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Thursday, August 31, 2017

Fairness neglecting consequences in healthcare


In previous post about fairness we discussed the direct and indirect impact of fairness implementation on the whole healthcare provision and how the proper implementation of its parameters would create society affordability from households in case of expenditure contributions and also exaggerate the effectiveness of fairness reimbursement that would overcome any future financial distress from the fairness perspectives and associated WHO parameters. In this post we would like to discuss the results of implementation and also lack of fairness hypothesis on the provision of medical services. Before we mentioned that fairness provides fair household contributions and medical reimbursement for health workers and stakeholders in order to get at point of self-sufficiency for whole business cycle of the system and moreover with good liquidity management. It supposed to be also back up account for emergency and the other for sudden epidemiological figures might be happen in future. No one can deny that Fairness among healthcare system explained many of former unfavourable results were not understandable before from the researchers and academic policy designers. Complications and signs of neglecting to fairness parameters actually not popular and hard for ordinary medical workers to identify and define lack of fairness within and complications as long as was not there a sort of training to deal with them. However to be more precise here; there are some of back door signs clear enough to be noticed, as a private point of view would like to start with signs and manifestation of system with poor fairness parameters implementation.
First; gap of medical services are considered primitive banner of lack of fairness in that system. Second; absence of successive system progression and growth of mutual revenue ratios with fixed improvement between expenditures and funding even if that funding normal ordinary out pocket payments. Third; health insurance uncovered citizens is a big percent in comparison of total population and that number continuously in growing as a result of those who opted out of system due to lack of financial affordability.  The last one is the easiest one; massive inflation of healthcare costs and provision, this parameter not only defined the gapes of system services distributions but also considered one of the biggest alarm toward hidden financial activities produce additional unaffordable costs and prices.
Now we are crossing the road to get to the opposite side of the post to talk about the complications whether in short or long term. We are know that fairness produced as a result of financial households affordability then what is next?!; the next poor or may be lack of financial access of medical services and therefore; would be over there signs of services inequality and overall health provision inequality. Thus; the community individuals who could not afford to pay their service costs and insurance shares going to be out and insurance market and contributions will be depressed because of poor household contributions of the society.
For sure after all; the chart of population health will become downward or in other word would be kept only for emergency and chronic cases. The medical provider as a result of revenues scarcity of community will apply business game tactics to overcome that liquidity shortage and deviation of income and wholes of income which should be awaited. So, system will offer unnecessary services and load additional cash flow from the patients and the prices will be two or three folds in couple of years in order to increase the revenue longitudinally from the same community number than attract new contributors through decent affordable service costs. I guess now the picture and whole process clear in mind and now the reader easily identify where the point of setbacks of any system you are going to deal with. Full health J

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