The Ethics of Managed Healthcare Persuasive Essay by scribbler

The Ethics of Managed Healthcare
A persuasive paper on the serious flaws in the American managed healthcare system.
# 153454 | 2,695 words | 15 sources | APA | 2013 | US

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The paper explores the problems with contemporary managed healthcare and addresses the impact of demographic and economic realities, the process of political lobbying by the private health insurance industry, the reliance of many on emergency departments in hospitals to receive the most expensive care and the reliance on a fee-for-services healthcare professional compensation format. The paper explains how the fee-for-services model rewards illness and discourages preventative medicine and also is predisposed to waste, fraud, criminal abuse and negligent care. The paper recommends a focus on three of these aspects of the managed healthcare system that require immediate fundamental changes to reduce costs and improve the quality of healthcare services.

The Concept of Managed Care - Theory versus Practice
The Problems with Contemporary Managed Healthcare in Practice

From the Paper:

"Managed healthcare is not a particularly modern concept, having been implemented in some respects by the Weimar Republic in Germany and much more comprehensively in the middle of the 20th century in Britain, particularly in connection with the evolution of the "poor laws" of the 18th century into the growth of nationalized healthcare services recommended in the "Beveridge Report" commissioned by the Queen of England and produced by William Beveridge in the 1940s (Reid, 2009; Starr, 2002). Today, Britain maintains a National Health Service that provides all the medical needs of the entire British population at no cost to patients. Most other European nations have adopted similar approaches in addition to Canada and even Mexico albeit with varying degrees of success and convenience to patients (Reid, 2009; Starr, 2002).
"By contrast, the U.S. still relies on a system of managed healthcare that is entirely unsustainable in its current form. Public healthcare programs are incapable of continuing to operate in the manner in which they were originally conceived, largely by virtue of the tremendous changes in the demographics of the population and the economics of the funding mechanisms responsible for maintaining those programs (Kennedy, 2006). Private healthcare is currently based on a managed care system that is entirely dominated by a for-profit industry that has been the principle obstacle to effective political decisions toward desperately necessary healthcare reform."

Sample of Sources Used:

  • Beauchamp, T. L. and Childress, J. F. (2009). Principles of Biomedical Ethics, 6th Edition. Oxford University Press.
  • Carey, J. "Smarter Patients, Cheaper Care." Business Week, (June 22, 2009): 22-23.
  • Dykman, J. "Five Truths about Health Care in America." Time, Vol. 172, No. 22; (2008): 42-51.
  • Goldhill, D. "How American Health Care Killed My Father." The Atlantic; Vol. 304, No. 2; (2009): 38-55.
  • Institute of Medicine (IOM). "Pay-for-performance preferable for Medicare." Healthcare Financial Management. Healthcare Financial Management Association. (2006). Retrieved April 30, 2011, from:

Cite this Persuasive Essay:

APA Format

The Ethics of Managed Healthcare (2013, June 04) Retrieved March 03, 2024, from

MLA Format

"The Ethics of Managed Healthcare" 04 June 2013. Web. 03 March. 2024. <>