The existing U.S. health care delivery “system” is viewed by many as a creature almost impossible to manage and control. Interestingly, the delivery of health care does not occur within one single system. There is no network of interrelated components designed to work together. Instead, what we have is characterized by fragmentation and complexity. The system is fragmented. Many believe it is because there is no central agency for overall planning, direction, and coordination. The complexity of health care delivery involves number of “stakeholders” ranging from: consumers to providers, private payers to government entities/ agencies, hospitals to nursing homes, schools to suppliers.

Take a position on whether or not you believe we need a central agency to oversee healthcare in this nation. What do you see as the benefits and the disadvantages of your position? Please provide references and 250+ words.


Solution Preview

Few would argue with the assertion that we need to fix the fractured, fragmented system by which we deliver healthcare in the U.S. Fragmentation is evident at all levels – federal, state, and local, contributing to waste, redundancy, and reduced care quality (2). With implementation of the Affordable Care Act (ACA), a foundation has been laid for much-needed change, as the focus has begun to change from treating illness to preventing disease by optimizing population health. Many leading healthcare organizations are leading these efforts with the creation of innovative programs focused on community-based, …

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