| The American Health Care system prides
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| | problems
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| itself on providing high quality services
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| | -- such as lead poisoning and
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| to
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| | drug-resistant tuberculosis -- are
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| citizens who normally cannot afford
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| | handled
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| them. It's been in place for years and
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| | inefficiently or not at all.Perception
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| until now
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| | of family physicians is another leading
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| has done a fairly decent job. The
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| | problem in health care. Under our
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| problem today is money; the cost of
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| | current system, specialists can take any
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| hospital
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| | patient they want without a referral
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| services and physician fees are rising
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| | (assuming insurance/payment is
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| faster than ever before. Government has
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| | guaranteed), further, that specialist can
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| been
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| | provide a
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| trying to come up with a new plan even
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| | patient with primary care in addition to
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| though strong opposition against the idea
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| | their own specialty.The reduction in the
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|
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| | number of primary care physicians has
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| of a new Health Care system exists.There
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| | resulted in specialists
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| are arguments to be made for both sides
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| | taking on some of the workload left
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| of the aisle, but money seems to be
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| | behind. But the question remains, are
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| the common concern. Both sides want to
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| | they truly
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| save money, but in different ways. The
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| | the best qualified to provide primary
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| movement for change believes that there
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| | level care? One could argue that since a
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| is a need because the system was not
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| | cardiologist has had some training as an
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| designed to face the problems it does
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| | internist before their fellowship, that
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| today. Every month, 2 million Americans
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| | they
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| lose
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| | are qualified as general practitioners.
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| their insurance. One out of four or 63
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| | Conversely, a physician trained
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| million Americans, will lose their health
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| | specifically in
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| | primary care cannot legally, ethically,
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| insurance coverage for some period
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| | or morally provide cardiology based
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| during the next two years. 37 million
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| | services.
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| Americans
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| | But is the cardiologist really suited to
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| have no insurance and another 22 million
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| | handling a patient's primary care
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| have inadequate coverage.Losing or
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| | needs?The more a specialist sees patients
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| changing a job often means losing
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| | for primary care purposes (and they do,
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| insurance. Becoming ill or living with a
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| | because
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| chronic medical condition can mean
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| | economically, it adds to their practice)
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| losing insurance coverage or not being
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| | the less time they have to pursue
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| able to
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| | knowledge
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| obtain it. Long-term care coverage is
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| | and research in their respective field.
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| inadequate. Many elderly and disabled
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| | In the United States, the whole idea of
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| Americans enter nursing homes and other
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| | having
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| institutions when they would prefer to
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| | specialists is having "the best and
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| remain at home. Families exhaust their
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| | brightest in their field."If a new crop
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| savings trying to provide for disabled
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| | of primary care physicians could be
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| relatives. Many Americans in inner
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| | cultivated, they could focus more
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| cities and rural areas do not have access
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| | on community health and expand practices
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| to
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| | (in general, not just a few) to house
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| quality care, due to either poor
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| | calls, free clinics, and off-hours
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| distribution of physicians, nurses,
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| | clinics. In this way health care could be
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| hospitals, clinics
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| | made more
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| and/or support services. Public health
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| | accessible and affordable to those who
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| services are not well integrated and
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| | typically need it most: the low-income,
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| coordinated with the personal care
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| | elderly, uninsured or underinsured.
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| delivery system. Many serious health
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