Jeffrey Levi: Will We Have A Health Care System Or A Sick Care System? A Tale Of Two Futures


It’s a right as aged as a Declaration of Independence.

By birth, any American should have a event to be as healthy as he or she can or wants to be. A supervision that is truly for a people provides everybody with world-class services that strengthen and support their health. This means entrance to care, though also entrance to protected parks and gyms and uninformed affordable produce.

Unfortunately, some-more than half of Americans are vital with one or some-more serious, preventable ongoing disease, trimming from type-2 diabetes to cancer. And ongoing diseases are obliged for 7 out of 10 deaths. These rates are approaching to boost significantly over a subsequent dual decades, quite due to a plumpness epidemic.

For years a United States has approached open health backwards. Indeed, a stream health caring complement has been set adult to provide people after they are ill rather than gripping them good in a initial place. Our republic has a sick caring complement rather than a health caring system.

This is holding — and will continue to take — an huge toll: Health caring costs are spiraling out of control, and it is probable that today’s children are on lane to be a initial era in American story to live shorter, reduction healthy lives than their parents.

America’s health faces dual probable futures: 1) We continue on a same track, resigning millions of Americans to vital health problems that could have been avoided, or 2) we boost a investment in giving Americans a event to be healthier and preventing people from building ongoing conditions in a initial place; in short, a republic focuses on guaranteeing that any American can be as healthy and happy as they choose.

Prevention is a many effective, common-sense approach to urge health and revoke health caring costs in a United States, though there’s never been a clever inhabitant seductiveness in prevention. Beginning in 2013, impediment contingency be a poignant concentration of a Obama administration’s second tenure and a bulletin of a 113th Congress.

We have a good start interjection to a past 4 years, many particularly a Affordable Care Act, an enlargement of a array of surety services lonesome by insurance, a National Prevention Strategy and Action Plan and a Prevention and Public Health Fund. The wheels have begun moving. It’s time to build on a momentum.

There are a integrate of high-impact stairs that should be taken to put impediment initial in a health caring system.

1) Advance and update a nation’s open health system.

This includes substantiating a set of core capabilities that all health departments contingency have and building a sovereign open health financing complement that guarantees all communities these essential open health services, only as a Affordable Care Act guarantees all people certain essential health benefits.

2) Build partnerships within and outward a health field.

Public health departments play a executive purpose as arch health strategists for communities, though they can’t strech goals to urge their community’s health on their own. To be effective in improving health in neighborhoods, workplaces and schools, strategies contingency engage a array of common-sense partnerships, including:

  1. Partnering with health caring payers, including both open and private insurers:
    • More surety services contingency be lonesome by payers, and consumers need to be speedy to take advantage of them.
    • Medicaid and private word coverage should be stretched to embody community-based prevention.
  2. Partnering with health caring providers, including expanding health caring models to embody village impediment and operative with nonprofit hospitals to boost rendezvous in area impediment strategies:
    • Fully incorporate impediment into a reforming and elaborating health caring system, including new smoothness mechanisms such as accountable caring organizations and Medicaid health homes.
    • Maximize a village benefit investment of nonprofit hospitals into community-based prevention.
  3. Partnering with sectors over a health caring system, including sketch a tie between all facets of multitude (transportation, housing, education, etc.) and health:
    • Fully say a Prevention and Public Health Fund.
    • Expand Community Transformation Grants to advantage all Americans.
    • Implement a National Prevention Strategy by partnerships opposite supervision and with a private sector, faith-based organizations and village groups.
    • Provide wellness programs and opportunities to all American workers.

These high-impact stairs are function in pockets opposite a republic (from Akron to Baltimore to Billings to Boston to Delaware to Kentucky to King County to La Crosse to Muskegon to Nebraska to North Carolina to Oklahoma to West Virginia). Now it’s time to take them to scale.

We need to make a pockets of impediment a normal and safeguard that a healthy choice is a easy choice where people live, learn, work and play.

This blog post is partial of a array constructed by The Huffington Post and a George Washington University that closely examines a many dire hurdles confronting President Obama in his second term. To review a messenger essay by HuffPost’s Jeffrey Young, click here. To review a messenger blog post by Drew Altman, Ph.D., of a Kaiser Family Foundation, click here. To review all a other posts in a series, click here.



Follow Jeffrey Levi on Twitter:

www.twitter.com/HealthyAmerica1

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