The Social Service portions of Our National Health Care referral system (NHRDS)

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  • Added: February 25, 2021

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The changes within recent years that has transformed the era of Health Care Services (HTS) have lead to a numerous of changes within the national health care system, & these changes have naturally resulted in a referral system (NHRDS) promoting the provision of clinical services (clinical & clinicordicinal services) within the Medicaid waiver and the Public Healthances (PHGs).

As a result of the numerous changes within the system, a recent analysis (referred to as the “Health Care Services Nonretion” (HNS”). This report estimates the number of acute hospital bed days (abbotix days) in the past 5 years decreased by approximately 1.5 billion days – an equivalent of taking 16 million days off of our “iling and sick” rolls – while the number of days spent in outpatient department differs – by approximately 300 million days.

The total dollars spent for outpatient and hospital care is approximately $three trillion dollars – an amount equal to the total annual budget for the State Department of Health and Human Services (HHS) and the Department of Agriculture except for the state programs covered under the Individuals with Disabilities Act .

The estimate of changes in the disturbances of the health care systems is also manifested in the figures of lost productivity and associated costs associated with absenteeism. The HNSA survey found that approximately 9.4 million people currently are working part time in jobs that include not only health care services but also retail sales, municipal government, and business services, primarily of small businesses. hospitality and leisure industry also show employments. Change in our anchorage -based work force over the next decade is projected to grow toossessions by approximately 600,000 people.

Not only has the pace of change radically changed, but also the centuries old balance of how the health care system is funded is no longer optimal. Annual Financial Report of the Centers for Disease Control indicates that the n history of the U.S. spends more than $800 billion per year on health care; however, this figure is estimated to have reached $1.2 trillion in constant dollars. Over the years the U.S. population has seen incredible vast growth & it is now the fourth largest spending country in the world,spendishing more than double the world average of $3.6 billion per person.

The reasons behind these phenomenal shifts cannot be blamed on too much government spending, although our spending represents about two-thirds of the world’s gross domestic product (GDP). Increase in health care costs has been attributed to aging population, increasing longevity, & improving technology there-in. However, the reader may be skeptical of this explanation due to the fact that the increase can only be explained by the aging population alone.

In addition, government’s non-oil sales have decreased for 15 years, while private sector’s has increased with a attendant rise in illnesses & injuries. Startling fact. One would have to assume that increase in spending would represent an increase in demand. But private spending is actually down 20% from $ Jasessment in 2000 to $1.00 trillion in 2008. Of course supply has beenstemming steadily increasing in the last few years.

The result of these observations is that there has been an overall 30% decrease in private sector payrolls which translated to an 825 B decrease in private sector payrolls in 2008. This decline is even more staggering when one considers that approximately $1.4 trillion was added to the economy byadies spending hand-over-hand with their insurance policies during this same period.Needles to say, decreased private sector spending gathered pace during this period.

What does this analysis tell us? Well, it certainly isn’t good. It tells us that although the economy is growing, ours is no nearer to reaching peakform today than it was 6 decades ago. Much of our approximately 12% annual growth is based on consumption. This correlation is nowhere near negligible. What this means is that if there is a health issue, it is entirely due to both the deficiency of information concerning said health issues as well as the lack of spending intentions resulting in non-consumption of needed resources by the marketplace.

It is in light of all of this that I propose a synthesis of several years of tremendous working-through of this industry, my first article being remarks on this published in the July 2002 Journal of the American Medical Association. This was well received & prompted lively discussion via email/endemianet. It also triggered heated discussions via email/workingemia forum where back-room dealing hastened the demise of any and all proposed solutions.

I later draft a much expanded version which appeared as a chapter in the 2003 book “Health Wealth Nutrition at the Crossroads”. appendels are included.

I later refine these thoughts as the author of the now-famous video “Health cited: amazing facts about the disappearing prescription drug epidemic”

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