6).
Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes exacerbated. One recent survey showed that "so far, many agree that successful reform would include expanded coverage and access to care for the more than 45 million Americans who currently are without health insurance" (Dobias, 2009, pg. 27). The article goes on to articulate additional agreements that "any congressional platform to fix what is widely seen as a broken system must includes ways to lower costs and raise quality over the long-term" (Dobias, pg. 27).
Again costs of providing that care and raise the quality of care are the key components that should be established in any healthcare reform. One way to address this issue is by cutting back on the excessive costs and wasteful spending that is currently taking place in the healthcare industry.
According to some experts that wastefulness is much more prevalent in American society than it is throughout the world. A 2008 report by the Robert Wood Johnson Foundation found that "high prices, inefficiencies and the added cost of insurance administration outlays for healthcare in the United States are much higher than in other developed nations" (Wechsler, 2008, pg. 4). The same article shows that "expanding insurance coverage to more people, while desirable and ethical, will boost spending even more" (Wechsler, pg. 4).
Expenses are especially worrisome to an industry that requires a return on their investment portfolios that has been missing in recent months as the stock, bond and real estate market have all been socked during 2008. One expert states that in the near-term, the health insurance sector is "better positioned to weather this storm that other sectors" (Kongstevdt, 2008, pg. 29) but at the same time all insurers depend on investment income and some have already been so negatively affected that they are "running negative underwriting margins" (Kongstevdt, pg. 29).
So how does healthcare reform address such issues? It is a problem that desperately needs to be addressed as the American society grows older and with that aging begins to experience all the medical malaise experienced by older bodies.
Many experts feel that a nationalized healthcare system is the answer to all the industry's problems. However, other countries look at the system in the United States and are envious of its obvious benefits.
France has a healthcare system that "has been running a deficit for more than a decade...and (where) failure to make sweeping changes will result in an added deficit of 66 billion euros per year by 2020" (Newman, 2008, pg. 10). The problem in France is that many of the citizens are so enamored with the idea of a 'free' healthcare system that they do not even realize that they are paying for it with more and more taxes resulting in less coverage and accessibility.
Similarly "many people in Great Britain view their nationalized healthcare system as failing, and although the British press routinely criticizes American health care some experts believe that Great Britain should adopt a similar model" (Blizzard, 2002, pg. 8).
If nationalized healthcare is not the answer, then perhaps a mixture of
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