Elderly Care in America: A comparison with England's Healthcare System
Healthcare in America vs. Healthcare in England
Different countries have varying healthcare systems across the world and the systems are set to benefit the local population with the best possible care as would be dictated by the budgetary allocations and supported by the economy and the GDP of the particular nations. There are different sections of the healthcare system that try to cater for each section of the populations and this paper will specifically be concerned with the healthcare systems in the U.S.A. And in England, particularly directed at the elderly in the society. It will look at the healthcare system that prevails in the U.S.A. And the tenets that define it as well as the system that prevails in England, then the paper makes comparison of the two systems as well as highlight the differences that there are between these two systems.
Healthcare in America
The healthcare system in America has undergone several changes to become what it is currently. It has increasingly become important to the elderly people and those under the last days care who are dying. The number of the elderly is increasing each year with the baby boomers getting out of formal employment due to retirement and this burden is passed on to the national government and the younger generations still holding employment positions. In the 2008 census, there were 39 million citizens who had attained 65 years and above in America which accounted for close to 13% and the estimates and projections had it that by 2030 there would be around 72 million Americans in this category. By the year 2030, the baby boomers shall have acquired the 65 years bracket and above which will account for close to 20% of the American population. The longer life for this generation means there are related expenses that have to be taken over by the state. The inflation, the annual health care cost keep making it harder for the senior citizens to earn a robust life style. It is estimated that in 1992 the annual healthcare cost was $9,224 and it rose to $15,081 in 2006, and this trend is meant to keep rising each year as National Institute of Aging (2008) puts it.
There are a number of groups that qualify for the Medicare and Medicaid funds in the U.S., which is a health insurance program for the elderly. These groups are citizens who are of 65 years and above and are eligible to the social security, civil service retirement or the railroad retirement. The Medicare has the outpatient care whereby it takes care of the fees of the physician, the nurse and the physician assistants' fees. It also takes care of the emergency services, the ambulatory services in the situation that other means of transport may endanger the life of the patient. The outpatient surgery is covered here too hence benefiting the elderly. It also takes care of the rehabilitation of the elderly, diagnostic tests, outpatient mental health care, outpatient dialysis, diabetic patients and their supplies as well as the durable medical supplies in the healthcare system under the Medicare. The Medicare also provides the home health care which includes the personal care, help with eating and bathing as well as dressing, home health aid, social services, medical supplies like wound dressing but not prescription drugs. It also covers the long-term care in an assisted living community with the elderly and those in end-of -- life care being helped in the daily activities, being helped in the recreational and social activities and some aspects of health care. The Medicare also has the provision for the Hospice care where there is physical care for the ill and the elderly as well as counselling of the patients, it also pays for the rooms and the meals that these patients eat during the inpatient care and the short-term hospitals stays that they may be subjected to. The hospice care is provided for on the basis that a physician has certified that the patient is
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