Sample Essay Paper on Development of Healthcare Systems in the U.S.

Development of Healthcare Systems in the U.S.

Healthcare industry stakeholders have experienced growth in the USA healthcare industry in the recent past. The stakeholders agree that the industry is faced with regular changes in trend and much is needed to sustain the industry. There are three main areas in the healthcare industry, which need study in order to realize ways of sustaining them to avoid unpredictable future.

 The US government allocates around 15% of all GDP to the healthcare industry (Matcha, 2003). Studies have proven that even with this huge investment, the American citizens are neither healthier, nor do they live longer than people from other countries. The three aspects of healthcare system in the USA-Cost, performance, and access are discussed below.


The total  cost of spending by the US on the national healthcare has been on the rise in the last 40 years. The figure stood at 5% in 1960 and 15% in 2002. In the same year (2002), the spending on the real healthcare also rose from $108 billion to 1.6 trillion during that same period (Afifi, Rice, Andersen, Rosenstock, & Kominski, 2013). USA is said to be leading in the spending in its healthcare programs than any other country, but still does not manage to retain the same number when it comes to correct usage of healthcare services, it is still below the median set by the Organization for Economic Co-Operation and Development (OECD). This fact indicates that prices of healthcare services in the USA are much higher than other countries. Hospitals and physician services take a higher portion of the money spent by Americans in healthcare. These are followed at a distance by the home health and nursing.

Variation in Performance

Variations in healthcare system would refer to the methods and means by which healthcare is handled. The dimensional concept of quality care stipulates that citizens should receive the care they need. It also states that the kind of care given should be administered safely. Efficiency and equitability must be observed at all times. The rates of variations in the performance are evidenced in the way procedures, as surgical and diagnostic procedures are undertaken. The observed variations in the service delivery has led to various researches on the possible causes.

Some surgical procedures have proven with time not to be of benefit to humanity as some are even inappropriate. The number of people who receive the right kind of care, as recommended  is nearly half. This means that the rest do not receive the right healthcare. This is partially blamed on the stakeholders in the healthcare industry, including the government. These groups have failed in some cases to deliver the much-needed services in areas where they are needed (Kerr , McGlynn , Adams, Keesey & Asch , 2004). In some cases, they deliver more than needed and may be harmful to the reciepients. These two scenarios are known as underuse and overuse respectively. This has been consistent in the government and other stakeholders in the industry.

Studies done in the healthcare sector shows that there is need for improvement in all areas including preventive, acute, and chronic. There is also a wider variation in the care given to the patients and some, like diabetes patients are given poor quality care. This is disturbing since the diseases registers increase and higher number of disabilities and deaths.


Every American would love to see improvement in access to healthcare services; this is because of the importance these services play in improving the quality of life. It is very crucial for the healthcare sector to ensure that citizens have entry to the country’s healthcare system. The citizens should also have an access to the places where the needed services are located. Citizens love to be able to find the healthcare provider they want and can trust (Meara, White  & Cutler, 2004). Access to healthcare covers even the disability and disease prevention, detecting and preventing illnesses, improving the quality of life, raising life expectancy and also minimizing deaths.

The government and other players in healthcare sector have done a lot to ensure access to healthcare for every citizen, however this has not solved the problem because access to healthcare is still not reliable. Reliable access to healthcare is very important to the nation and individuals since it affects their potentials and their life in general, it should therefore  be a priority for stakeholders to ensure adequate access to healthcare.

Generally, with all the changes in the areas of cost, access, and healthcare quality, the modern American enjoys the best medical services than in the past. The services have been modernized and some conditions that were not treatable in the past are now manageable and treatable. It would therefore make sense to say that the American citizen, although exposed to a lot of bills to pay in the process of  accessing healthcare services, are better served today than before the second world war


Afifi, A. A., Rice, T. H., Andersen, R. M., Rosenstock, L., & Kominski, G. F. (2013). Changing the US. health care system: Key issues in health services policy and management. San Francisco, Calif: Jossey-Bass.

Kerr EA, McGlynn EA, Adams J, Keesey J, and Asch SM,( 2004) “Profiling the Quality of Care in Twelve Communities: Results from the CQI Study,” Health Affairs, Vol. 23, No. 3,

May/June, pp. 247–256

Matcha, D. A. (2003). Health care systems of the developed world: How the United States’ system remains an outlier. Westport, Conn: Praeger

Meara E, White C, and Cutler D. (2004) “Trends in Medical Spending by Age, 1963–2000,”

Health Affairs, Vol. 23, No. 4, July/August, pp. 176–183