The Complexity of the Health Care System

The Complexities of the Health Care System and its Future With all that is before us as a society of human beings, health care is far reaching and of the highest attribute next to our existence. Without proper health care life becomes a hollow existence. We push through each day with painful thoughts about life, or what we think we know about it. While we focus on negative feelings of weakness and doom, wishing for better days. Always hoping for a peace that we know will never come in this life without our health. Health care is something everyone is not privilege to have. Billions of people around the world are suffering everyday from lack of proper health care. Unfortunately many have no idea what it is to be healthy, or what it feels like to feel good. They have no idea they are sick, all they know is that they exist. To be numb is what they know, how unfortunate. Here in America, most people know what it is to have a feeling of health, to feel good, mentally, physically and to some extent spiritually. With the existing health care system many are feeling the pains of being sick, no longer able to exist with that feel good spirit. Suffering is becoming the norm, filled with depression more often than not because of their failing health. Not being able to afford adequate health care, which is now far out of their reach, mainly because they can not afford it. They no longer have the health coverage they once had, now having to rely on aide and assistance that is not guaranteed. Their existence is now in the hands of the politicians, government agencies and advocates who now speak for them. We are slowly losing because of the quality of health care that has become a commodity for those who can afford it. Unfortunately everyone is not always entitled to life saving health care with the current system of health care. Can that person who is mentally ill walking the street get adequate health care? What about the homeless person without a place to lay their head at night. Where has quality health care gone, or did we ever really have it? Is there any hope for our future health care system? Although the hospital is of the most appreciated and unfortunately the most maligned and least understood institution in the U. S. ociety, with great regret, the present complexities of the United States health care system will unfortunately and inevitably affect the quality of future health care While the hospital and health care system is one that is very much needed, the maligned and misunderstanding interferes with its nobility. How is it that we live in the 21 century, and have major misunderstanding which we are experiencing within our health care system here in the United State? With all the sta keholders within the U. S. health care industry, it is no wonder we are now facing the complex dilemma in our current health care system. Due to the benchmark developments in U. S. health care, we are now at a standstill with problematic issues. The major influences with the advances and other changes are factors causing the complexities we are facing. With the legislative, political, economical, as well as organizational and professional influences, the once noble stature of the health care industry is now compromised greatly. Unfortunately the ill effects of medical education, technological advances, with rising cost along with changing population demographics, the American values are now being affected. Our major health care institutions – medical schools, groups of specialist physicians, general hospitals, and research organizations – have together overshot the level of patients care actually needed or used by the vast majority of patients: (Christensen, Bohmer, and Kenagy 2000). Our nation spends over 17% of its gross domestic product (GDP) on health care, but does not have the quality of other compared nations no where near that number. Looking back at the history of health care, the puzzling affects of the present out come is all but shocking to most Americans (Sultz, and Young, 2011). Being a $2. 5 trillion dollar industry, medical care is becoming unreachable for many Americans. What has caused this industry to skyrocket is more so due much to independent medical practices and partnership with provider organization, public and nonprofit institutions such as hospitals, nursing homes and other specialized care facilities: along with major private corporations. Dating back to the early American hospitals, they served a different purpose from those of today’s hospitals. Sheltering older adults, the dying, orphans, and vagrants, there purpose was to protect the inhabitants of its community from the contagiously sick and the dangerously insane. It seems there has always been a strained relationship between patients and the hospital, and hospital personnel. The need for information, comfort, and human contact is and has been a common complaint which is rooted in the overall history of medical care. With so much with its history, health care grew from a basket of issues which has now lossomed into what we see today as complex, from doctors and patients, to a personnel of nurses, aides, technicians, and the therapists, along with other hospital staff. With all this complexity and chaos, the once noble attributes of the health care profession has lost most of its qualities’ to misunderstandings and purpose. Malpractice is not an unknown word to the American public, and it is fundamentally correlated to a failure on the part of the physician. Malpra ctice is just one element that indicates patient mistrust in physician disclosure. Patients have turned to other sources and taken more responsibility upon themselves because of evidence or fear that their physician is giving them incomplete information, resulting in an increased number of second opinions being sought and increased referencing of secondary sources. Patient responsibility has increased because of physician failure to disclose the inherent misunderstanding of uncertainty on the part of the patient (Henry, 2006)’ While quality health care is of great importance to our society, the problems within the health care system, unfortunately supersedes the quality for patient care. Is the problem within the health care system which is something that can be resolved, or will it being unsolvable for any administration to fix. Quality health care has been interrupted for reasons that baffle most Americans. Not being able to understand the any reason we as a country can not work this major issue with health care to some balance. Since the government stepped into health care, the door has been left open for many other mandates to enter. In spite of the history of the hospital, the need for quality care has been paramount, dating as far back as the early 19th century. Hospitals were noted for being disgraceful, dirty, unventilated, and the lack of medical care was a real issue for quality health care, these issues were not publicly known. The quality at this time was very bad, which lead to the need for some type of health care reform, with hope to bring about a better quality of health care. Families that could obtain home medical or nursing care shunned hospitals, with this quality health care came about mostly through religious order. With its deplorable conditions, hospital care in early America was more of charity and public responsibility. With all the negative attributes surrounding the hospital environment, physicians saw the need to separate patients accordingly. This was the time the hospital was given its name. As rewarding as it may have seemed, the physicians had their own motives for why they did what they did. The now transformed hospital from the simple, charitable institutions to the complex, technical organizations was sparked by a parallel growth of private hospital insurance. Many of the sources that shaped the hospital industry varied from health insurance to the beginning of Medicare and Medicaid, bringing the legislative contribution to its fiscal well-being. With the increase of hospitals there also came the business of health care. The quality of health car came into question. With the hospital now becoming big business, all areas of its administration came into scrutiny. These problems began to supersede the quality of patient care. In deed without proper health care, our society would suffer a greater loss than it has. Proper health care is necessary for any society to thrive. Having the legal, ethical and regulatory aspects are important for its well being. The necessary financial systems and the impact on access to service are also required to bring about the quality as delivery. Many people may ask what proper health care is. Is there such a thing, and who would be entitle to proper health care that is a question that has yet to be answered and still debated over, causing much unrest and chaos. Being the many viewpoints about health care brings about the subjectivity of its true purpose. With the evolution and development of the present complex health care system, its development has come from sources due to an evolution of vary complicated issues. The current health care system along with poor management, has added to its history of strained development. With so much to say about the history of the now complex health care system, libraries could be built to hold its books. The early years of health care was challenged with mind sets as well s the stigma of those who needed medical attention. With the understanding of the characteristics and organization, along with the major private and governmental insurance initiatives, is an important factor which largely contributed to the centrality of hospitals within the health care system. Being there are diverse functions in the hospital, its’ staff and mostly management, add not only to the strain but the complexity with health care. The importance of patient care is being compromise with quality due to the battle within the system. The relationship between staff and patents suffers greatly with the pressures that are mandate by management. With all this being said, patients have a responsibility as well to the outcome of their treatment and patient care. The patient rights are known to have been violated from the early history of patient care. As the evolution and development of the health care system grew form its noble purpose, the conglomeration of the many stakeholders has contributed to lost trust with all aspects of this complex system in health care. When one speaks about the quality of care in hospitals, major debates often develop based on its interpretation of what quality is, and how it should be delivered. Health care has turned into a business platform that has much concern as to its promised future of adequate patient care. The question arises; can quality care be given within health care reform. Much is said to the fact that just because one has insurance does not equate to health care access. Access to a waiting list is not health care. When patients are denied access to a doctor or practitioner then it becomes incomplete health care. With the comparison to other countries health care system, come the question, why those of us who live in a wealthy country, suffers from inadequate health care. This also is a major focus point that is being argued. Some of the argument surrounds the issues of primary care and what does it Intel along with who should provide primary care versus specialty care. Of course it has been stated that Americans will never accept a system like they have in Canada or the U. K. Unfortunately patients become the victims of competition. Hospitals do not have patients; doctors have patients, referring them to the hospital of their choosing. Many of the complex issues have evolved form mismanagement of what health care, patient care, and the adequate structuring of the hospital is meant to be. Over the years of its development much has been misinterpreted as to the healthy organization of its purpose. The quality of care now provided in hospitals is so much in question that the many patients fear they will not receive the care they need. More so they are no longer view as human beings with needs, but number and dollars. These are only some of the many reasons why there is a need for health care reform which would enforce and influence hospital economics, service patterns and provider relationships. According to an article written by James Morone, The health care reforms that President Barack Obama signed into law in March 2010 had been in the making seventy-five years since Franklin D. Roosevelt. U. S . presidents has struggled to enact national health care reform: unfortunately most failed. The article explored the highly charged political landscape in which Obama maneuvered and the skills he brought to bear. It contrasts his accomplishments with the experiences of his oval office predecessors. Going forward, implementation poses formidable challenges for democrats, republicans, and the political process itself (Morone 2010 1). Adding to the development and mismanagement is a process swarming with special interest that has been noted to be powered by big money. Being that the anxiety is so overwhelming with the formatting of adequate health care; no management of reform can be administered without a deep investment. Being noted that president Obama demonstrated a care for health care reform that far exceeds his cool demeanor suggests. President Franklin D. Roosevelt knew e would not be able to get national health care insurance through congress unless he took the idea to the people first. He flirted with making health care his nest great political crusade as World War II came to an end. A plan was being prepared by his advisers, but unfortunately he died before the end of the war. The health reform effort fell into the hands of President Harry Truman, and every subsequent president. Only until the recent victory of President Obama in the health care reform did one president succeed in their efforts to accomplish some aspect of health care. President Lyndon Johnson managed to enact major new health care programs, in the form of Medicare and Medicaid (Morone 2010. 2). The now health care reform enacted by President Obama is viewed by many, mostly democrats as a historic achievement. In spite of the victory that is said to be in order, many still argue the factors involved. The comparisons of other countries are still being used to compare factors with the focus on health care systems. With physicians believing they are the ones to judge the quality of hospital medical care adds to the issues involving health care management. Among so many other components that foster the ever evolving cycle of health care management brings about major concerns. With mismanaged health care, future health care will surely suffer the cost. S often we look to solutions to fix major problems within our society, and yet we continue to add more hard to understand perplexing uncertainties than we started with. Within the health care system which dates back to the beginning of what seemed to be simple compliances to health care issues, are now multiplex issues. These issues have grabbed the attention of not only the government sector, but political entities that now govern the health care industries with long term care being the main agenda. With health care, and many factors influencing the increasing demand for long term care service in the changing demographics, along with technology, major changes are being anticipated. Unfortunately it has come to a point where the increased scrutiny within the federal and state government sectors of the finance involving issues are before congress. The major mismanagement in health care, are real and troubling concerns to most Americans, especially those who are being affected by new polices and mandates. Long-term care historically began as an in home environment with almshouses and sanitariums. After the great depression and post WWI, citizens decided to run small nursing homes in order to pay mortgages and find an income source. Not until the 1950s when government grants spurned development of the nursing home sector, did the boom in the industry occurred. The next large impact in long term care would come in the 1960s with the advent of Medicare and Medicaid reimbursements (Sultz and Young, 2011). Long term care is rally a term that defines a wide array of services, within, but not limited to skilled nursing facilities, nursing homes, continual care, assisted living, home health; hospice, respite care, and others are termed long term care. This allows the industry to respond to the individuals needs of the person requiring the services and match their level of independence or dependence with an environment most suitable conducive to their potential (Sultz and Young 2011). With the future goal of long term care being to reduce waste and become more efficient in order to provide quality care and incentives for operational responsibility, and customer service, there must be available the push to move the market forward. There are still many barriers that we face before this end is met, before we can compare and contrast the past history of long term health care, which of course will be a challenge that hopefully will take us into a future health care system that will provide all the necessary amenities that will produce the ideal health care system desired. Knowing that is far from coming, all we can do is promote the best possible manage care without the barriers that have existed. With retrospect to the similarities of Canada and the United States, the two countries had similar health care systems. However, since passage of the Canada Health Act in the 1970s, that nations health statistics have become increasingly superior. Canada’s health care system costs are higher by international standards, hey are much lower than U. S. cost. The factors most likely to be responsible for Canada’s better health care at a lower cost would be: universal financial coverage through a so called single payer features conducive to a strong primary infrastructure, and provincial autonomy under general principles set by national law (Starfield 2010). Although old enough to have become stable, Canada’s health reform efforts are relatively recent. This being in contrast to the historical foots of health systems in many western industrialized countries. The provincially based Canadian health care system, limited private insurance, public insurance plans, practices and health centers, cost, care seeking, availability of technology, and use of service. These areas are among the more prominent features that bring Canada’s health system to the front. With Canada’s experiences it shows how these critical features of the health system can be achieved in the context of a federal structure with decentralized administrative control. Although Canada has achieved better, or what appears to be a better health level than the United States, which it has for many decades, the gap has widened overtime, following the development of the different provincial plans that culminated in national legislation in the early 1970s (Starfield, 2010). What this is leading to is: if, the health care system continues to demonstrate gross mismanagement, and if the political dominance that is now existing, with the unsuccessful organizational structure it has, the inevitable outcome is more than likely to happen. The quality of future health care will suffer greatly. With so much at sake with our system of health care, the future quality of health care will be jeopardized without recourse. If reform is not properly implemented given all the information that has been provided, needed a stable health care system is only a wish. Many questions are still unanswered as to the reform necessary to provide quality patient health for the future. According to the article Health spending in the United States and the rest of the industrialized world, a cycle of unsustainable spending growth followed by fervent cost containment initiatives has been a regular feature of the health care landscape for the past half-century (Anderson, Hussey, Froger and waters, 2005). In conclusion, with health care being one of the major concerns world-wide, Americans must focus on what is best for all oppositions before us. With political as well as governmental mismanagement and the fact that so many Americans are unemployed without adequate health care insurance or health care, it poses a real threat to future stability for a stable economy as far as health care is concern. With the large amount of misunderstanding concerning the current health care system with its maligned characteristics, the future quality of health care for patients will ultimately be left to chance. Dependence on sound management for patient care is of utmost importance for a solid health care system to exist. The nobility of the once thought to be health care system, has now been affected by an aggressive political agenda which is one of the many factors involving the current failed, and complex health care system. With interference from so many stakeholders, the quality of health care is failing in major areas that is damaging to our society as a whole. Quality health care is of great importance to the existed of a well balanced society. With the openly and hidden agenda superseding quality health care, America is falling behind in a race for adequate health care for its population. As stated before, without the necessary health care, our future society will fail to exist as it does today. The source that contributes to the evolution of a very complex system poses an unfortunate future for all of us in America, without some major resolutions to its complexities. The strain that has existed thus far can not continue to exist. I believe that we can resolve most of our health care issues if we leave out much of the political agenda that has driven the chaos that we are now experiencing with health care. After complete examination and comparison with the quality of other industrialized nations, much could be accomplished her in the U. S. This would assure all citizens quality health care and possible a peace of mind. With political dominance no longer a major factor guiding the health care reform or its organizational structure a future health care system has a greater chance of existing. Minimizing the risk so that the future system will not be jeopardized as it has been. A stable health care system can be developed with less problematic issues. Patient care can be of a higher quality, access can be attainable, and delivery possible. The respect of a noble health care system will truly exist one day. References Christensen, C. M. , Bohmer, R. , and Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, p. 1-10. Retrieved from EBSCO database Genard F. Anderson, Peter S. Hussy, Bianca K. Frogner and Hugh R. Waters (2005). Health spending in the United States and the rest of the industrialized world: Health Affairs, 24. No 4 (2005): 903-914 doi: 10. 377/hlthaff. 24. 4. 903 Henry, M. S. (2006). Uncertainty, responsibility, and the evolution of the physician/patient relationship. Journal of Medical Ethics, 32(6) 321-323 doi: 10. 1136/jme 2005. 013 987 Morone, J. A. (2010) Presidents and health reform: From Franklin D. Roosevelt to Barack Obama. Health Affairs, 29(6), 1096-1100. Retrieved from the proQuest database. Starfield, B. (2010). Reinventing primary care: Lessons from Canada for the Unite d States. Health Affairs, 29(5), 1030-1036, Retrieved from the proQuest database. Sultz, H. and Young, K. (2011). Health care USA: Understanding its organization and delivery (7th ed. ). Sudbury, MA: Jones & Bartlett. . The Complexities of the Health Care System and its Future With all that is before us as a society of human beings, health care is far reaching and of the highest attribute next to our existence. Without proper health care life becomes a hollow existence. We push through each day with painful thoughts about life, or what we think we know about it. While we focus on negative feelings of weakness and doom, wishing for better days. Always hoping for a peace that we know will never come in this life without our health. Health care is something everyone is not privilege to have. Billions of people around the world are suffering everyday from lack of proper health care. Unfortunately many have no idea what it is to be healthy, or what it feels like to feel good. They have no idea they are sick, all they know is that they exist. To be numb is what they know, how unfortunate. Here in America, most people know what it is to have a feeling of health, to feel good, mentally, physically and to some extent spiritually. With the existing health care system many are feeling the pains of being sick, no longer able to exist with that feel good spirit. Suffering is becoming the norm, filled with depression more often than not because of their failing health. Not being able to afford adequate health care, which is now far out of their reach, mainly because they can not afford it. They no longer have the health coverage they once had, now having to rely on aide and assistance that is not guaranteed. Their existence is now in the hands of the politicians, government agencies and advocates who now speak for them. We are slowly losing because of the quality of health care that has become a commodity for those who can afford it. Unfortunately everyone is not always entitled to life saving health care with the current system of health care. Can that person who is mentally ill walking the street get adequate health care? What about the homeless person without a place to lay their head at night. Where has quality health care gone, or did we ever really have it? Is there any hope for our future health care system? Although the hospital is of the most appreciated and unfortunately the most maligned and least understood institution in the U. S. society, with great regret, the present complexities of the United States health care system will unfortunately and inevitably affect the quality of future health care While the hospital and health care system is one that is very much needed, the maligned and misunderstanding interferes with its nobility. How is it that we live in the 21 century, and have major misunderstanding which we are experiencing within our health care system here in the United State? With all the stakeholders within the U. S. health care industry, it is no wonder we are now facing the complex dilemma in our current health care system. Due to the benchmark developments in U. S. health care, we are now at a standstill with problematic issues. The major influences with the advances and other changes are factors causing the complexities we are facing. With the legislative, political, economical, as well as organizational and professional influences, the once noble stature of the health care industry is now compromised greatly. Unfortunately the ill effects of medical education, technological advances, with rising cost along with changing population demographics, the American values are now being affected. Our major health care institutions – medical schools, groups of specialist physicians, general hospitals, and research organizations – have together overshot the level of patients care actually needed or used by the vast majority of patients: (Christensen, Bohmer, and Kenagy 2000). Our nation spends over 17% of its gross domestic product (GDP) on health care, but does not have the quality of other compared nations no where near that number. Looking back at the history of health care, the puzzling affects of the present out come is all but shocking to most Americans (Sultz, and Young, 2011). Being a $2. 5 trillion dollar industry, medical care is becoming unreachable for many Americans. What has caused this industry to skyrocket is more so due much to independent medical practices and partnership with provider organization, public and nonprofit institutions such as hospitals, nursing homes and other specialized care facilities: along with major private corporations. Dating back to the early American hospitals, they served a different purpose from those of today’s hospitals. Sheltering older adults, the dying, orphans, and vagrants, there purpose was to protect the inhabitants of its community from the contagiously sick and the dangerously insane. It seems there has always been a strained relationship between patients and the hospital, and hospital personnel. The need for information, comfort, and human contact is and has been a common complaint which is rooted in the overall history of medical care. With so much with its history, health care grew from a basket of issues which has now blossomed into what we see today as complex, from doctors and patients, to a personnel of nurses, aides, technicians, and the therapists, along with other hospital staff. With all this complexity and chaos, the once noble attributes of the health care profession has lost most of its qualities’ to misunderstandings and purpose. Malpractice is not an unknown word to the American public, and it is fundamentally correlated to a failure on the part of the physician. Malpractice is just one element that indicates patient mistrust in physician disclosure. Patients have turned to other sources and taken more responsibility upon themselves because of evidence or fear that their physician is giving them incomplete information, resulting in an increased number of second opinions being sought and increased referencing of secondary sources. Patient responsibility has increased because of physician failure to disclose the inherent misunderstanding of uncertainty on the part of the patient (Henry, 2006)’ While quality health care is of great importance to our society, the problems within the health care system, unfortunately supersedes the quality for patient care. Is the problem within the health care system which is something that can be resolved, or will it being unsolvable for any administration to fix. Quality health care has been interrupted for reasons that baffle most Americans. Not being able to understand the any reason we as a country can not work this major issue with health care to some balance. Since the government stepped into health care, the door has been left open for many other mandates to enter. In spite of the history of the hospital, the need for quality care has been paramount, dating as far back as the early 19th century. Hospitals were noted for being disgraceful, dirty, unventilated, and the lack of medical care was a real issue for quality health care, these issues were not publicly known. The quality at this time was very bad, which lead to the need for some type of health care reform, with hope to bring about a better quality of health care. Families that could obtain home medical or nursing care shunned hospitals, with this quality health care came about mostly through religious order. With its deplorable conditions, hospital care in early America was more of charity and public responsibility. With all the negative attributes surrounding the hospital environment, physicians saw the need to separate patients accordingly. This was the time the hospital was given its name. As rewarding as it may have seemed, the physicians had their own motives for why they did what they did. The now transformed hospital from the simple, charitable institutions to the complex, technical organizations was sparked by a parallel growth of private hospital insurance. Many of the sources that shaped the hospital industry varied from health insurance to the beginning of Medicare and Medicaid, bringing the legislative contribution to its fiscal well-being. With the increase of hospitals there also came the business of health care. The quality of health car came into question. With the hospital now becoming big business, all areas of its administration came into scrutiny. These problems began to supersede the quality of patient care. In deed without proper health care, our society would suffer a greater loss than it has. Proper health care is necessary for any society to thrive. Having the legal, ethical and regulatory aspects are important for its well being. The necessary financial systems and the impact on access to service are also required to bring about the quality as delivery. Many people may ask what proper health care is. Is there such a thing, and who would be entitle to proper health care that is a question that has yet to be answered and still debated over, causing much unrest and chaos. Being the many viewpoints about health care brings about the subjectivity of its true purpose. With the evolution and development of the present complex health care system, its development has come from sources due to an evolution of vary complicated issues. The current health care system along with poor management, has added to its history of strained development. With so much to say about the history of the now complex health care system, libraries could be built to hold its books. The early years of health care was challenged with mind sets as well s the stigma of those who needed medical attention. With the understanding of the characteristics and organization, along with the major private and governmental insurance initiatives, is an important factor which largely contributed to the centrality of hospitals within the health care system. Being there are diverse functions in the hospital, its’ staff and mostly management, add not only to the strain but the complexity with health care. The importance of patient care is being compromise with quality due to the battle within the system. The relationship between staff and patents suffers greatly with the pressures that are mandate by management. With all this being said, patients have a responsibility as well to the outcome of their treatment and patient care. The patient rights are known to have been violated from the early history of patient care. As the evolution and development of the health care system grew form its noble purpose, the conglomeration of the many stakeholders has contributed to lost trust with all aspects of this complex system in health care. When one speaks about the quality of care in hospitals, major debates often develop based on its interpretation of what quality is, and how it should be delivered. Health care has turned into a business platform that has much concern as to its promised future of adequate patient care. The question arises; can quality care be given within health care reform. Much is said to the fact that just because one has insurance does not equate to health care access. Access to a waiting list is not health care. When patients are denied access to a doctor or practitioner then it becomes incomplete health care. With the comparison to other countries health care system, come the question, why those of us who live in a wealthy country, suffers from inadequate health care. This also is a major focus point that is being argued. Some of the argument surrounds the issues of primary care and what does it Intel along with who should provide primary care versus specialty care. Of course it has been stated that Americans will never accept a system like they have in Canada or the U. K. Unfortunately patients become the victims of competition. Hospitals do not have patients; doctors have patients, referring them to the hospital of their choosing. Many of the complex issues have evolved form mismanagement of what health care, patient care, and the adequate structuring of the hospital is meant to be. Over the years of its development much has been misinterpreted as to the healthy organization of its purpose. The quality of care now provided in hospitals is so much in question that the many patients fear they will not receive the care they need. More so they are no longer view as human beings with needs, but number and dollars. These are only some of the many reasons why there is a need for health care reform which would enforce and influence hospital economics, service patterns and provider relationships. According to an article written by James Morone, The health care reforms that President Barack Obama signed into law in March 2010 had been in the making seventy-five years since Franklin D. Roosevelt. U. S . presidents has struggled to enact national health care reform: unfortunately most failed. The article explored the highly charged political landscape in which Obama maneuvered and the skills he brought to bear. It contrasts his accomplishments with the experiences of his oval office predecessors. Going forward, implementation poses formidable challenges for democrats, republicans, and the political process itself (Morone 2010 1). Adding to the development and mismanagement is a process swarming with special interest that has been noted to be powered by big money. Being that the anxiety is so overwhelming with the formatting of adequate health care; no management of reform can be administered without a deep investment. Being noted that president Obama demonstrated a care for health care reform that far exceeds his cool demeanor suggests. President Franklin D. Roosevelt knew e would not be able to get national health care insurance through congress unless he took the idea to the people first. He flirted with making health care his nest great political crusade as World War II came to an end. A plan was being prepared by his advisers, but unfortunately he died before the end of the war. The health reform effort fell into the hands of President Harry Truman, and every subsequent president. Only until the recent victory of President Obama in the health care reform did one president succeed in their efforts to accomplish some aspect of health care. President Lyndon Johnson managed to enact major new health care programs, in the form of Medicare and Medicaid (Morone 2010. 2). The now health care reform enacted by President Obama is viewed by many, mostly democrats as a historic achievement. In spite of the victory that is said to be in order, many still argue the factors involved. The comparisons of other countries are still being used to compare factors with the focus on health care systems. With physicians believing they are the ones to judge the quality of hospital medical care adds to the issues involving health care management. Among so many other components that foster the ever evolving cycle of health care management brings about major concerns. With mismanaged health care, future health care will surely suffer the cost. S often we look to solutions to fix major problems within our society, and yet we continue to add more hard to understand perplexing uncertainties than we started with. Within the health care system which dates back to the beginning of what seemed to be simple compliances to health care issues, are now multiplex issues. These issues have grabbed the attention of not only the government sector, but political entities that now govern the health care industries with long term care being the main agenda. With health care, and many factors influencing the increasing demand for long term care service in the changing demographics, along with technology, major changes are being anticipated. Unfortunately it has come to a point where the increased scrutiny within the federal and state government sectors of the finance involving issues are before congress. The major mismanagement in health care, are real and troubling concerns to most Americans, especially those who are being affected by new polices and mandates. Long-term care historically began as an in home environment with almshouses and sanitariums. After the great depression and post WWI, citizens decided to run small nursing homes in order to pay mortgages and find an income source. Not until the 1950s when government grants spurned development of the nursing home sector, did the boom in the industry occurred. The next large impact in long term care would come in the 1960s with the advent of Medicare and Medicaid reimbursements (Sultz and Young, 2011). Long term care is rally a term that defines a wide array of services, within, but not limited to skilled nursing facilities, nursing homes, continual care, assisted living, home health; hospice, respite care, and others are termed long term care. This allows the industry to respond to the individuals needs of the person requiring the services and match their level of independence or dependence with an environment most suitable conducive to their potential (Sultz and Young 2011). With the future goal of long term care being to reduce waste and become more efficient in order to provide quality care and incentives for operational responsibility, and customer service, there must be available the push to move the market forward. There are still many barriers that we face before this end is met, before we can compare and contrast the past history of long term health care, which of course will be a challenge that hopefully will take us into a future health care system that will provide all the necessary amenities that will produce the ideal health care system desired. Knowing that is far from coming, all we can do is promote the best possible manage care without the barriers that have existed. With retrospect to the similarities of Canada and the United States, the two countries had similar health care systems. However, since passage of the Canada Health Act in the 1970s, that nations health statistics have become increasingly superior. Canada’s health care system costs are higher by international standards, hey are much lower than U. S. cost. The factors most likely to be responsible for Canada’s better health care at a lower cost would be: universal financial coverage through a so called single payer features conducive to a strong primary infrastructure, and provincial autonomy under general principles set by national law (Starfield 2010). Although old enough to have become stable, Canada’s health reform efforts are relatively recent. This being in contrast to the historical foots of health systems in many western industrialized countries. The provincially based Canadian health care system, limited private insurance, public insurance plans, practices and health centers, cost, care seeking, availability of technology, and use of service. These areas are among the more prominent features that bring Canada’s health system to the front. With Canada’s experiences it shows how these critical features of the health system can be achieved in the context of a federal structure with decentralized administrative control. Although Canada has achieved better, or what appears to be a better health level than the United States, which it has for many decades, the gap has widened overtime, following the development of the different provincial plans that culminated in national legislation in the early 1970s (Starfield, 2010). What this is leading to is: if, the health care system continues to demonstrate gross mismanagement, and if the political dominance that is now existing, with the unsuccessful organizational structure it has, the inevitable outcome is more than likely to happen. The quality of future health care will suffer greatly. With so much at sake with our system of health care, the future quality of health care will be jeopardized without recourse. If reform is not properly implemented given all the information that has been provided, needed a stable health care system is only a wish. Many questions are still unanswered as to the reform necessary to provide quality patient health for the future. According to the article Health spending in the United States and the rest of the industrialized world, a cycle of unsustainable spending growth followed by fervent cost containment initiatives has been a regular feature of the health care landscape for the past half-century (Anderson, Hussey, Froger and waters, 2005). In conclusion, with health care being one of the major concerns world-wide, Americans must focus on what is best for all oppositions before us. With political as well as governmental mismanagement and the fact that so many Americans are unemployed without adequate health care insurance or health care, it poses a real threat to future stability for a stable economy as far as health care is concern. With the large amount of misunderstanding concerning the current health care system with its maligned characteristics, the future quality of health care for patients will ultimately be left to chance. Dependence on sound management for patient care is of utmost importance for a solid health care system to exist. The nobility of the once thought to be health care system, has now been affected by an aggressive political agenda which is one of the many factors involving the current failed, and complex health care system. With interference from so many stakeholders, the quality of health care is failing in major areas that is damaging to our society as a whole. Quality health care is of great importance to the existed of a well balanced society. With the openly and hidden agenda superseding quality health care, America is falling behind in a race for adequate health care for its population. As stated before, without the necessary health care, our future society will fail to exist as it does today. The source that contributes to the evolution of a very complex system poses an unfortunate future for all of us in America, without some major resolutions to its complexities. The strain that has existed thus far can not continue to exist. I believe that we can resolve most of our health care issues if we leave out much of the political agenda that has driven the chaos that we are now experiencing with health care. After complete examination and comparison with the quality of other industrialized nations, much could be accomplished her in the U. S. This would assure all citizens quality health care and possible a peace of mind. With political dominance no longer a major factor guiding the health care reform or its organizational structure a future health care system has a greater chance of existing. Minimizing the risk so that the future system will not be jeopardized as it has been. A stable health care system can be developed with less problematic issues. Patient care can be of a higher quality, access can be attainable, and delivery possible. The respect of a noble health care system will truly exist one day. References Christensen, C. M. , Bohmer, R. , and Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, p. 1-10. Retrieved from EBSCO database Genard F. Anderson, Peter S. Hussy, Bianca K. Frogner and Hugh R. Waters (2005). Health spending in the United States and the rest of the industrialized world: Health Affairs, 24. No 4 (2005): 903-914 doi: 10. 1377/hlthaff. 24. 4. 903 Henry, M. S. (2006). Uncertainty, responsibility, and the evolution of the physician/patient relationship. Journal of Medical Ethics, 32(6) 321-323 doi: 10. 1136/jme 2005. 013 987 Morone, J. A. (2010) Presidents and health reform: From Franklin D. Roosevelt to Barack Obama. Health Affairs, 29(6), 1096-1100. Retrieved from the proQuest database. Starfield, B. (2010). Reinventing primary care: Lessons from Canada for the United States. Health Affairs, 29(5), 1030-1036, Retrieved from the proQuest database. Sultz, H. and Young, K. (2011). Health care USA: Understanding its organization and delivery (7th ed. ). Sudbury, MA: Jones & Bartlett. .