Changes in the Healthcare System of America: Past, Present, and Future

This article discusses the changes in the healthcare system of America over the past few decades, including the impact of the Affordable Care Act and technological advancements. It also predicts the future developments in the healthcare system, such as the use of Health Information Technologies, mobile health technology, and social media. The article also highlights the challenges faced by healthcare organizations and the controversies surrounding the Affordable Care Act.

Question 1
The overall healthcare system of America has experienced a massive change in the
past few decades. Healthcare scenario in America was quite different 40 years ago. The
patient protection and Affordable Care Act was passed in the year 2010. Due to the
advancement of technology, application and establishment of new law, healthcare system has
been developed. Even, spending in the healthcare has also been increased due to the
economical growth over past 40 years. On the basis of per capita, the spending on healthcare
has also found to be grown substantially (Obama, 2016).
Question 2
The healthcare organization serves over 4500 patients and after the development of
ACA, a change in the system processes is required. Financial coverage can be critical for the
healthcare organization because they serve thousands of patients. It also requires efficient
operations and in this regard, there will be requirement of more staffs. There will be new
responsibilities and training for new roles is also required (Pignatti et al., 2015).
Question 3
Due to the technological advancement, it can be predicted that in the next 15 years,
the healthcare system will experience a huge development in all aspects. With the use of
Health Information Technologies (HIT), the patients and their families will be able to easily
access the healthcare resources. Mobile health technology, such as mobile app will provide
an additional support in wide range of health conditions which will be extremely valuable.
Tele-video and home-based Tele-Health solutions will be widely used to interconnect the
patients with healthcare providers. With the access of better data and health information,
decision making in the medical field will be more improved. Apart from that, social media

and smart healthcare devices will also support healthcare system to grow faster. All these are
helpful for the family medical clinic scenario too (Asan, Young, Chewning & Montague,
2015).
Question 4
Incorporation of immediate response always supports the patients to get faster
response after diagnosis and tests and no delays will be there. Due to the regulatory agency
changes, a vigorous policy of non-enforcement is possible. The regulation may also change if
the systems are developed to provide immediate answers (Pignatti et al., 2015).
Question 5
It is being predicted that after 5 years, ACA will provide health coverage to more than
16 million of people. The health-insurance companies cannot deny any person for any pre-
existing health condition. Due to ACA they will not be able to refuse to cover any person or
charge more than others. With the access of it, there will be a reduction in the medical cost
also. However, there are some controversies on the success of ACA, but after the
establishment, millions of people accepted it happily and it is being predicted it will cover the
health of more people in future (Kantarjian, 2017).

References
Asan, O., Young, H. N., Chewning, B., & Montague, E. (2015). How physician electronic
health record screen sharing affects patient and doctor non-verbal communication in
primary care. Patient education and counseling, 98(3), 310-316.
Kantarjian, H. M. (2017). The Affordable Care Act, or Obamacare, 3 years later: A reality
check. Cancer, 123(1), 25-28.
Obama, B. (2016). United States health care reform: progress to date and next steps. Jama,
316(5), 525-532.
Pignatti, F., Ashby, D., Brass, E. P., Eichler, H. G., Frey, P., Hillege, H. L., ... & McAuslane,
N. (2015). Structured frameworks to increase the transparency of the assessment of
benefits and risks of medicines: current status and possible future directions. Clinical
Pharmacology & Therapeutics, 98(5), 522-533.