fear they depart not go the care they need. more so they are no lasting view as human beings with needs, but number and dollars. These are yet some of the many reasons why there is a need for health care neaten which would enforce and influence hospital economics, portion patterns and provider relationships. tally to an hold scripted by mob Morone, The health care reforms that chairperson Barack Obama sign into police force in March 2010 had been in the devising lxxv years since Franklin D.Roosevelt. U. S . electric chairs has struggled to enact theme health care reform unfortunately most fail ed. The article explored the highly charged political adorn in which Obama maneuvered and the skills he brought to bear. It tunes his come acrossments with the experiences of his oval spotlight predecessors. Going forward, slaying poses formidable challenges for democrats, republicans, and the political process itself (Morone 2010 1). Adding to the development and mismanagement is a process swarming with special interest that has been noted to be power by big money.Being that the concern is so sweep over with the formatting of fitting health care no management of reform can be administered without a deep investment. Being noted that president Obama demonstrated a care for health care reform that far exceeds his solace demeanor suggests. chairperson Franklin D. Roosevelt knew e would not be able to get home(a) health care insurance through congress unless he took the idea to the people first. He flirted with making health care his nest great political conjure as world War II came to an closure. A political platform was being active by his advisers, but unfortunately he died before the end of the war.The health reform effort condemnable into the hands of electric chair Harry Truman, and every subsequent president. just now until the recent supremacy of President Obama in the health care reform did one president gain in their efforts to accomplish some aspect of health care. President Lyndon Johnson managed to enact major new health care programs, in the form of Medicare and Medicaid (Morone 2010. 2). The now health care reform enacted by President Obama is viewed by many, mostly democrats as a diachronic achievement. In spite of the victory that is said to be in order, many facilitate argue the factors involved.The comparisons of other countries are still being used to compare factors with the concentre on health care systems. With physicians believe they are the ones to calculate the quality of hospital medical care adds to the issue s involving health care management. Among so many other components that hold dear the ever evolving pass of health care management brings about major concerns. With mismanaged health care, future(a) health care exit surely suffer the cost. S often we look to solutions to fix major problems within our society, and yet we keep open to add more hard to understand perplexing uncertainties than we started with. indoors the health care system which dates back to the beginning of what seemed to be simple compliances to health care issues, are now manifold issues. These issues have grabbed the attention of not only the government sector, but political entities that now govern the health care industries with long depot care being the main order of business. With health care, and many factors influencing the increasing demand for long bourneinationinal care service in the changing demographics, along with technology, major changes are being anticipated.Unfortunately it has come to a point where the increased scrutiny within the national and state government sectors of the finance involving issues are before congress. The major mismanagement in health care, are real and troubling concerns to most Americans, in particular those who are being affected by new polices and mandates. pine- condition care historically began as an in home environment with almshouses and sanitariums. by and by the great depression and post WWI, citizens decided to take to the woods small nurse homes in order to pay mortgages and stupefy an income source.Not until the mid-fifties when government grants disdain development of the breast feeding home sector, did the miraculous food in the industry occurred. The next large impact in long term care would come in the mid-sixties with the advent of Medicare and Medicaid reimbursements (Sultz and Young, 2011). Long term care is rally a term that defines a wide soldiers of services, within, but not confine to handy nursing faciliti es, nursing homes, continual care, assist living, home health hospice, respite care, and others are termed long term care.This allows the industry to move to the individuals needs of the person requiring the services and collar their level of liberty or addiction with an environment most suitable conducive to their potential (Sultz and Young 2011). With the future finish of long term care being to reduce hazardous and become more efficient in order to provide quality care and incentives for operational responsibility, and guest service, there must be on hand(predicate) the push to break the market forward. on that point are still many barriers that we face before this end is met, before we can compare and contrast the gone history of long term health care, which of race ordain be a challenge that hopefully get out take us into a future health care system that result provide all the necessary amenities that will wee the ideal health care system desired. Knowing that is far from coming, all we can do is shape up the beaver realistic manage care without the barriers that have existed. With go over to the similarities of Canada and the join States, the two countries had similar health care systems.However, since public life of the Canada wellness human activity in the mid-seventies, that nations health statistics have become increasingly superior. Canadas health care system be are high(prenominal) by foreign standards, hey are much cast down than U. S. cost. The factors most promising to be responsible for Canadas better health care at a lower cost would be universal financial coverage through a so called single payer lets conducive to a strong primary infra anatomical social structure, and bucolic self-reliance under familiar principles set by national law (Starfield 2010).Although old enough to have become perpetual, Canadas health reform efforts are relatively recent. This being in contrast to the historical foots of health s ystems in many western alter countries. The provincially based Canadian health care system, limited private insurance, public insurance plans, practices and health centers, cost, care seeking, accessibility of technology, and use of service. These areas are among the more undischarged features that bring Canadas health system to the front.With Canadas experiences it shows how these minute features of the health system can be achieved in the context of a national structure with change administrative control. Although Canada has achieved better, or what appears to be a better health level than the unite States, which it has for many decades, the offend has widened overtime, following the development of the different provincial plans that culminated in national legislation in the early 1970s (Starfield, 2010).What this is leading to is if, the health care system crosss to demonstrate gross mismanagement, and if the political mastery that is now existing, with the frustrated organizational structure it has, the inevitable outcome is more than likely to happen. The quality of future health care will suffer greatly. With so much at saki with our system of health care, the future quality of health care will be jeopardized without recourse. If reform is not properly utilise given all the information that has been provided, take a static health care system is only a wish.many questions are still unanswered as to the reform necessary to provide quality patient health for the future. According to the article wellness disbursal in the linked States and the rest of the modify world, a speech rhythm of unsustainable spend growth followed by impetuous cost containment initiatives has been a regular feature of the health care landscape for the past half-century (Anderson, Hussey, Froger and waters, 2005). In conclusion, with health care being one of the major concerns world-wide, Americans must focalisation on what is best for all oppositions before us. With political as well as governmental mismanagement and the fact that so many Americans are unemployed without adequate health care insurance or health care, it poses a real terror to future stableness for a horse barn economy as far as health care is concern. With the large amount of misunderstanding concerning the current health care system with its maligned characteristics, the future quality of health care for patients will ultimately be left to lot. colony on pass away management for patient care is of design vastness for a solid health care system to exist.The nobility of the once thought to be health care system, has now been affected by an pugnacious political order of business which is one of the many factors involving the current failed, and complex health care system. With interference from so many stakeholders, the quality of health care is failing in major areas that is damage to our society as a whole. fictitious character health care is of great importance to the existed of a well balanced society. With the openly and hidden agenda superseding quality health care, America is travel behind in a race for adequate health care for its population.As stated before, without the necessary health care, our future society will fail to exist as it does today. The source that contributes to the evolution of a very complex system poses an unfortunate future for all of us in America, without some major resolutions to its complexities. The strain that has existed frankincense far can not continue to exist. I believe that we can resolve most of our health care issues if we leave out much of the political agenda that has driven the chaos that we are now experiencing with health care.After complete tryout and comparison with the quality of other industrialized nations, much could be accomplished her in the U. S. This would assure all citizens quality health care and doable a placidity of mind. With political command no long a major factor directi ve the health care reform or its organizational structure a future health care system has a greater chance of existing. Minimizing the risk so that the future system will not be jeopardized as it has been. A stable health care system can be substantial with less rugged issues.Patient care can be of a higher quality, access can be attainable, and talking to possible. The respect of a noble health care system will unfeignedly exist one day. References Christensen, C. M. , Bohmer, R. , and Kenagy, J. (2000). Will profuse innovations cure health care? Harvard argumentation Review, p. 1-10. Retrieved from EBSCO database Genard F. Anderson, Peter S. Hussy, Bianca K. Frogner and Hugh R. water (2005). Health spending in the United States and the rest of the industrialized world Health Affairs, 24. No 4 (2005) 903-914 doi 10. 377/hlthaff. 24. 4. 903 Henry, M. S. (2006). Uncertainty, responsibility, and the evolution of the physician/patient relationship. Journal of medical exam Ethic s, 32(6) 321-323 doi 10. 1136/jme 2005. 013 987 Morone, J. A. (2010) Presidents and health reform From Franklin D. Roosevelt to Barack Obama. Health Affairs, 29(6), 1096-1100. Retrieved from the proQuest database. Starfield, B. (2010). Reinventing primary care Lessons from Canada for the United States. Health Affairs, 29(5), 1030-1036, Retrieved from the proQuest database.Sultz, H. and Young, K. (2011). Health care USA grounds its organization and delivery (7th ed. ). Sudbury, MA Jones & Bartlett. . The Complexities of the Health Care System and its Future With all that is before us as a society of human beings, health care is far reaching and of the highest attribute next to our existence. Without proper health care life becomes a hollow existence. We push through each day with painful thoughts about life, or what we think we know about it. While we focus on negative feelings of weakness and doom, wishing for better days.Always hoping for a peace that we know will never come in th is life without our health. Health care is something everyone is not privilege to have. Billions of people around the world are suffering everyday from lack of proper health care. Unfortunately many have no idea what it is to be healthy, or what it feels like to feel good. They have no idea they are sick, all they know is that they exist. To be numb is what they know, how unfortunate. Here in America, most people know what it is to have a feeling of health, to feel good, mentally, physically and to some extent spiritually.With the existing health care system many are feeling the pains of being sick, no longer able to exist with that feel good spirit. Suffering is becoming the norm, filled with depression more often than not because of their failing health. Not being able to afford adequate health care, which is now far out of their reach, mainly because they can not afford it. They no longer have the health coverage they once had, now having to rely on aide and assistance that is no t guaranteed. Their existence is now in the hands of the politicians, government agencies and advocates who now speak for them.We are slowly losing because of the quality of health care that has become a commodity for those who can afford it. Unfortunately everyone is not always entitled to life saving health care with the current system of health care. Can that person who is mentally ill walking the street get adequate health care? What about the homeless person without a place to lay their head at night. Where has quality health care gone, or did we ever really have it? Is there any hope for our future health care system?Although the hospital is of the most appreciated and unfortunately the most maligned and least understood institution in the U. S. society, with great regret, the present complexities of the United States health care system will unfortunately and inevitably affect the quality of future health care While the hospital and health care system is one that is very much needed, the maligned and misunderstanding interferes with its nobility. How is it that we live in the 21 century, and have major misunderstanding which we are experiencing within our health care system here in the United State?With all the stakeholders within the U. S. health care industry, it is no wonder we are now facing the complex dilemma in our current health care system. Due to the benchmark developments in U. S. health care, we are now at a standstill with problematic issues. The major influences with the advances and other changes are factors causing the complexities we are facing. With the legislative, political, economical, as well as organizational and professional influences, the once noble stature of the health care industry is now compromised greatly.Unfortunately the ill effects of medical education, technological advances, with rising cost along with changing population demographics, the American values are now being affected. Our major health care institutions med ical schools, groups of specialist physicians, general hospitals, and research organizations have together overshot the level of patients care actually needed or used by the vast majority of patients (Christensen, Bohmer, and Kenagy 2000). Our nation spends over 17% of its gross domestic product (GDP) on health care, but does not have the quality of other compared nations no where near that number.Looking back at the history of health care, the puzzling affects of the present out come is all but shocking to most Americans (Sultz, and Young, 2011). Being a $2. 5 trillion dollar industry, medical care is becoming unreachable for many Americans. What has caused this industry to skyrocket is more so due much to independent medical practices and partnership with provider organization, public and nonprofit institutions such as hospitals, nursing homes and other specialized care facilities along with major private corporations.Dating back to the early American hospitals, they served a dif ferent purpose from those of todays hospitals. Sheltering older adults, the dying, orphans, and vagrants, there purpose was to protect the inhabitants of its community from the contagiously sick and the dangerously insane. It seems there has always been a strained relationship between patients and the hospital, and hospital personnel. The need for information, comfort, and human contact is and has been a common complaint which is rooted in the overall history of medical care.With so much with its history, health care grew from a basket of issues which has now blossomed into what we see today as complex, from doctors and patients, to a personnel of nurses, aides, technicians, and the therapists, along with other hospital staff. With all this complexity and chaos, the once noble attributes of the health care profession has lost most of its qualities to misunderstandings and purpose. Malpractice is not an unknown word to the American public, and it is fundamentally correlated to a fail ure on the part of the physician. Malpractice is just one element that indicates patient mistrust in physician disclosure.Patients have turned to other sources and taken more responsibility upon themselves because of evidence or fear that their physician is giving them incomplete information, resulting in an increased number of second opinions being sought and increased referencing of secondary sources. Patient responsibility has increased because of physician failure to disclose the inherent misunderstanding of uncertainty on the part of the patient (Henry, 2006) While quality health care is of great importance to our society, the problems within the health care system, unfortunately supersedes the quality for patient care.Is the problem within the health care system which is something that can be resolved, or will it being unsolvable for any administration to fix. Quality health care has been interrupted for reasons that baffle most Americans. Not being able to understand the any reason we as a country can not work this major issue with health care to some balance. Since the government stepped into health care, the door has been left open for many other mandates to enter. In spite of the history of the hospital, the need for quality care has been paramount, dating as far back as the early 19th century.Hospitals were noted for being disgraceful, dirty, unventilated, and the lack of medical care was a real issue for quality health care, these issues were not publicly known. The quality at this time was very bad, which lead to the need for some type of health care reform, with hope to bring about a better quality of health care. Families that could obtain home medical or nursing care shunned hospitals, with this quality health care came about mostly through religious order. With its deplorable conditions, hospital care in early America was more of charity and public responsibility.With all the negative attributes surrounding the hospital environment, physicians saw the need to separate patients accordingly. This was the time the hospital was given its name. As rewarding as it may have seemed, the physicians had their own motives for why they did what they did. The now transformed hospital from the simple, charitable institutions to the complex, technical organizations was sparked by a parallel growth of private hospital insurance. Many of the sources that shaped the hospital industry varied from health insurance to the beginning of Medicare and Medicaid, take the legislative contribution to its fiscal well-being.With the increase of hospitals there also came the business of health care. The quality of health car came into question. With the hospital now becoming big business, all areas of its administration came into scrutiny. These problems began to supersede the quality of patient care. In deed without proper health care, our society would suffer a greater loss than it has. Proper health care is necessary for any society to thrive. Hav ing the legal, ethical and regulatory aspects are important for its well being.The necessary financial systems and the impact on access to service are also required to bring about the quality as delivery. Many people may ask what proper health care is. Is there such a thing, and who would be entitle to proper health care that is a question that has yet to be answered and still debated over, causing much unrest and chaos. Being the many viewpoints about health care brings about the subjectivity of its true purpose. With the evolution and development of the present complex health care system, its development has come from sources due to an evolution of vary complicated issues.The current health care system along with poor management, has added to its history of strained development. With so much to say about the history of the now complex health care system, libraries could be built to hold its books. The early years of health care was challenged with mind sets as well s the stigma of those who needed medical attention. With the understanding of the characteristics and organization, along with the major private and governmental insurance initiatives, is an important factor which generally contributed to the centrality of hospitals within the health care system.Being there are diverse functions in the hospital, its staff and mostly management, add not only to the strain but the complexity with health care. The importance of patient care is being compromise with quality due to the battle within the system. The relationship between staff and patents suffers greatly with the pressures that are mandate by management. With all this being said, patients have a responsibility as well to the outcome of their treatment and patient care. The patient rights are known to have been violated from the early history of patient care.As the evolution and development of the health care system grew form its noble purpose, the conglomeration of the many stakeholders has contributed to lost trust with all aspects of this complex system in health care. When one speaks about the quality of care in hospitals, major debates often develop based on its interpretation of what quality is, and how it should be delivered. Health care has turned into a business platform that has much concern as to its promised future of adequate patient care. The question arises can quality care be given within health care reform.Much is said to the fact that just because one has insurance does not equate to health care access. Access to a waiting list is not health care. When patients are denied access to a doctor or practitioner then it becomes incomplete health care. With the comparison to other countries health care system, come the question, why those of us who live in a wealthy country, suffers from inadequate health care. This also is a major focus point that is being argued. Some of the argument surrounds the issues of primary care and what does it Intel along with who should prov ide primary care versus specialty care.Of course it has been stated that Americans will never accept a system like they have in Canada or the U. K. Unfortunately patients become the victims of competition. Hospitals do not have patients doctors have patients, referring them to the hospital of their choosing. Many of the complex issues have evolved form mismanagement of what health care, patient care, and the adequate structuring of the hospital is meant to be. Over the years of its development much has been misinterpreted as to the healthy organization of its purpose.The quality of care now provided in hospitals is so much in question that the many patients fear they will not receive the care they need. More so they are no longer view as human beings with needs, but number and dollars. These are only some of the many reasons why there is a need for health care reform which would enforce and influence hospital economics, service patterns and provider relationships. According to an ar ticle written by James Morone, The health care reforms that President Barack Obama signed into law in March 2010 had been in the making seventy-five years since Franklin D.Roosevelt. U. S . presidents has struggled to enact national health care reform unfortunately most failed. The article explored the highly charged political landscape in which Obama maneuvered and the skills he brought to bear. It contrasts his accomplishments with the experiences of his oval office predecessors. Going forward, implementation poses formidable challenges for democrats, republicans, and the political process itself (Morone 2010 1). Adding to the development and mismanagement is a process swarming with special interest that has been noted to be powered by big money.Being that the anxiety is so overwhelming with the formatting of adequate health care no management of reform can be administered without a deep investment. Being noted that president Obama demonstrated a care for health care reform that f ar exceeds his cool demeanor suggests. President Franklin D. Roosevelt knew e would not be able to get national health care insurance through congress unless he took the idea to the people first. He flirted with making health care his nest great political crusade as World War II came to an end. A plan was being prepared by his advisers, but unfortunately he died before the end of the war.The health reform effort fell into the hands of President Harry Truman, and every subsequent president. Only until the recent victory of President Obama in the health care reform did one president succeed in their efforts to accomplish some aspect of health care. President Lyndon Johnson managed to enact major new health care programs, in the form of Medicare and Medicaid (Morone 2010. 2). The now health care reform enacted by President Obama is viewed by many, mostly democrats as a historic achievement. In spite of the victory that is said to be in order, many still argue the factors involved.The c omparisons of other countries are still being used to compare factors with the focus on health care systems. With physicians believing they are the ones to judge the quality of hospital medical care adds to the issues involving health care management. Among so many other components that foster the ever evolving cycle of health care management brings about major concerns. With mismanaged health care, future health care will surely suffer the cost. S often we look to solutions to fix major problems within our society, and yet we continue to add more hard to understand perplexing uncertainties than we started with.Within the health care system which dates back to the beginning of what seemed to be simple compliances to health care issues, are now multiplex issues. These issues have grabbed the attention of not only the government sector, but political entities that now govern the health care industries with long term care being the main agenda. With health care, and many factors influe ncing the increasing demand for long term care service in the changing demographics, along with technology, major changes are being anticipated.Unfortunately it has come to a point where the increased scrutiny within the federal and state government sectors of the finance involving issues are before congress. The major mismanagement in health care, are real and troubling concerns to most Americans, especially those who are being affected by new polices and mandates. long care historically began as an in home environment with almshouses and sanitariums. After the great depression and post WWI, citizens decided to run small nursing homes in order to pay mortgages and find an income source.Not until the 1950s when government grants spurned development of the nursing home sector, did the boom in the industry occurred. The next large impact in long term care would come in the 1960s with the advent of Medicare and Medicaid reimbursements (Sultz and Young, 2011). Long term care is rally a term that defines a wide array of services, within, but not limited to skilled nursing facilities, nursing homes, continual care, assisted living, home health hospice, respite care, and others are termed long term care.This allows the industry to respond to the individuals needs of the person requiring the services and match their level of independence or dependence with an environment most suitable conducive to their potential (Sultz and Young 2011). With the future goal of long term care being to reduce waste and become more efficient in order to provide quality care and incentives for operational responsibility, and customer service, there must be available the push to move the market forward.There are still many barriers that we face before this end is met, before we can compare and contrast the past history of long term health care, which of course will be a challenge that hopefully will take us into a future health care system that will provide all the necessary amenities tha t will produce the ideal health care system desired. Knowing that is far from coming, all we can do is promote the best possible manage care without the barriers that have existed. With retrospect to the similarities of Canada and the United States, the two countries had similar health care systems.However, since passage of the Canada Health Act in the 1970s, that nations health statistics have become increasingly superior. Canadas health care system costs are higher by international standards, hey are much lower than U. S. cost. The factors most likely to be responsible for Canadas better health care at a lower cost would be universal financial coverage through a so called single payer features conducive to a strong primary infrastructure, and provincial autonomy under general principles set by national law (Starfield 2010).Although old enough to have become stable, Canadas health reform efforts are relatively recent. This being in contrast to the historical foots of health systems in many western industrialized countries. The provincially based Canadian health care system, limited private insurance, public insurance plans, practices and health centers, cost, care seeking, availability of technology, and use of service. These areas are among the more prominent features that bring Canadas health system to the front.With Canadas experiences it shows how these critical features of the health system can be achieved in the context of a federal structure with decentralized administrative control. Although Canada has achieved better, or what appears to be a better health level than the United States, which it has for many decades, the gap has widened overtime, following the development of the different provincial plans that culminated in national legislation in the early 1970s (Starfield, 2010).What this is leading to is if, the health care system continues to demonstrate gross mismanagement, and if the political dominance that is now existing, with the unsuccessful organizational structure it has, the inevitable outcome is more than likely to happen. The quality of future health care will suffer greatly. With so much at sake with our system of health care, the future quality of health care will be jeopardized without recourse. If reform is not properly implemented given all the information that has been provided, needed a stable health care system is only a wish.Many questions are still unanswered as to the reform necessary to provide quality patient health for the future. According to the article Health spending in the United States and the rest of the industrialized world, a cycle of unsustainable spending growth followed by fervent cost containment initiatives has been a regular feature of the health care landscape for the past half-century (Anderson, Hussey, Froger and waters, 2005). In conclusion, with health care being one of the major concerns world-wide, Americans must focus on what is best for all oppositions before us.With political as well as governmental mismanagement and the fact that so many Americans are unemployed without adequate health care insurance or health care, it poses a real threat to future stability for a stable economy as far as health care is concern. With the large amount of misunderstanding concerning the current health care system with its maligned characteristics, the future quality of health care for patients will ultimately be left to chance. Dependence on sound management for patient care is of utmost importance for a solid health care system to exist.The nobility of the once thought to be health care system, has now been affected by an aggressive political agenda which is one of the many factors involving the current failed, and complex health care system. With interference from so many stakeholders, the quality of health care is failing in major areas that is damaging to our society as a whole. Quality health care is of great importance to the existed of a well balanced society. Wit h the openly and hidden agenda superseding quality health care, America is falling behind in a race for adequate health care for its population.As stated before, without the necessary health care, our future society will fail to exist as it does today. The source that contributes to the evolution of a very complex system poses an unfortunate future for all of us in America, without some major resolutions to its complexities. The strain that has existed thus far can not continue to exist. I believe that we can resolve most of our health care issues if we leave out much of the political agenda that has driven the chaos that we are now experiencing with health care.After complete examination and comparison with the quality of other industrialized nations, much could be accomplished her in the U. S. This would assure all citizens quality health care and possible a peace of mind. With political dominance no longer a major factor guiding the health care reform or its organizational struct ure a future health care system has a greater chance of existing. Minimizing the risk so that the future system will not be jeopardized as it has been. A stable health care system can be developed with less problematic issues. Patient care can be of a higher quality, access can be attainable, and delivery possible.The respect of a noble health care system will truly exist one day. References Christensen, C. M. , Bohmer, R. , and Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, p. 1-10. Retrieved from EBSCO database Genard F. Anderson, Peter S. Hussy, Bianca K. Frogner and Hugh R. Waters (2005). Health spending in the United States and the rest of the industrialized world Health Affairs, 24. No 4 (2005) 903-914 doi 10. 1377/hlthaff. 24. 4. 903 Henry, M. S. (2006). Uncertainty, responsibility, and the evolution of the physician/patient relationship.Journal of Medical Ethics, 32(6) 321-323 doi 10. 1136/jme 2005. 013 987 Morone, J. A. (2010) Pres idents and health reform From Franklin D. Roosevelt to Barack Obama. Health Affairs, 29(6), 1096-1100. Retrieved from the proQuest database. Starfield, B. (2010). Reinventing primary care Lessons from Canada for the United States. Health Affairs, 29(5), 1030-1036, Retrieved from the proQuest database. Sultz, H. and Young, K. (2011). Health care USA Understanding its organization and delivery (7th ed. ). Sudbury, MA Jones & Bartlett. .