DECISION SCENARIO 4 Not the Best Option can offer you a couple of options,\" Dr.
ID: 100357 • Letter: D
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DECISION SCENARIO 4 Not the Best Option can offer you a couple of options," Dr. Kenton "Do you have any insurance other than the Basic Care policy?" Kenton asked. We can offer you a cou That's all I have." Czahz shrugged. "I never saw sld whatever will make the pain stay away," Bill the need for more "Now you will. " Kenton sighed. "Basic Care Won't cover the cost of bypass surgery. It's an optional procedure under the HHS guidelines, and they won't kick in the extra money to pay Czahz said. Ve can do coronary artery bypass surgery. Two are involved, so for you it would be a double bypass for it." This isn't something experimental?" I have to make up the difference myself?" No, it's a well-established procedure with a good safety record. About 80 percent who have surgery get rid of their angina." “Right," Kenton said. "You'd have to come up with about fifteen thousand in cash." I don't much like the idea of being opened "Dr. Kenton, there's no way I can do that but I'd do most anything to stop those chest chest "Okay, then. I just wanted you to know up what the possibilities were. We can put you on what a treatment program, and I'm sure you'll do just fine." pains. The other option is that we can treat you medically. We can try you on some drugs and shift your diet, and monitor the results. People we treat this way do a bit better in terms of life expectancy than those treated surgically. That's slightly misleading, though, because those who ave surgery usually have worse cases of the disease." "But what about the angina pain? We'll do what we can," Kenton said. 1. Some critics of the ACA have promoted "cata strophic care for everyone" as a cheaper alterna- tive. But such basic packages often decline to cover or charge high co-insurance for some effec tive but expensive treatments. (The same criticism has been leveled at some of the cheaper plans of fered on the ACA exchanges.) If it is not economi cally feasible to guarantee the best possible care for everyone, would it be better to provide no care What about the angina pains?" Czahz asked There's the problem. Medical treatment can do ing about the pains, but it's not as effective So I'll take the surgery s surgery."Explanation / Answer
In single payer system one organisation typically the government collects revenue and purchases health services for the entire population.It describes the mechanism by which healthcare is paid for by a single public authority.in contrast in multi payer system several organisation carry out these roles for specific segments of the population.Here private individuals or their employees buy health insurance from private or public providers.
Single payer system includes all citizens within single riskpool while multipayer systems have pools at potentially different levels of health risk.
Each of these types have advantages and disadvantages
# the single payer system avoid the issue of risk collection,but multi payer system offer consumer a great choice of insurance product.
# Aggregate expenditure for single payer health insurance systems is typically determined through an annual budgeting process,whereas in multipayer systemsit is more difficult to monitor and control aggregate spending.
# Through progressive financing arrangements,insurance systems can provide greater subsidization of the costs of health care for low income individuals.Single payer systems accomplish this through progressive taxation.multipayer systems are more likely to be financed more regressively through mechanism such as a payroll tax.
# Single payer system have an advantage over multipayer systems in the efficiency of collecting revenues,overall cost control and the capacity to subsitize health care for low income individuals.
# Multi payer system may be better able to collect revenues in countries with a weak taxation system and can limit the amount of government control over revenue collection.
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