[2] The creation of public-private partnerships by hospitals has occurred in many states, and has specifically addressed social determinants of health like education and housing.
[4] Future efforts within health policy can incorporate appropriate incentives and tactical funding for community-based initiatives that target known gaps in social determinants.
Such assessments may identify a demand for increased and reliable forms of transportation, which would allow individuals to have continuous resources to preventative and acute care.
As well, funding for job training initiatives within communities with low employment would allow individuals to build their capacity to not only earn income, but also engage in health-seeking behaviors which typically are at an elevated cost.
[5] The existence of unwarranted variations suggests that some individuals do not receive adequate care or that health resources are not being used appropriately.
Policymakers should take a comprehensive approach to align policies, leadership, and technology in order to effectively reduce unwarranted variations in care.
The term was derived from the language that President Eisenhower had used ("military-industrial complex") when warning the nation, as he was retiring, about the growing influence of arms manufacturers over American political and economic policies.
According to Dr. Relman, American health care system is a profit-driven industry and it has become a widely accepted theory these days.
Medical industrial complex includes proprietary hospitals and nursing homes, diagnostic laboratories, home care and emergency room services, renal hemodialysis units, and a wide variety of other medical services that had formerly been provided largely by public or private not-for-profit community-based institutions or by private physicians in their offices.
[12] In the U.S, there are loose regulations on healthcare industries, often driving companies to charge high prices and fragment standards of care.
Rationing in health care occurs due to scarcity; everyone cannot have access to every service and treatment because it would not be an efficient use of resources.
The ACA opened the door for increased access to preventative care by mandating insurers to offer these services at no additional cost.
The system works through level of importance, with urgent care having priority as well as certain disease/disorder treatment as some are life and death situations.
Although the no cost sharing system seems generous on the surface, the overall lack of access or options creates serious issues for patients.
The effects of deinstitutionalization were mixed; individuals with mental illness were no longer subject to poor conditions in asylums, however, community support was inadequate to provide treatment and services for the severe and chronically ill.[21] Mental health is treated by an array of providers representing multiple disciplines working in both public and private settings.