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Title: Why the US needs Universal Healthcare?
General Purpose: The purpose of this speech is to persuade audience regarding the importance and significance of adopting universal health care in USA.
Specific Purpose:
Central Idea: Almost half of the US population does not have access to basic health services. Thousands of people in the US cannot afford the cost of treatment.
Introduction
There are significant health disparities between poor and rich individuals. In other words, the most vulnerable people with the highest health needs have poor access to health care.
Universal health coverage refers to a situation in which all individuals and communities benefit from the health services they need without facing financial difficulties. (UNO)
The American health care system is a liberal caricature: it costs patients dearly, heals poorly, fattens doctors and insurance companies, and leaves tens of millions of people behind. And yet, the least that can be said is that there is no consensus in the American population to switch to a "European-style" public system, despite the efforts of director Michael Moore and the economist Paul Krugman (Lasser, Himmelstein & Woolhandler, 2016).
The difficult reform of the American health system, by William Kenney
In a polemical interview in 2007, director Michael Moore, in a fit of anger, accused CNN journalist Dr. Sanjay Gupta of being too close to the pharmaceutical industry. (Katz & Hofer, 2014).
Health insurance, like many social programs in the United States, owes its origins to the Roosevelt administration. Ironically, employee-based health insurance was generally an invention of employers. (Van de Ven & Schut, 2008).
With the Social Security Act of 1966, two programs were invented to provide medical insurance to people who could not afford it: the Medicaid Program for the Poor, and the Medicare for Seniors Program, which today help cover basic care. (Adler, Boyce, Chesney, Folkman & Syme, 2003).
The most famous example of the defamation campaign against universal medical safety was the infamous advertising of Harry and Louise, in which a man Harry and his wife Louise talk about their fear of being forced to accept a plan that is worse than they already have.
Body
Why discrimination in health care?
Stigma and discrimination in health care can take various forms, including denial of medical care, unfair barriers to receiving services, inadequate quality and disrespect for the patient. People living with HIV also face a rude and inappropriate attitude, a violation of bodily autonomy, compulsory testing or treatment, as well as compulsory retention in specialized institutions. (Lu & Hsiao, 2003).
Discrimination contradicts global commitments to achieve universal health coverage and the Sustainable Development Goals.
It threatens the investments of the health care system, keeps people from seeking and using health care services, breeds disunity and disbelief in their own strength and deprives people of elementary self-esteem.
The defense of the private system: freedom of choice, access to care and innovation
Consumers of care services will not have the choice of the medical provider. This will cause some people to have less quality care than they could have with a private provider
Strong private companies are needed to support the innovation required to create new drugs.
Finally, if the government takes over the insurance.
How to deal with the issue of universal health care issue?
Strengthening primary care; The primary link is those medical facilities where people go first when there are health problems, a kind of “entry point” to the entire health care system.
Overcoming staff shortages: At the same time, one more important task is being solved: replenishment of the traditional shortage of doctors for a long time with deficient specialties, such as oncology, psychiatry, anesthesiology-resuscitation, roentgenology, etc.
High tech and best practices: A separate item is the increase in the availability of high-tech medical care (VMP). To this end, the Ministry of Health has created a special model, within which various methods of the VMP are gradually being transferred to the compulsory health insurance system. (Yates,2009).
Conclusion
The US health system is still one of the best in the world - but not the easiest to understand. Not only for people who have just come to US or have not lived here for a long time, it is often hard to see how it works and how to get along in it. Even the question of whether and how to insure yourself with health insurance is difficult to answer. Who can you contact if you or a family member is sick? Do you go first to a doctor or directly to the hospital? And if to the doctor, which one? Why is health care so important, and why should you sometimes go to the doctor even when you are not sick at all? Which precautionary and screening tests are useful and should be taken care of? On which support services of long-term care insurance do I have a claim?
Bibliography
Adler, N. E., Boyce, W. T., Chesney, M. A., Folkman, S., & Syme, S. L. (2003). Socioeconomic
inequalities in health: no easy solution. Jama, 269(24), 3140-3145.
Katz, S. J., & Hofer, T. P. (2014). Socioeconomic disparities in preventive care persist despite
universal coverage: breast and cervical cancer screening in Ontario and the United States. Jama, 272(7), 530-534.
Lasser, K. E., Himmelstein, D. U., & Woolhandler, S. (2016). Access to care, health status, and
health disparities in the United States and Canada: results of a cross-national population-based survey. American journal of public health, 96(7), 1300-1307.
Lu, J. F. R., & Hsiao, W. C. (2003). Does universal health insurance make health care
unaffordable? Lessons from Taiwan. Health affairs, 22(3), 77-88.
Van de Ven, W. P., & Schut, F. T. (2008). Universal mandatory health insurance in the
Netherlands: a model for the United States? Health Affairs, 27(3), 771-781.
Yates, R. (2009). Universal health care and the removal of user fees. The Lancet, 373(9680),
2078-2081.
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