Health care in the United States

aspect of American society

Health care in the United States is provided by many distinct organizations, made up of insurance companies, healthcare providers, hospital systems, and independent providers. In 2016, 58% of community hospitals in the United States were non-profit, 21% government-owned, and 21% for-profit. According to the World Health Organization (WHO), in 2018 Total health expenditure per capita in 2018 PPP international U.S. dollars were: United States $10,624, Canada $5,200, Australia $5,005, United Kingdom $4,620, Spain $3,576, Cuba $2,519, Russia $1,488, and China $935. The United States does not have a universal healthcare program, unlike most other developed countries.

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Physicians’ and pharmacists’ first and foremost ethical obligation in situations of epidemic, disaster or terrorism is to provide urgent medical care and ensure availability and appropriate use of necessary medications. ~ American Medical Association
 
Homer Simpson: America's health care system is second only to JapanCanada, Sweden, Great Britain … well, all of Europe. ~ Gary Apple and Michael Carrington
 
Addressing the depth of the crises that have been revealed in this pandemic means enacting universal health care... The frontlines of this pandemic will be the poor and dispossessed - those who do not have access to healthcare [...] - and those who are continuing to work in this crisis, meeting our health care and other needs. ~ William Barber II and Liz Theoharis
 
The U.S.'s privatized for-profit health care system had long been an international scandal, with twice the per capita expenses of other developed societies and some of the worst outcomes. ~ Noam Chomsky
 
The crisis of public healthcare systems has long been a widespread demand in several countries, particularly in the U.S.... Even before this crisis, healthcare was among the main concerns of the U.S. population because of the debt it generates for families and because 27.5 million people do not have any kind of coverage. Bernie Sanders has been attacked, not only by Trump but also by the Democrats and Biden, because he calls for Medicare for All. ~ Trotskyist Fraction – Fourth International
  • I don't think I know enough to say, well, here's the plan. It's not my specialty.... But I don't think there's any way not to have that debate about how much we're going to spend on health care.... In finding our way forward, we've got to be able to find ways to deliver the quality care that everyone expects and that we're capable of providing to the maximum number of people.
  • The U.S.'s privatized for-profit health care system had long been an international scandal, with twice the per capita expenses of other developed societies and some of the worst outcomes. Neoliberal doctrine struck another blow, introducing business measures of efficiency: just-on-time service with no fat in the system. Any disruption and the system collapses. This is the world that Trump inherited, the target of his battering ram.
  • If Americans are to have the courage to change in a difficult time, we must first be secure in our most basic needs. Tonight I want to talk to you about the most critical thing we can do to build that security. This health care system of ours is badly broken, and it is time to fix it. Despite the dedication of literally millions of talented health care professionals, our health care is too uncertain and too expensive, too bureaucratic and too wasteful. It has too much fraud and too much greed.
  • Sarah Kliff spent the last year looking at over 1000 ER bills and has found outrageous facility fees, high costs for OTC drugs, and charges for simply sitting in the waiting room. Medicare for All would take these excess costs out of the equation...
  • Un pre-ACA days, a bout with a virus might not have been considered a preexisting condition. That's because many people tend to recover quickly from viruses.
    But in a blog post last week, researchers at the Rand Corp. suggested that COVID-19 could be seen differently by insurers. "Given the chronic problems [which can include organ damage, fatigue and confusion] associated with some COVID-19 cases, it is possible that some insurers would place restrictions on anyone who had a confirmed case of COVID-19," wrote Carter C. Price, Rand's senior mathematician, and Raffaele Vardavas, a mathematician at Rand who specializes in infectious disease models.
  • Twenty years ago, Kaiser surveyed health insurance underwriters and asked about a similar situation: a hypothetical applicant in perfect health except for "situational depression" following the death of a spouse. According to the survey, "in 60 applications for coverage, this applicant was denied a quarter of the time, and offered coverage with a surcharged premium and/or benefit exclusions 60% of the time."
    So both experts and consumers are concerned that invalidating the Affordable Care Act could mean that once again, individuals with preexisting conditions might not be covered — and such conditions could include COVID-19.
  • We are the richest country in the world. We spend more on health care than any other country. Yet we have the worst health care in the Western world. Come on. We can do better than this.
  • Sanders is still fighting the battle for single payer, Medicare-like coverage for all, even as fellow Democrats capitulated to the siren songs of the health and insurance industries. President Obama, himself a one-time advocate of single payer coverage, buckled to the insurance companies and its lobbyists and minions in Congress and agreed to health care legislation (the Affordable Care Act) that would continue to treat healing the sick as a profit center instead of a basic human right.
  • We're going to ask the wealthiest people and the largest corporations to start paying their fair share of taxes. We're going to take on the pharmaceutical industry and have Medicare negotiate prices. We're going to finally deal with child care and pre-K. Can you imagine in this country where you have free pre-K for every working family in America? We're going to have — end the disgrace of the United States being the only major country on Earth not to have paid family and medical leave. We're going to expand Medicare to cover dental, hearing aids and eyeglasses. We are going to got home health care... We're going to have — end the disgrace of the United States being the only major country on Earth not to have paid family and medical leave. We're going to expand Medicare to cover dental, hearing aids and eyeglasses. We are going to got home health care.
  • Let Mr. Barrasso go to the folks in Wyoming and ask them whether they think it's a good idea that they should be paying a third of their income in child care. Ask elderly people who don't have any teeth in their mouth whether they should be able to get dentures through Medicare. Ask the scientific community whether the time is now in a big way to deal with climate. Ask the ordinary American consumer whether we should take on the greed of the pharmaceutical industry, which charges us the highest prices in the world for prescription drugs.
  • Obamacare's going to be repealed and replaced. Obamacare is a disaster if you look at what's going on with premiums where they're up 45, 50, 55 percent... They [the uninsured] are going to be taken care of. I would make a deal with existing hospitals to take care of people.
  • For historical purposes remember, I was able to get rid of the INDIVIDUAL MANDATE, the most unpopular and expensive part of ObamaCare. You are no longer forced to pay a fortune for the “privilege” of NOT getting bad healthcare. This ended ObamaCare as we knew it. Thank you!

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