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Related Concept Videos

Introduction To Health Care Delivery System01:18

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Values-Based Foundation for a U.S. Single Payer Health System Model.

Walter Markowitz1, Renee McLeod-Sordjan1

  • 1School of Health Professions, School of Nursing, Hofstra University, Hempstead, NY, United States.

Frontiers in Sociology
|May 17, 2021
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Summary

A universal, single payer healthcare system, rooted in American values, can eliminate health disparities. This model addresses challenges faced by the current system and promotes equitable access to care for all citizens.

Keywords:
Kantian ethicshealth care for allsingle payer health caresingle payer health care reformvalue based ethics

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Area of Science:

  • Health Policy and Ethics
  • Public Health
  • Healthcare Systems Analysis

Background:

  • The American healthcare system faces significant challenges in providing equitable access to care.
  • The Affordable Care Act has encountered difficulties, and a federal single payer model faces legal hurdles.
  • Existing disparities in health status and outcomes highlight systemic inequities.

Purpose of the Study:

  • To advocate for a universal, single payer healthcare model for the United States.
  • To align healthcare reform with foundational American values, ethics, and democratic principles.
  • To propose a solution for persistent health disparities and unequal access to quality care.

Main Methods:

  • Ethical analysis using a Kantian framework.
  • Review of existing healthcare policy challenges and outcomes.
  • Examination of social determinants of health, highlighted by the COVID-19 pandemic.

Main Results:

  • A single payer system aligns with American values and ethical considerations.
  • Current healthcare structures perpetuate a "healthcare underclass" with unequal access.
  • Social determinants significantly impact health outcomes, as evidenced by the pandemic.

Conclusions:

  • A universal, single payer healthcare system is ethically supported and can address systemic disparities.
  • Transforming the healthcare system to a single payer model is crucial given current uncertainties.
  • Aligning health insurance with national values can eliminate health disparities and promote social good.