Research questions
1. Is healthcare
different from other goods and services?
2. What is the role of
supply and demand factors in increasing the cost of healthcare?
3. What are the
solutions to these problems?
Question 1
Health
care is different from other services in various ways. The first difference is
in the output. The outputs of the health care sector are less well defined. For
example, the output of a clothes factory is clothes. The output in healthcare is
imperfectly understood and unpredictable.
Additionally, government intervention and third-party payment are
pervasive. While none of these characteristics is distinctive to health care,
their interaction and extent are unique to healthcare.
The
final output of medical care is its impacts on health. The impact can only be
assigned probabilities before the care is provided. Even after provision, it is
difficult to measure as medical care is not the single determinant of health.
Others include exercise, nutrition and other lifestyle factor. Efficient
allocation of public and private budgets to health involves equating marginal
cost and marginal benefit for each of these inputs. Nonetheless, health care
markets comply with the fundamental rules of economics.
Question 2
The
Healthcare cost as a percent of Gross National Product has grown more rapidly
in the United States compared to other countries (Thorpe, 2005). The increased
cost has become a major topic in public debate. How much value consumers get
for these expenditures and whether the State should further intervene to
control costs is a concern. The increase can be categorized into three
components: increases in the volume of services, medical price increases and
increases in the intensity of resource use.
Intensity
is reflected by changing technology, quality and other elements that make any
medical service more resource-intensive than it was in the past. Technology is
a significant factor in driving cost. A standard economist's presupposition is
that technology is not adopted unless it produces greater benefits in relation
to costs (Chandra & Skinner, 2012). This does not always apply to new
medical technologies. This is because substantial government subsidies through
tax subsidy to private health insurance and tax-funded government insurance
programs cause medical providers to adopt technology that consumers may value
less compared to the cost.
Another
factor with an effect on demand and supply of healthcare is risk and insurance.
Naturally, the risk of illness leads more individuals to demand health
insurance. But the demand for health insurance in the United States is
distorted by the reality that employer contributions are treated as tax-exempt
compensation to employees. This means that there is an open-ended subsidy at
the employee's marginal tax rate, such as payroll and income taxes at the State
and federal levels. The "tax expenditure," does not appear in the
government budget. Assuming a marginal tax rate of 33%, the subsidy more than
covers the administrative cost built into insurance premiums. As a result, an
average employee would consider insuring even routine medical services.
Third-party
payments have increased dramatically. These affect the cost, structure,
quantity and quality of healthcare services offered (Baicker & Goldman,
2011). Given that insurance firms pay a significant percent of the cost of
medical care, the insured consumer's point-of-purchase price is essentially
lower. If a healthcare provider charges thirty dollars and the insurance firm
pays 80 percent, for example, the consumer's price is only six dollars.
Accordingly, the quantity demanded increases when the price falls as in any
market.
Asymmetric
information in the healthcare market also affects the demand and supply of
healthcare. Consumers, in general, have
less information compared to providers concerning the costs and benefits of
alternative treatments. This means that consumers significantly rely on
healthcare providers for treatment and advice. Such mixed roles are more
complex in medical care since the provider is an agent for individual patients
as well as third-party payer, who in turn, is the final agent for patients with
policies. Every patient desires to consume any service that with benefit
particularly if the out-of-pocket cost is zero. This increases the demand for
medical services.
Question 3
Reducing
the increased cost of healthcare spending is a fragile balance that requires
both producers and consumers to be equally motivated to do so. This requires the health care delivery system
to spend less in order to achieve a higher aggregate saving. Government
intervention is important in swaying the factors of demand and supply. The
State plays many roles including purchaser and regulator (Folland et al., 2007).
Government intervention should typically address access or either quality. In markets with the infrequent purchase and
asymmetric information, regulations can assure minimum quality and enhance
efficiency. Often, regulation is in the form of licensing, which limits
competition by limiting entry. This can also be done by reducing funding
coverage for employees and beneficiaries.
This
means that insured people have observed and unobserved characteristics that are
associated with high demand for medical care.
This will affect the demand for health care and reduce the cost that the
government shoulders by affecting the Patterns of healthcare utilization. On
the other hand, Providers will consequently experience financial pressures,
particularly as reimbursement decrease.
As a result, they will be pressured to do more for less.
References
Baicker,
K., & Goldman, D. (2011). Patient cost-sharing and healthcare spending
growth. The Journal of Economic Perspectives, 25(2), 47-68.
Chandra,
A., & Skinner, J. (2012). Technology growth and expenditure growth in
health care. Journal of Economic Literature, 50(3), 645-680.
Folland,
S., Goodman, A. C., & Stano, M. (2007). The economics of health and health
care (Vol. 6). New Jersey: Pearson Prentice Hall.
Thorpe,
K. E. (2005). The rise in health care spending and what to do about it. Health
Affairs, 24(6), 1436-1445.
Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in college research paper services if you need a similar paper you can place your order for medical essay writing service online.
No comments:
Post a Comment