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We must acknowledge the limitations of our current health care system even as we work to reform it. The perception of the public is that the system is rife with both inefficiency and inequities. Widespread inappropriate and unnecessary care exists side by side with substantial "under care." U.S current patchwork system forces public to take each target group-men, older women, minorities, children-and fashion separate strategies to fill the gaps and address the special needs of each group…
Controllable chronic illnesses, such as hypertension, diabetes, and asthma, go unchecked, generating serious adverse health effects. The incidence of all these problems is much higher among men of color, creating a deep national health crisis that is generally obscured from public view.
The high rate of medical errors in U.S health care system is no secret to insurers and their reinsures. Medical-malpractice insurers pay liability claims to patients injured by medical errors, and health insurers pay for the additional treatment to deal with the medical complications of those errors. Health-care costs represent about one-half that figure, with the rest accounting for lost income, lost household production and disability costs. Nevertheless, insurers' efforts to reduce medical errors did not receive much attention. Health insurers are feeling pressure from private and public purchasers as well as the National Committee for Quality Assurance, which is changing its accreditation requirements to include patient safety. ...
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