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Monday, April 1, 2019

Government Intervention in the Health Care Market

Government Intervention in the wellness anxiety MarketNaif Almutairia) As an economical adviser to the wellness Minister, how would you resolve to the following question elevated by a member of sevens? It is more than of a basic humankind decentlyeousness to dumbfound glide path to victuals than to wellness c be. Why do politicss intervene more outright in foodstuffs for wellness fearfulness comp atomic number 18d to marts for food? understructureIn the occidental political tradition, basic human rights are universal all rights are necessary in order to make up the fundamental requirements of a human being (Donnelly, 2013). However, in practice, human rights are hierarchical. As capital of Alabama (2002373) declares, peoples actual experiences with human rights reveal which unrivaleds are the nigh preponderating in their daily lives, and thus provide a possible basis for estimating their sex act greatness and for adopting appropriate policies. Different cultur al groups and nationalities have different experiences of human rights (Donnelly, 2013). For example, people from high income countries such as Britain have few experiences of the right to food, yet frequent (and even inevitable) needs for the right to wellness attention (Macklem, 2015). As a result, it rear end be argued that while food is more of a basic right to life (i.e. without food one cannot live) than the right to have approach to wellness accusation, the latter is far more applicable to the delivery of human rights in the social, economic and political context of too soon twenty first century Britain. This essay volition canvass the chore of basic rights in greater detail, looking in particular at the reasons why the governing body tends to intervene more directly in wellness consider commercialises than markets for food. As will become apparent, in order to project the issue, it is essential to consider the unique nature of the wellness headache marke tplace, and the cardinal need for government regulation that this necessarily entails.Government Intervention in the wellness do by MarketIn order to understand why governments intervene more frequently and directly in wellness care markets, it is essential in the first instance to consider the nature and the conk out of the marketplace. For well-nigh commodities (including food), the market performs a simple function that permits buyers and sellers to exchange a good or service for a fee (Harvey, 2011). Free markets hence allow the price of the good or service to be dictated by (1) supply and demand and (2) resources available (Harvey, 2011). Prices for food crops are concord by both the buyer and the seller with supply and demand dictating the purpose of the interchange amid the consumer and the producer (Donaldson Gerard, 2005). Viewed from this perspective, in a free market place (i.e. a marketplace that is characterised by an absence of government intervention) con sumers are sovereign (Taylor Mankiw, 2014). Consumers are thus free to make choices and producers respond in kind (Taylor Mankiw, 2014).However, the wellness care market is fundamentally different from food and otherwise commodities that are bought and sold in the marketplace (Klein, 2005). Two points in particular are apparent. Firstly, when a consumer becomes seriously ill and needs to calculate the health care marketplace, the equals of goods and services are likely to be extremely high (Donaldson Gerard, 2005). For example, for the vast majority of consumers, the cost of complex process will far exceed what the customer is able to afford. Thus, consumers in the health care market place are not sovereign economic actors as they are in food markets where hunger is alleviated match to what kind of food the consumer can afford (Wiseman Jan, 2011). secantly, unlike consumers of food, health care consumers cannot predict when they will become sick or what their future health care needs might be (Donaldson Gerard, 2005). Therefore, consumption in the health care market is not determined by choice but, rather, by uncertainty (Wiseman Jan, 2011).As a consequence, in the health care market, most transactions occur in the midst of insurers and health care providers rather than mingled with the consumer and the commodity producer (Guinness Wiseman, 2011). This, in turn, ensures that transactions which occur in the health care market place are influenced by complex processes of chance management, information asymmetry resulting from consumer ignorance and negative externalities (i.e. where health care exacts a cost to all consumers regardless of whether or not they are purchasing either products) (Guinness Wiseman, 2011). Consequently, in the health care market, prices are not determined by supply and demand rather, prices are determined by interactions between insurers and suppliers, and health care providers (Taylor Mankiw, 2014). Furthermore, unl ike in other commodity markets, the price of health care is not affected by the quantity or accessibility of resources when the consumer is sick they have no option but to purchase the product that can make them better (Wiseman, 2011).As a result, stripped of the military unit and influence of sovereign consumers, the health care market is fundamentally distorted. Where, in an ideal market, consumers act as a check upon the power of the producers, in a health care market suppliers and producers are predominant (Donaldson Gerard, 2005). Consequently, remaining to its own devices, the health care market would be subject to autochthonic chastisement characterised by fusss of distribution, resource inequalities and an absence of price controls (Walshe Smith, 2011). It is for this reason that the government tends to intervene more directly in the health care market than in the food market. Government intervention in the health care market is required to regulate the marketplace, establish the parameters for prices, and allocate and fund scrimpy resources (Mills, 2011). Without government intervention, the globe costs of consumption would exceed the close costs of production (Mills, 2011).ConclusionThe Member of Parliament who bone upd the question has failed to secure two important points. Firstly, although, from a theoretical vantage point, rights are universal, in practice rights are characterised by hierarchy. In Britain, the right to health care is of more practical value than the right to food. momently, because consumers are not sovereign, the health care market is susceptible to market failure. Although the existence of market failure and/or market inequalities is not in itself a reason for government intervention, the extent of the distortions and pervasive incentives that arise in health care renders government intervention in the funding and regulation of the health care market an economic necessity.b) What do you think should be the objecti ves of a health care carcass? How would you finance and organise the system to achieve this?IntroductionAt the dawn of the twenty first century, health care is arguably the most contested area of public policy with the legitimacy of governments depending in king-size part upon the ability to meet the health needs of ageing populations in times of deep economic uncertainty (Buse et al, 2012). The centrality afforded to health care therefrom demands that policy-makers have clear objectives and goals so as to set attainable abundant and short-term agendas for public health care delivery. This essay will examine the issue of objectives in greater detail, looking in particular at the goals of health care in the contemporary era. In addition, the essay will consider the ways in which the state should finance and organise the system in order to meet its objectives. Over the course of the essay, it will be necessary to discuss problems such as raising funds, feeing doctors and suppor t hospitals and other front-line services.The Objectives of the Health Care SystemThe core objective of any health care system should be two-fold. On the one hand, a health care system should endeavour to improve the health and welfare of all of the people who use the system regardless of wealth (Mahon, 2011). On the other hand, a health care system should look to subdue the economic shoot down of disease upon the state (Robinson, 2011). However, these two objectives cannot be achieved in isolation. For example, aiming to improve the wealth of the population demands that the health care system improves access to primary health care (Mahon, 2011). Likewise, reducing the force of disease demands that health care systems improve the cost effectiveness of health services, and recruit the outperform medical professionals available to deliver health care (Donaldson Gerard, 2005). Therefore, the core objectives of the health care system are undermined by an unresolved tension between social and economic goals where social goals outline the primacy of equity, economic objectives underscore the importance of efficiency likewise where social goals consider quantity, economic objectives emphasise eccentric (Maynard, 2005). As a result, the objectives of the health care system are determined by the nature of the institutional mixed bag between public and private health care providers (Maynard, 2005). finance and Organising the Health Care System to secure ObjectivesIn order to examine how to finance and organise a health care system, it is essential to contemplate the question of opportunity cost. As Donaldson and Gerard (2005) attest, the prescript of opportunity cost is constructed upon the premise that purchasing one item necessarily involves a trade-off against another. For example, a health care manager who decides to authorise in a particular treatment cannot do so for a different treatment. Thus, the true cost of the allocation of scarce resources is th e inability to pay for other resources that the health system requires (Wiseman, 2011). Therefore, opportunity costs suggests that there is ever so a trade-off between equity and efficiency (Maynard, 2005). This has been particularly prevalent in the NHS where certain areas of the health care system (for instance, coronary disease) have been prioritised over others (for example, mental health) (Ham, 2009). Financing and organising the health care system thence demands that public health agencies incorporate the private welkin into models of economic growth (Balduzzi, 2011).Public-private partnerships (PPPs) have already become a staple feature of health care economics (Klein, 2005). PPPs allow the state to shunt the responsibility for financing the building, operation and design of hospitals and other clinical and non-clinical services to private sector contractors in the guise of Special Purpose Vehicles (SPVs) (Broadbent Laughlin, 2005). Although PPPs have been criticised fo r increasing the riskiness of financing health services back onto the public sector, the merging of public sector interests with private sector imperatives represents an ideal intend of alleviating the economic burden of funding health care from the state (Klein, 2005). In particular, institutional change is able to address the problem of opportunity cost when there is only the one health care provider (Broadbent Laughlin, 2005). PPPs should thus remain a central means of financing and organising health care services.In addition, in order to raise funds, public health care providers should look to mix in taxation with income from patient charges (Donaldson, 2011). Moreover, significant funds can be raised from public health providers treating private patients. For example, NHS Foundation Trusts (FTs) have seen income from private patients profit by 16 per cent in the past two years, totalling 395.9 trillion in 2014-15 (Health Investor, 2015). Private sector initiatives can a lso be apply to help to pay for the expertise that is required to deliver quality health services (Donaldson, 2011). Research undertaken by Donaldson (2011), for example, suggests that doctors respond positively to financial incentives (i.e. recompense per consultation or per operation). Although financial incentives have been criticised for leading to over-recommend of health services, there is little evidence that this is an inevitable by-product of market-based remuneration (Donaldson, 2011). Contractual performance-related pay where wages are linked to market economies would therefore represent the most viable means of paying for and retaining the best medical staff in order to deliver the objectives of the health care system (Tofts, 2011).ConclusionThe objectives of the health care system are both economic and social. On the one hand, a health care system should endeavour to improve the health and wellbeing of the population through improving access to care. On the other hand , a health care system should aim to reduce the burden of disease by improving the quality of health care provision. However, the problem of opportunity cost suggests that there is always a trade-off between efficiency and equity. It is therefore proposed that health care systems are financed and organised harmonize to a public-private model. This, in turn, would help to build hospitals and other front-line services, pay doctors and raise funds for the allocation of resources. In the final analysis, quantity and quality can only be established by locating alternative means of financing and organising the health care system.ReferencesBalduzzi, P. (2011) Models of public-private partnerships for the provision of goods, in, Journal of Economics and Politics, 23(2) 271-296Broadbent, J. and Laughlin, R. (2005) The discipline of contracting in the context of infrastructure investment in the UK the matter of the Private Finance Initiative in the National Health Service, in, internationa l Public Management Journal, 6(2) 173-197Buse, K., Mays, N. and Walt, G. (2012) Making Health Policy Second random variable Maidenhead The throw University PressDonaldson, C. and Gerard, K. (2005) Economics of Health care Financing The Visible Hand Second rendering London Palgrave MacmillanDonaldson, C. (2011) Credit infatuation Health Care How Economics Can Save Our Publicly-Funded Health Care Systems Bristol Policy PressDonnelly, J. (2013) Universal Human Rights in Theory and arrange Third Edition New York Cornell University PressGuinness, L. and Wiseman, V. (2011) Health care markets and efficiency, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics Second Edition Maidenhead The Open University Press, pp.117-132Ham, C. (2009) Health Policy in Britain Sixth Edition London Palgrave MacmillanHarvey, D. (2011) The Enigma of swell and the Crises of Capitalism London ProfileHealth Investor (2015) NHS private pay income up 14% in two years. In Health Investor online, available at, http//www.healthinvestor.co.uk/ShowArticle.aspx?ID=4259 (first accessed 24.10.15)Klein, R. (2005) The public-private mix in the UK, in, Maynard, A. (Ed.) The Public-Private Mix for Health Oxford The Nuffield Trust, pp.43-62Macklem, P. (2015) The Sovereignty of Human Rights Oxford Oxford University PressMahon, A. (2011) Health and wellbeing the wider context for health care management, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management Second Edition Maidenhead The Open University Press, pp.96-119Maynard, A. (2005) Enduring problems in health care delivery, in, Maynard, A. (Ed.) The Public-Private Mix for Health Oxford The Nuffield Trust, pp.293-310Mills, A. (2011) Health systems in low and middle income countries, in, Glied, S. and Smith, P.C. (Eds.) The Oxford vade mecum of Health Economics Oxford Oxford University Press, pp.30-57Montgomery, J.D. (2002) Is there a hierarchy of human rights? in Journal of Human Rights, 1(3) 373-385Robinson, S. (2011) F inancing health care funding systems and health care costs, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management Second Edition Maidenhead The Open University Press, pp.37-64Taylor, M.P. and Mankiw, G. (2014) Economics Third Edition London PearsonTofts, A. (2011) Managing resources, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management Second Edition Maidenhead The Open University Press, pp.399-417Walshe, K. and Smith, J. (2011) Introduction the current and future challenges of health care management, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management Second Edition Maidenhead The Open University Press, pp.1-12Wiseman, V. (2011) diagnose concepts in health economics, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics Second Edition Maidenhead The Open University Press, pp.7-29Wiseman, V. and Jan, S. (2011) A simple model of demand, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics Second Edition Maidenhead The Open Univer sity Press, pp.37-54

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