As our society evolves, our healthcare requirements naturally evolve.

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Many factors are involved in implementing and enforcing a change in healthcare. Complex and slow-to-change policies are an obvious factor, but environmental and technological factors also contribute to changes in healthcare. Illness trends, doctor demographics, and technology also contribute to shifts in our overall healthcare system. As our society evolves, our healthcare requirements naturally evolve. Changes in the healthcare industry usually occur at the legislative level, but once enacted these changes have a direct impact on facility operations and the use of resources. While there are still things you can do personally to reduce the cost of healthcare, the latest political effort to fix one of the more inefficient and most expensive health care systems in the industrialized world. America was one of the last industrialized nations to have comprehensive health insurance for its citizens. While some reformers advocated for a similar program in the United States, support for a national system was tepid, even among the working class. Despite sporadic campaigns to introduce compulsory health insurance, they were defeated by opponents. Fixing the country’s health care system is complicated, especially when we reject the experiences of other industrialized nations. Relying on free market competition to reduce premiums while ignoring the cost drivers of medical care is akin to panning for fool’s gold. Healthcare costs are a function of provider prices and patient utilization. Reducing prices would result in reduced incomes for hospitals, physicians, and pharmacy companies, an outcome they aggressively resist. At the same time, restricting utilization might increase suffering and mortality. Moore starts suggesting that there are other places where health care works better, for instance, Canada, Britain, France and Cuba. In Canada, the health care system is funded by income, sales and corporate taxes that, combined, are much lower than what Americans pay in premiums. Moore covers a lot of ground. I believe that his numbers were mostly right, but his arguments could use a little more context. Without health insurance coverage, a serious accident or a health issue that results in emergency care and/or an expensive treatment plan can result in poor credit or even bankruptcy. Because people without health coverage are less likely than those with insurance to have regular outpatient care, they are more likely to be hospitalized for avoidable health problems and to experience declines in their overall health. Health insurance protects you from unexpected, high medical costs. You pay less for covered in-network health care, even before you meet your deductible. You get free preventive care, like vaccines, screenings, and some check-ups, even before you meet your deductible

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