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01-06-2020 | Original Research

Deliver Us From Injustice: Reforming the U.S. Healthcare System

Authors: Samuel H. LiPuma, Allyson L. Robichaud

Published in: Journal of Bioethical Inquiry | Issue 2/2020

Abstract

For the last fifty years, the United States healthcare system has done an extremely poor job of delivering healthcare in a just and fair manner. The United States holds the dubious distinction of being the only industrialized nation in the world lacking provisions to ensure universal coverage. We attempt to provide some of the reasons this dysfunctional system has persisted and show that healthcare should not be a commodity. We begin with a brief historical overview of healthcare delivery in the United States since WWII. This is followed by a critical analysis of the for-profit model including reasons to support the view that healthcare should not be a free market commodity. We also demonstrate how special interest groups have been able to win support for their practices based on propaganda rather than fact. A brief analysis of the Affordable Care Act is offered along with critical comments regarding its ineffectiveness. We conclude with a brief overview of international approaches that have resulted in universal coverage and suggest the United States ought to adopt an approach similar to those outlined so that it no longer stands as the only industrialized nation to ignore the glaring problems that exist.

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It was expensive for most Americans at this time as well. “The principal reason why people do not receive the care they need is that they cannot afford to pay for it on an individual basis at the time they need it. This is true not only for needy persons. It is also true for a large proportion of normally self-supporting persons” (Markel 2014).

This notion is further reinforced by the Emergency Medical Treatment and Labor Act (EMTALA) which requires that all patients entering an emergency room be treated and stabilized regardless of their ability to pay (CMS.Gov 2017). Ironically, hospitals are provided no financial assistance for complying with the law, and yet must act as for-profit industries. This highlights both the lack of appropriateness for using a market-based system to deliver healthcare and the moral requirement that patients should be treated without regard for their ability to pay.

It should be emphasized here that loss of employment could be due to layoffs and not employee conduct. In other words, we cannot always blame the unemployed people for losing their jobs. Furthermore, the types of COBRA coverages offered to employees who were laid off often creates financial hardship (Andrews 2013).

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Title: Deliver Us From Injustice: Reforming the U.S. Healthcare System
Authors: Samuel H. LiPuma
Allyson L. Robichaud
Publication date: 01-06-2020
Publisher: Springer Singapore
Published in: Journal of Bioethical Inquiry / Issue 2/2020
Print ISSN: 1176-7529
Electronic ISSN: 1872-4353
DOI: https://doi.org/10.1007/s11673-020-09961-2

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Deliver Us From Injustice: Reforming the U.S. Healthcare System

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