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Healthcare in the United States: Achieving Fiscal Health in the Marketplace or Delivering a Sustainable Public Good?

Healthcare in the United States: Achieving Fiscal Health in the Marketplace or Delivering a Sustainable Public Good?
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Author(s): Hillary Knepper (Pace University, USA)
Copyright: 2018
Pages: 13
Source title: Positioning Markets and Governments in Public Management
Source Author(s)/Editor(s): Helisse Levine (Long Island University, USA) and Karina Moreno (Long Island University, USA)
DOI: 10.4018/978-1-5225-4177-6.ch007

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Abstract

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

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