Government’s responsibility to protect and advance the interests of society includes the delivery of high-quality health care. Perhaps this is why Hakeem Yesufu asserted, "I am an ardent free-market capitalist who realizes capitalism has no place in healthcare provision." During this period, necessary strategies were put in place and all the local government areas of each state was actively involved with the Federal State and voluntary agencies supplying equipment, funds, manpower  and material resources needed for effective implementation of P.H.C programmes. The views expressed in this article are those of the authors and do not necessarily reflect the official positions of the Agency for Healthcare Research and Quality nor the Department of Health and Human Services. Professional development requirements Healthcare systems have three competing objectives: 1) Wider access 2) Lower Cost 3) Higher Quality. A tacit assumption made by posters who talk about the inevitability of continued private insurance for those who can afford it is that the life or health of a wealthy person is more valuable (sacred?) Doctors must abandon their illusions and un-circle their wagons. No, but who would do a better job? Some of us were interested primarily in the issue of cost escalation and how to contain it. 2) What are the published statistics/scenarios for when diagnostic equipment, the "next test", should be used? as well as clearly defined lines of responsibilities amongst the three tiers of government plus donor agencies interested in PHC Services. I'm always amazed that business sites and business people have little faith in the free market. We have to get people to take more responsibility themselves and over time make them healthier (not just physically) and thereby become less sick. But a number of respondents raised the question of whether the most feasible solution may lie primarily in the free market, with perhaps some help from government. Background: Discussions surrounding the role of government have been and continue to be a favorite American pastime. The U.S. is the best in world at these methodologies and it's time we "walk the talk.". 0000002974 00000 n Health education is also considered very important. but can you focus more in # 2,and 8 about conversation and using italics when you think something. 0000003313 00000 n Government's role in healthcare is simply to have as little role in healthcare as possible. More people living much longer should be a bigger concern than insurance company marketing cost. If you want a higher level, and have the means, the marketplace provides options. A few questions: 1) What is the health cost curve during the last 0.5, 1, 2, 5, 10 ... first 0.5, 1, 2, 5,10... years of life? The ultimate goal of achieving high quality of care will require strong partnerships among federal, state, and local governments and the private sector. Do we really want this additional cost? To provide universal insurance, could the government provide vouchers (along with consumer-oriented education) to all uninsured to be used at their discretion for their own care? Healthcare will grab ever more headlines in the U.S. in the coming months, says Jim Heskett. Pulling Together to Keep Canadians Healthy We Canadians are proud of our health care system. 0000004374 00000 n Governments play a role in establishing the vision for health care and measuring performance. Currently, the role of the state government as provider of P.H.C services is limited. I have been a healthcare worker and administrator for over 15 years and agree that the system has some serious issues. In the light of the above, the researcher is motivated to undertake a study on the role of local government in primary health care services in Ibiono Ibom local government area, Akwa Ibom state, document.write(' © ' ); This is the way government runs healthcare. Since the shift of P.H.C role to the local government councils the level of funding for Health is obviously un satisfactory in some councils within the state. Certification requirements and credentials for the job and profession 0000004869 00000 n If an individual is layed off from work, what are their options for health care coverage and why? The conference was organized under the auspices of the world Health Organization (WHO) and the United Nations Children fund (UNICEF) with the aim that PHC shall provide general health services of preventive, promotive, curative and rehabilitative nature to the population – as the entre point of the health care system. Since we have a culture that is so dependent on the government for support and assistance, if services were reduced due to no funds, how do you think that would effect our society? Also, the irregular accessibility to many communities in Ibiono Ibom local government area due to natural topographical conditions like excessive flooding during rainy seasons, hilly and mountainous terrain of the landscape as well as strange trado-cultural beliefs have impeded smooth implementation of PHC programmes in some hard-to- reach communities. Discussions surrounding the role of government have been and continue to be a favorite American pastime. After all, that's how the U.S. got to be the wealthiest country in the history of the world. If you find this is the case, please ex, Please help discuss the following with regard to nursing faculty roles: It can play this role by establishing and upholding national standards for care, creating national programs to meet the needs of its nation and providing adequate funding to providers and programs who develop, watch over and deliver health care. This is borne on the fact that the operation of PHC services in Akwa Ibom State and Ibiono Ibom local government in particular has not been very successful as planned due to mode of service organization, availability of drugs, attitude of staff to patients / clients, traditional beliefs / taboos, terrain and topography of the Local Government Area, paucity of health staff and facilities as well as socio-political challenges. The Ultimate Socialized Medicine For America: The fundamental problem is that this is the reality we have to face, in which the capitalism idea is prevalent, which also dominates the whole healthcare system, in the US in particular. Can health care policy shape the way in which social institutions are viewed by an individual or population group? 0000004814 00000 n 7) What of a national health court? Local governments have the ability to make decisions about whether to tax items such as food, clothing, alcohol, and cigarettes. What can the U.S. learn from other countries in the delivery of high-quality healthcare? Life expectancy will become the most critical factor when calculating the future cost of health insurance. 0000004318 00000 n Any service that is on track to consume 40 percent of the gross national product of the world's largest economy by the year 2050 will be hard to ignore. A national health plan is not a panacea. The war between medicine-as-a-guild and medicine-as-a-service desensitizes doctors to the sins of cost-shifting, mindless waste, defensive practices, corruption and malpractice in both its forms: bad medicine and painful litigation. 0000003257 00000 n But Tery Tennant asks what is perhaps the ultimate philosophical question: "… when did an individual's medical needs become an inalienable right that the government has to insure?". Lastly, governments can play a role in supporting health care research. Life insurance benefits, of course, should be paid. I would recommend the actions advocated by your own Michael Porter in his (and Elizabeth Teisberg's) book entitled "Redefining Health Care." The main thrust of that book is competition at the provider level with the government and health plans assisting. This is based on the fact that the level of sophistication at PHC level depends on the socio – economic development of the people. 467 0 obj << /Linearized 1 /O 471 /H [ 1578 1102 ] /L 590066 /E 28152 /N 36 /T 580607 >> endobj xref 467 42 0000000016 00000 n With the impending demographic time-bomb of a rapidly ageing population, there is a pressing need to rethink the way the nation's health care is managed, and how it can best respond to new challenges. I am an ardent free-market capitalist who realises capitalism has no place in healthcare provision. 0000005404 00000 n A framework is provided for understanding the 10 roles that government plays in improving health care quality and safety in the United States. Paul Jackson suggests that "The only thing the government should be involved with is controlling the drug, insurance, and medical industry advertising spending which would bring down costs." Governmental agencies, like the National Institute of Health, greatly influence the development of health care policy. You can't legislate reality. This month's exchange of ideas regarding U.S. healthcare reform ranged far and wide. It can play this role by establishing and upholding national standards for care, creating national programs to meet the needs of its nation and providing adequate funding to providers and programs who develop, watch over and deliver health care. Suggestions of causes of the current challenge of rapidly rising costs in relation to quality of outcomes, at least by the imperfect measure of life expectancy, included waste in the system (Julie Maire, Edward Hare, and Jack Flanagan) as well as fraud (Kate McClelland), risk avoidance on the part of physicians, a litigious society, and inadequate protection from it for physicians (Rowland Freeman), "defensive" medicine leading to unnecessary tests and treatments, an insurance system that is costly and inadequate for those who really need it (Amar Sahay and David Albert Newman), the high cost of new technology, artificial restrictions on the supply of drugs (Sergey Mirkiin) and healthcare providers (David Stahl and Michael Robbins), the size and complexity of the problem itself (James Sullivan), government involvement (Paul Jackson), and uninformed or unnecessarily needy consumers (Hakan Hillerstrom). What about 3rd party accounting services that tend to specialize in medical practices? The commission – which brings together representatives from Kent county council, Dover district council, local GPs and other healthcare professionals to produce a series of recommendations for future best practice – is attempting to illustrate how early intervention can produce a more responsive system better tailored to patient need which, in these tough economic times, also ensures best value for public money. 0000004550 00000 n It is both depressing and sobering to have one's bias confirmed--but alas sometimes that's the way it is: from what I read of the comments so far, too many Americans still believe they have the best of the best of the best and cannot see the reality of a system of healthcare that destroys lives, creates "third world"-levels of health care for vast numbers of its citizens--and still manages to cost more per capita than any other nations. 0000005295 00000 n If not expressed in dollars, access to them will be expressed in time or access.