74 lines
4.4 KiB
Plaintext
74 lines
4.4 KiB
Plaintext
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<20><><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>
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<20><><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD> <20><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>
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ARRoGANT CoURiERS WiTH ESSaYS
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Grade Level: Type of Work Subject/Topic is on:
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[ ]6-8 [ ]Class Notes [Report on the Concern ]
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[x]9-10 [ ]Cliff Notes [of the Health Care Systm]
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[ ]11-12 [x]Essay/Report [ ]
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[ ]College [ ]Misc [ ]
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Dizzed: 07/94 # of Words:544 School: Public Co/Ed State: NY
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<EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>>Chop Here><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>><3E><><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD><EFBFBD>
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Throughout the United States there has been an overwhelming concern as
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to the status of the present health care system. Approximately 100,000
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people lose their health insurance each month. Unfortunately the present
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system does little to nothing to aid these people. It is for this reason
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that various managed health care plans have come into existence and use.
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Managed health care is a system by which an outside body, such as a state
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or federal government places regulations on the health care process.
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St. Luke/ Roosevelt Hospital in Manhattan is currently operating under
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a managed health care plan. Vickie Powell, In-patient Pharmacy Supervisor
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at St. Luke/ Roosevelt states that the approach to managed care in the
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hospital involves a "Gatekeeper" mechanism. According to Powell each
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patient is assigned a gatekeeper, a general practitioner who will decide if
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the patient is in need of a specialist. If so the gatekeeper will make a
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referral to a specialist. Providing the patient chooses to follow the
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gatekeeper's referral he or she will be granted the health care benefits
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covered under the managed health care plan. If they are to go against the
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referral and see a doctor not recommended they do not receive the coverage
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that they would under the plan.
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When asked how this would affect the pharmacy aspect of the hospital
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she said "Pharmacy must become involved in the schooling of the patient
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about the medicine, where this was previously the job of the nurse."
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Besides this she says it would not have a great effect on her department as
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opposed to the hospital as a whole.
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Managed health care plan that has received the most publicity is that
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of President Bill Clinton. Clinton's plan calls for universal health
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insurance, meaning that no one could be denied coverage. When faced with
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the question of what happens to now coming into the hospital without any
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health insurance. Powell said, "A person can't be turned away from the
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emergency room with or without insurance. This causes a large deficit for
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the hospital."
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One of the major problems that most critics see with Clinton's plan is
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that it attempts to provide universal insurance without placing limitations
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on who can receive certain types of care. These limitations are present in
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the European, and Canadian plans that Clinton's emulates. An example of
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such a limitation is dialysis treatment. In the other countries only
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people under the age of fifty are eligible for coverage on this expensive
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treatment. Ms. Powell does not see any way that the Clinton plan could go
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into effect without implementing such limitations.
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Although the vast majority of Americans see a need for reform in the
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health care system there are several areas for the reform that they are
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asking for. The reforms can be made on the hospital level, like the plan
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of St. Luke/ Roosevelt or as large as the national plan proposed by
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President Clinton. Ian Blumenfeld
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