Cost, Quality, and Access in the U.S. Healthcare Delivery System

Posted by Melda Research on May 8th, 2019

Assignment 1

The primary pillars of health care system are cost, access, and quality. The health care system is crucial in assisting individuals to improve or maintain good health. However, the high costs of healthcare provision are a significant hindrance for many Americans who lack access to what is otherwise a superior system. In 2008, it was estimated that 47 million Americans under the age of 65 could not access healthcare since they did not have any form of healthcare insurance (Kelly, 2011). Recent research shows that 90 percent of the population has regular health insurance cover, with 90 percent of rural population and almost everyone in urban centers able to access primary healthcare services (Mosadeghrad, 2014). Citizens in other nations such as Canada, France, Germany and the United Kingdom have been provided with universal health care programs. When compared to the US, these nations have better health care outcomes for issues such as immunization rates, infant mortality and life expectancy as compared to the US, despite spending a less per capita than America.

The influence of health insurance concerning decisions regarding cost, quality, and access to health care for Americans is illustrated by the two case studies. In the first case study, Raymond, a 54-year-old man does not have access to health insurance and cannot pay for medical care services and gas, yet he has been diagnosed with hypertension. In the second case study, Emmanuel, a 55-year-old has an insurance cover. In the first case study, Raymond cannot go to the hospital because of lack of money to pay for the medical services despite his health condition. Therefore, Raymond has no hope of receiving treatment and restoring his health. Also, Raymond could not access health prevention programs despite having a family history including heart disease and pulmonary embolisms. On the other hand, Emmanuel who has health care insurance has been able to have medical and dental examinations annually. Due to his family history of Type 2 diabetes, these examinations have assisted in detecting early the high sugar levels in his blood, after which he was referred to an n endocrinologist and a registered dietitian who recommended physical activity. In the case of Raymond, his condition will most likely deteriorate and may result to death; while the condition of Emmanuel will probably improve due to quality care.

The presence of health insurance was seen to play a critical role in health promotion, early detection, illness prevention and health restoration of a person. The lack of health insurance limits a person from all the above due to the cost. Americans without health insurance cover lack consistent quality care from a health care provider, and their condition will most likely deteriorate. As illustrated by these case studies, there would be increased access to healthcare system if the government mandated that all citizens are entitled to some form of insurance, thereby minimizing the cost of care for the patient at the time of service. Although, this would lead to increased costs to the society as the uninsured who could not purchase care would now use healthcare services more often through filling the previous unmet healthcare needs.

Assignment 2

A similar example as the one presented in a 2013 article in Kaiser Health News, Gallup Indian Medical Center in New Mexico is the one presented on Modern healthcare in which KentuckyOne wants to sell its Louisville hospitals to stop losses (Barkholz, 2017). Over the past few years, the hospital has faced steep competition from other healthcare providers such as Baptist Healthcare and the University of Louisville Hospital. Significant issues that have also led to the losses are increased labor costs such as contract labor costs, and overtime and premium pay. The increased labor costs lead to reduced staff employed by the hospital consequently reducing the quality and access of healthcare services. The reduced access and quality of health care in Kentucky may result in decreased health of the community.


Barkholz, D. (2017). KentuckyOne to sell its Louisville hospitals to stop losses. Modern Healthcare. 

Kelly, P. (2011). Nursing leadership & management. Cengage learning.

Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77. 

Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in Top Cheap Essay Writing Services. If you need a similar paper you can place your order from cheap reliable essay writing service services.

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Melda Research
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