Sample Healthcare Paper on History of Healthcare Insurance

Healthcare insurance refers to the insurance that covers part or total medical expenses due to the medical risk of an individual or a large number of persons. The history of health insurance industry dates back to the 1930s where the role of doctors in curing and treating diseases increased exponentially and they were tasked with ensuring that their patients maintained proper health. The rise of doctors led to an increase in health care costs as people would seek medical care and pay for them. The increase in medical care expenses led to reduction in resources used to offer proper care thus limiting the ability of insurance companies to cover for the medical services (Roosevelt et al. 101). With the Increasing number of unions, introducing employer- included medical expenses was the best solution to enable employees to seek medical care at their convenience. The pooling of risk provided sufficient funds to cater for the health care as outpatients services were most sought after with very few in-patients services thereby leaving enough to be invested for health care. Introduction of Blue Cross health care system led to insurance covers providing services to a specific limit instead of all the hospital services (Martin et al. 166). This prompted employers to attract workers by agreeing to pay for the employee health insurance thus providing employees with little decisions on their choice of healthcare plan.

 

 

Critical Analysis

Hospital care was initially meant for the poor, and the physically challenged since the rich could receive medical care at their homes. This contributed to the increase in the general cost of healthcare insurance. Individual payment of these services and later union payment brought the wake of healthcare insurance and further improvement of healthcare. The introduction of employer paid insurance health covers led to the regulation on the coverage as most of the hospitals took advantage of the payments and manipulated patient documents to get high compensation of services not rendered. Additionally, the employer paid insurance robbed individuals on full access to health care services since most employers had selected insurance covers of services to the employees and their families.

Introduction of the Blue Company led to the destruction of the insurance plan reasonably constructed by the hospitals. State regulations and the court precedence on insurance cover allowed for increase of unethical practices such as fraud, corruption, and waste of the resources into the healthcare system (Singh et al. 1). The solution to controlling these resources was to reform the economics of the overall healthcare. As such Steps like encouraging medic-care providers to make their service rates public, ensured competitive behavior is maintained in the industry and to eliminate any avenue for exploitation.

Personal Opinion

Additionally, the introduction of the firm will play a great role in improving the services offered by hospitals and help in regulating both the cost and quality of services offered to patients. Effective handling of the healthcare malpractices where both the defendant and the plaintiff are obligated to pay for their expenses instead of making the losing side cater for the fees will encourage people to seek court interventions and address complaints. Moreover, continued emphasis on finding quality and affordable medical care should be promoted to prevent exploitation by the service providers (Martin et al. 167). I therefore agree with the article that Insurers should put measures to control the insured against unnecessary losses in terms of covering daily medical treatments and also by providing incentive options where medical insurance has not been used or consumed. Moreover, people should recognize that the body wears out and being old is a natural process which should be allowed to continue instead of subjecting the body into different medical care when trying to fight the aging process.

 

 

Work Cited

Martin, Anne B., et al. “National health spending: faster growth in 2015 as coverage expands and utilization increases.” Health Affairs 36.1 (2016): 166-176.

Roosevelt, Theodore. “Steward of the People: Theodore Roosevelt versus the Trusts.” Concord Review (2016): 101.

Singh, Douglas A. Essentials of the US health care system. Jones & Bartlett Publishers, 2015.