General Health

Ways to solve the barriers to healthcare in America and India

Boiling down the intricacies of how to adapt healthcare so that it’s available for everyone is a task in and of itself. With so many issues plaguing both America and India’s healthcare systems, there is not just one cookie-cutter solution to solve all of the problems. Many around both nations are calling out the system and looking for a change. However, this is not enough, many issues are deeply rooted within both the civilization and the government.

America’s conversation about healthcare issues has been heard for decades. American citizens for years have been fighting and speaking out against the issues that torment millions of the population. . There are many factors for why a developed and influential country like America is struggling so much:

Sexism and racism: increase chances of misdiagnosis as well as create fear

  • Increase awareness of racial and ethnic disparities in health care among the general public.
  • Strengthen patient-provider relationships in publicly funded health plans.

Costly payment and insurance: people are not insured and many may face the fate of a costly life-saving procedure that may not be covered by insurance.

  • Oppose the sale of health insurance plans in individual and small-group markets that don’t guarantee pre-existing condition protection(s) along with coverage of essential health benefits and their associated protections against annual and lifetime limits, and out-of-pocket expenses
  • Encourage state innovation, including considering state-level individual mandates, auto-enrollment/reinsurance in order to maximize the amount of individuals covered
  • Stabilize health insurance premiums without undercutting any existing patient protections.

Physician shortages: physicians can quickly become overworked and stressed. A burnt-out physician may choose to dial back his or her work

  • Grow the workforce by expanding the number of available graduate medical education residency slots, expand medical school loan-forgiveness programs, and remove barriers to physician immigration for foreign-trained physicians to practice in the U.S.
  • Reevaluate the low acceptance rates of medical schools, and create a system that allows for qualified students to participate and study

India’s policy is set as a federal polity structure and health is a national theme. Often, the budgets earmarked for healthcare spending by the central government are not utilized fully, raising questions about how this system can be improved upon for people as due to low spending as a percentage of GDP by the government. With this many people are left forced to pay out of pocket and not having enough representation.

Low allocations to health care and lack of political will: Not enough funding being spent on healthcare

  • Proposing financial instrument of universal health coverage as a cover for the purchase of drugs, diagnostics and secondary & tertiary care services
  • Make low-cost, high quality and equitable healthcare a political demand and an electoral issue

Lack of infrastructure: Nearly 65% of India live in rural areas where they are not allocating resources for people to physically get healthcare services

  • Build makeshift hospitals and the technical support to build these quickly
  • Expand bed capacity, especially in smaller cities
  • Investing in a trust fund for public health efforts and devoting resources that would meet both global and national needs for health services.

Physician shortages: there are not enough medical professionals in order to accommodate such a large and fast-growing population- many people don’t have access to professionals as well as don’t have access to professional aftercare

  • Create more motivation by funding the implementation of secondary schools, which in turn will encourage more students to go onto further opportunities and schoolings: as many students have to travel far from home, or they are forced to join private schools, which is not reasonable for many families living in poverty.

Overall, all of these solutions require both a societal presence and a governmental response. Leading to an overall assumption that in order to seek change in the healthcare industry there must be heavy pressure put onto the government by the population. Where the government will have to address these issues in a manner that will apply to everyone in the country as well as account for the future of the country and how applicability will be affected in the near future. The underlying issues are all too similar and suggest a clear trend – creating unexpected parallels between the two. Therefore a change in one can create a domino effect and inspire a change in others.

However, addressing these issues alone will not be enough to kill all the stigma against the healthcare system. Managing all the issues in a way that ensures that people have sustainable coverage. Medicine in its own right is one of the more critical factors to keep a country thriving, without access: the population begins to die and the economy will deplete. Health care is projected to be a booming industry and likely to grow many folds in the near future. Should public health policies be synchronized with the growth of the healthcare industry?

Author: Alexandra Stepien

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