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1. Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link in the chain of progression of specific diseases. Instead, most focus on high-technology solutions to preventable problems. Assess the characteristics of the medical care culture that encourage the latter approach.

2.Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially solvent to survive growing market pressures. Describe how this “bottom line” focus has changed the nature of the US health care system.

3. The insurance industry plays a huge role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. Why do you believe that so much resistance to a concept used in every other developed country has continued in the U.S.

Solution Preview

1. The standard model of healthcare culture usually has two key players that are the patient as well as the provider. The provider is usually a physician, but in some states like the United States, it also includes physician assistants and nurse practitioners. Apart from the two crucial players, the actual scenario consists of; the provider, the patient, the system of the hospital to which the provider is part of and the third-party players, whether is the government or even private companies of insurance.

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