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

Hillary Knepper

Source Title: Positioning Markets and Governments in Public Management

ISBN13: 9781522541776|ISBN10: 1522541772|EISBN13: 9781522541783

DOI: 10.4018/978-1-5225-4177-6.ch007

MLA

Knepper, Hillary. "Healthcare in the United States: Achieving Fiscal Health in the Marketplace or Delivering a Sustainable Public Good?." Positioning Markets and Governments in Public Management, edited by Helisse Levine and Karina Moreno, IGI Global, 2018, pp. 1-13. https://doi.org/10.4018/978-1-5225-4177-6.ch007

APA

Knepper, H. (2018). Healthcare in the United States: Achieving Fiscal Health in the Marketplace or Delivering a Sustainable Public Good?. In H. Levine & K. Moreno (Eds.), Positioning Markets and Governments in Public Management (pp. 1-13). IGI Global. https://doi.org/10.4018/978-1-5225-4177-6.ch007

Chicago

Knepper, Hillary. "Healthcare in the United States: Achieving Fiscal Health in the Marketplace or Delivering a Sustainable Public Good?." In Positioning Markets and Governments in Public Management, edited by Helisse Levine and Karina Moreno, 1-13. Hershey, PA: IGI Global, 2018. https://doi.org/10.4018/978-1-5225-4177-6.ch007

Export Reference

Favorite

View Full Text HTML

View Full Text PDF

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.