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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