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The United State’s Healthcare system has become increasingly scrutinized in recent
times, at first with the candidate Bernie Sanders bringing many of its flaws to light. Now, this
scrutiny has expanded to the United State public health system in general when under the strain
of the coronavirus and the massive influx of patients to hospitals all over the country. This leads
me to my current research question. How effective is the United States’ public health system?
After gathering many sources and reading through them, I started to notice many similar facts
Many sources stated that the United States spends the most on healthcare compared to
many other countries in Europe and Asia. Many sources also discussed how the US doesn’t rely
on a centralized system which handles healthcare, and rather leaves the people on their own to
get healthcare from private providers. So why does the United States have such comparatively
high costs for healthcare? According to the Department of Professional Employees, one of the
factors is the fact that the United States is the money that goes into developing new technologies
and in testing new drugs and innovative health solutions. While this is a great initiative, many of
the demands for these new drugs and technologies are not cost effective. Another reason for the
high cost of healthcare is thought to be the prevalence of chronic diseases like obesity and heart
disease. This is an example of how intangible things like the American lifestyle has concrete
The American Public Health Association stated that the Affordable Care Act was a good
way to reduce this unsustainable spending on healthcare. According to the American Public
Health Association, the Affordable Care Act helped 20 million people get access to healthcare,
and it placed an emphasis on public funded healthcare, so that more money is spent on
preventing chronic diseases like heart disease and obesity rather than treating them, which would
Avi Parshionikar
ultimately reduce the total amount spent on healthcare. However, in 2017, most policies which
were encompassed by the Affordable Care Act was repealed by the Trump Administration.
republicans targeted the part of the affordable care act which guarantees essential health benefits,
which are minimum insurance benefits. By preventing the guarantee of these essential health
benefits, insurers would be able to create less comprehensive, but cheaper plans which would
ultimately reduce a part of the national spending on healthcare. The current presidential
administration has taken a different approach to reducing the cost of healthcare, and repealing
parts of the Affordable Care Act was only the first step.
The action taken against policies instilled by Obama has led to a lot of misconceptions
about what’s good for the healthcare system and what isn’t. Trump’s administration passed a
new system in place of the Affordable Care Act called the Affordable Health Care Act, and
many republicans or people who support this decision are under the notion that this new act
remodels the whole healthcare system or destroys Obama’s “harmful” policies. In reality the
Affordable Health Care Act makes the provision of essential health benefits optional to states,
giving them the choice to refuse to provide them. Most states, however, still uphold most of what
was outlined in the Affordable Care Act, according to the Charley E. Willison.
While there’s clearly a lot more research to be done, the United States’ healthcare system
has some very apparent flaws, most notably the large number of people who are still uninsured in
addition to the prevalence of chronic diseases in America despite the fact that America spends
the most GDP on healthcare compared to any other country. While some policies like the
Affordable Care Act played to the notion that a small amount of spending from everyone would
Avi Parshionikar
decrease the total spending in the long run, many current policies have tried to repeal or reduce
Works Cited
Barrows, Katie. “The U.S. Health Care System: An International Perspective - Department for
Professional Employees, AFL.” CIO, Department for Professional Employees, AFL-CIO,
15 Aug. 2016, www.dpeaflcio.org/factsheets/the-us-health-care-system-an-international-
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Eyal, Nir, and Manne Sjöstrand. “On Knowingly Setting Unrealistic Goals in Public Health.”
American Journal of Public Health, vol. 110, no. 4, Apr. 2020, pp. 480–484.,
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Hanlon, Phil. “Summary of the Public Health System in the United States.” The Future of Public
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Reed, Patrick, director. Undiagnosed: The Diabetes Epidemic. PBS.org, PBS, 2020,
www.pbs.org/video/undiagnosed-the-diabetes-epidemic-uawlrp/.
Willison, Charley E, and Phillip M Singer. “Repealing the Affordable Care Act Essential Health
Benefits: Threats and Obstacles.” American Journal of Public Health, American Public
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