Bankix Systems Ltd. releases a new e-book titled “The American Health System in Perspective”.

Oct 30, 2006

The American health system is in flux. Health spending is soaring, over 15% of the country’s gross domestic product (GDP,) and increasing. Its scorecard seems not to reflect this increasing expenditure. Some economists would argue that the country could actually spend increasing amounts of money on health so long as it reduces the costs of healthcare delivery, which would in turn eventually reduce spending. However, studies indicate that American citizens are not necessarily healthier than those of other countries are that spend comparatively less on health. What then is the rationale for this increasing health spending, many would ask. Does the country need to overhaul its health system? That healthcare is playing a relatively minor role in contemporary politicking does not diminish the concern of the ordinary American about the adverse effects of increasing healthcare costs on the wallet, on the one hand and of the potential and more pervasive effects of what some would consider the alarming discrepancy between health spending and healthcare costs on the other. These considerations regardless, to hold that it does not make at least intuitive sense for the strategic intent of the country’s health system to be to deliver qualitative health services efficiently, simultaneously reducing healthcare costs, the dual healthcare delivery objectives to which all health systems should in fact aspire, would be most probably tenuous. Furthermore, that the idea of health sector reform has not gained national prominence since the early nineties is instructive, perhaps of a collective perplexity of the seeming cacophony of often elegant but apparently ineffectual ideas that have characterized attempts in different quarters to fix the health system lately. Yet, we confront potential and real threats to the overall well-being of many in the country on an ongoing basis, Hurricane Katrina, and H5N1 avian influenza sobering, latent festering loci of focused action on the issues on which we were lacking, and of which action one might ask what we should await to propel. Should Americans have to pay increasingly more out-of-pocket health expenses for healthcare to feature on the national political and policy agenda? The endless debates on healthcare cost-sharing formulae highlight the nuance of healthcare delivery issues that should force a reorientation regarding current perceptions of the health system, the essential ingredient of health sector reform more apposite to the inevitable pattern of the evolution of healthcare delivery in the country. The question therefore is not whether the country needs another health sector reform, but the probable consequences of a coalescing conglomerate of disparate forces, agents, and principals alike, whose maneuverings are sometimes even antithetical, for a variety of reasons, the noble objectives nonetheless thwarted, left to persist. It becomes therefore moot that health sector is sine qua non to the achievement of the dual healthcare delivery objectives conducted without due cognizance of the peculiarities of its re-conceptualization in its entirety. It is for example an essential ingredient of any health sector reform to attempt to eliminate inequities in access to health services, which yet we could scarcely have achieved, ignoring for say, racial disparities in such access, those regarding a particular race that might not be to the degree of those of some more prominent others. The e-book examines in-depth the American health system from these perspectives, in an effort to illuminate the potential issues germane to an all-inclusive reformation attuned to the requirements of contemporary health systems emerging into and blending with the evolutionary forces that would shape future healthcare delivery in the country whose atavistic tendencies are already self-evident. We would therefore embark on this dialectic, our scaling multidirectional, in keeping with the core of the reinvention process that the country’s health system crucially needs, a certain flexibility that spawns and nurtures creativity, which in turn engenders quality, the perpetual pursuit of which the various issues and processes revealed would dictate in tandem with the solutions that also emerge. This e-book would interest doctors and other healthcare professionals, and hospital staff and executives. It would also be useful to policymakers, health insurance firms, software vendors and other healthcare ICT firms, the public, health advocacy groups, the media, government agencies, health insurance companies, industry analysts and leaders, and other healthcare stakeholders.