Health Care in the USA - Essay Example

Authorities to transmit overt health messages, such as those for AIDS prevention, immunization, or family planning, may use the electronic media. Perhaps more significant are advertisements (for insecticide, beer, soft drinks, automobiles, powdered milk, cosmetics, and other items of commerce) and programmatic content depicting supposedly admirable people and their lives and activities. Emulation of such models may have rapid and profound health consequences, both good and bad. Moreover, decades ago, the medium is often the message, and the mere presence of the radio or television receiver may lead to significant changes in personal or group behavior, independent of the nature or content of the broadcast messages.

Most commentators ascribe the great decline in mortality in countries like US that were developing during the 18th and 19th centuries to improved nutrition, water supply, excreta disposal, and housing; legislation to control employment of women and children; and public health services in the broad sense. There seems to be a common misconception in the world that Health Care Services in US have monolithic socialized medicine systems under which a person need only appear on a hospital doorstep to be showered with free services.

Perhaps equally widespread is the idea, promoted by television pictures of starving hordes, "such is not the case in the United States, where not all Americans are covered by health insurance" (Shi, L. & Singh, D., 2004, p. 2). Neither of these extreme images is accurate.While often useful, comparative studies have their limitations. On a superficial level, comparative health services research can uncover statistics on the numbers of facilities, physicians, hospital beds, and so on; on money and other resources put into the system; and on the number of patient visits or immunizations given over a certain period of time.

It can also illustrate certain structural relationships within systems, such as the organization of divisions of a health department or the regionalization of hospitals, health centers, clinics, and dispensaries. Pages of tables and charts can be prepared in such studies, but skill and care are needed to draw correct conclusions from these data. There are two basic problems: (1) what the data show and (2) what they do not show."Health care is a continuously evolving process impossible to describe adequately in an instantaneous snapshot, any more than a single frame can exemplify a long and complex motion picture" (Frick, K.

, Jensen, P.L., Quinlan, M. and Wilthagen, T, 2000, p. 86). The fact that a system for health care exists does not necessarily mean that it functions according to design or that it is used, or used appropriately, by the people whom it is intended to serve. The official health care system is not necessarily the health care system, because it has several parallel systems. Persons may by necessity (= lack of access) or by intent (= distrust) circumvent the official system. Indeed, in some parts of the US only a minority of the population may make use of official health services, preferring to consult pharmacists, healers, or others whose services are not recorded on government charts and tables.

Whereas the elements of a system, and the resources put into it, can be counted and described, the output or product of the system, in terms of improved health, is impossible to measure and may even defy estimation. Attitudes, motivations, and policies cannot be indicated on an organizational