Global Health Essay.

1. List at least 3 things you were previously not aware of about global health that surprised you.Give details about what was surprising compared to the prior assumptions or knowledge you had about the 3 things you selected.

There are three surprising new discoveries about global health. The first surprising discovery is that obesity is a global concern even in low-income and middle-income nations with food problems. In fact, obesity related health concerns are a significant cause of death. This is surprising since it would be logically to accept that countries with food problems would have underweight populations with more instances of malnutrition, and yet that is not the case. The second surprising thing is that less wealthy nations are largely overlooked in health research activities, with most research conducted in wealthy countries to address their interests.Global Health Essay.

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It would be logical to accept that less wealthy nations experience more health concerns thereby requiring more research activities to address the health concerns, and yet that is not the case as wealthy countries use their money to fund research activities to improve their health outcomes. The third surprising thing is that despite having the most health concerns, less wealthy nations such as African nations have the lowest proportions of health care workers. This is surprising since it would be expected that areas with more health concerns would have more health care workers to address these concerns, yet that is not the case as wealthy nations such as the USA have higher proportions of health care workers.Global Health Essay.

2. How do you think the United States compares to other countries and what areas need change to improve the health of the public.

The USA compares favorably with other countries in terms of health care technologies. The USA has leveraged its financial, technological and research capabilities to offer some of the best health care services across the world. However, there is a concern that prescription drug prices are significantly higher in the USA when compared to other countries such as Canada and Mexico. There is a need to significantly reduce prescription drug prices and make them more affordable for the majority of Americans thereby reducing health care costs and improving access (Eban, 2020).Global Health Essay.

3. What suggestions do you have to make the changes you recommend above?

Lower prescription drug prices be achieved through policy changes that enable providers to directly negotiate with drug manufacturers for lower prices while eliminating middlemen who inflate prices. Alternatively, lower priced alternative medications can be provided. Also, the government can subsidize prescription drug prices (Young &Kroth, 2018).Global Health Essay.

One thing I did know was that American Health Care has the world’s most expensive medical system. According to the Sick Around the World video, it leaves 47 million people without coverage which leads to a great percentage forced to bankruptcy due to the medical bills they receive. WHO says US health care rates 37th in world in terms of quality and fairness Great Britain – has better health statistics longer life expectancy, lower infant mortality, system covers everyone and no fees but often times people have to wait to see a doctor, which the times have gotten better. No medical bankruptcy. There are horrible stories about mistakes and wait times to see a doctor. Brits pay much higher taxes than US to cover healthcare. Pay no doctor bills and great preventative care Japan – 2nd richest country in the world. 130 million healthy people, they cover everyone and spend half as much as US on health care per capita. Having the longest healthy lie expectancy in the world and lowest infant mortality rate.Global Health Essay. It is due in part in their diet and lifestyle. Unlike the brits Japanese don’t pay for all of it through taxes. Everyone has to sign up for a health ins policy, through work or community based insurer. Government picks up the tab for those who are too poor. 80% of hospitals are private…more than in the US. Japanese go to the doctor 3x more than americans do. There are no “gate keepers” (general practitioner) like in Britain and can go see any specialist they want. Japanese pts have much longer hospital stays than US. They have 2x as many MRIs per capita as americans 8x more than brits. They keep cost under control by the Japanese health ministry tightly controls the price of health care. Every 2 years they negogiate a fix price for every single procedure and drug and these prices are the same everywhere in japan. An MRI can cost about $1200 in US and about $98 in japan. How? They have only one payment system and doctors would go out of business since Japanese aren’t willing to pay more. They have a price book that has prices for every procedure and everywhere in japan must follow that. It struck me that if someone comes in with a cut of about 6 square in it would $4.30 to sow it up. To stay at a hospital overnight in a room with 4 other pts it would cost $10. If a private room $90. This does not allow for doctors be rich. Pts pay into a social insurance fund. It you lose your job you do not losse health ins. Insurance cannot turn anyone down just because of an illness like in the US. Ins forbidden to make profit. Down side: 50% of hospital are in financial deficit which is the oppotiste hospitals in japan are going broke but in the US pts are the ones that go broke. No waiting time and doctors still make house calls Germany- 3 richest economy in the world. 90% of germans choose to to stay in the national system which covers not only the basics, but also mental health, dental and optical and also alternative therapies like homeopathy, they’ll pay you to go to a spa and even belly dancing lesons.Global Health Essay. Their wait to see specialitst or surgeries are about 2-3 weeks. If you lose your job your ins does not change. They know if someone loses their job they are at a higher risk of becoming ill. Similar to japan here they negotiate the price of meds and procedures. Which also makes doctors feel underpaid and undervalued. They are not allowed to raise prices like in the US. Dotors do get paid subtatially less here but her med school did not cost her anything and her mal practice premium is $1400 a year which is a tenth of what cost in US. I belive if everyone was able to get an annual physical it can contribute to a healthrier lifestyle Ins company compete for business even though they cant make a profit Taiwan – forced everybody to join in and pay, differ from Germany Taiwan did not let the rich opt out. Have one government insurer collecting the money and no chance to opt out. Sys that works a bit like US medicare sys for the elderly. System that gave everyone equal access to health care, free choice of dr with no wait time and a sys the has a lot of competition among medical providers. It has drug benefirs, vision, traditional Chinese med, kidney dialysis, inpt care, out pt care. No gatekeeper, no wait time, clinics open weekends. Everyone has to have a smart card which contains pts history, meds, and bill goes directly to gov ins office and paid automatically.Global Health Essay. It has lowest admin cost in world, less than 2%. It a person goes to see a doc/hospital over 20x a month or 50x in 3 months that pt is flagged and someone from the gov goes to see them to have a “chat”. Nobdy goes bankrupt. government are borrowing from banks to pay the providers since they don’t have enough. Global Health Essay.They know the solution is to raise the prices a little bit but the politicuans know that the people will punish them. Switzerland – have universal coverage with high quality New law: LAMal (the sickness) it mandated that everyone buy ins with the state paying for the poor in return it guaranteed a comprehensive package of medical care for all. Ins aren’t allow to pick young and healthy to avoid old and sick and not allowed to make profit on basic care although they can profit from supplemental policies. People who refuse to get coverage were automatically assigned an ins company and had to pay monthly bills. Health care is a basic human right. Nobody goes bankrupts for medical bills. Things to overcome: -ins co must accept everyone and cant make profit on basic care -everybody is mandated to buy ins and gov pays premium for the poor -dr/hospital have to accept one standard set of fixed prices

1. List at least 3 things you were previously not aware of about global health that surprised you.Give details about what was surprising compared to the prior assumptions or knowledge you had about the 3 things you selected.

There are three surprising new discoveries about global health. The first surprising discovery is that obesity is a global concern even in low-income and middle-income nations with food problems. In fact, obesity related health concerns are a significant cause of death. This is surprising since it would be logically to accept that countries with food problems would have underweight populations with more instances of malnutrition, and yet that is not the case. The second surprising thing is that less wealthy nations are largely overlooked in health research activities, with most research conducted in wealthy countries to address their interests.Global Health Essay. It would be logical to accept that less wealthy nations experience more health concerns thereby requiring more research activities to address the health concerns, and yet that is not the case as wealthy countries use their money to fund research activities to improve their health outcomes. The third surprising thing is that despite having the most health concerns, less wealthy nations such as African nations have the lowest proportions of health care workers. This is surprising since it would be expected that areas with more health concerns would have more health care workers to address these concerns, yet that is not the case as wealthy nations such as the USA have higher proportions of health care workers.Global Health Essay.

2. How do you think the United States compares to other countries and what areas need change to improve the health of the public.

The USA compares favorably with other countries in terms of health care technologies. The USA has leveraged its financial, technological and research capabilities to offer some of the best health care services across the world. However, there is a concern that prescription drug prices are significantly higher in the USA when compared to other countries such as Canada and Mexico. There is a need to significantly reduce prescription drug prices and make them more affordable for the majority of Americans thereby reducing health care costs and improving access (Eban, 2020).Global Health Essay.

3. What suggestions do you have to make the changes you recommend above?

Lower prescription drug prices be achieved through policy changes that enable providers to directly negotiate with drug manufacturers for lower prices while eliminating middlemen who inflate prices. Alternatively, lower priced alternative medications can be provided. Also, the government can subsidize prescription drug prices (Young &Kroth, 2018).Global Health Essay.