Imbalance between primary care and specialty care

 

Why is there an imbalance between primary care and specialty care in the United States?
Discuss how to improve the current situation.

 

Sample Solution

There is a healthcare crisis in this country that has nothing to do with the Affordable Care Act. There is a bigger issue at hand. There are simply not enough physicians to care for them at this time, given the current population numbers. Doctors who are trained in the existing system do not practice in their communities as private practitioners. They’re enrolling in specializations and subspecialties based in large research and teaching hospitals in major cities. These big hospitals have high-tech machines that can perform MRIs, CAT scans, and cardiac catheterizations, among other tests.

t against the unjustifiable, a hostile conflict, countries which are not rebuffed for acting unfairly towards its own kin or have treacherously taken land from the home country (Begby et al (2006b), Page 310&313); to “show its adversaries something new,” yet essentially to accomplish the point of war. This approves Aristotle’s contention: ‘there should be battle for harmony (Aristotle (1996), Page 187). Notwithstanding, Frowe contends “self-protection” has a majority of depictions, found in Chapter 1, showing that self-preservation can’t continuously legitimize one’s activities. Much more dangerous, is the situation of self-preservation in war, where two clashing perspectives are laid out: The Collectivists, a totally different hypothesis and the Individualists, the continuation of the homegrown hypothesis of self-protection (Frowe (2011), Page 9& 29-34). All the more significantly, Frowe discredits Vittola’s view on retribution in light of the fact that first and foremost it enables the punisher’s power, yet in addition the present world forestalls this activity between nations through lawful bodies like the UN, since we have modernized into a generally tranquil society (Frowe (2011), Page 80-1). Above all, Frowe further discredits Vittola through his case that ‘right expectation can’t be blamed so as to take up arms in light of expected wrong,’ recommending we can’t simply hurt another in light of the fact that they have accomplished something vile. Different variables should be thought of, for instance, Proportionality. Thirdly, Vittola contends that war ought to be kept away from (Begby et al (2006b), Page 332) and that we ought to continue conditions carefully. This is upheld by the “final hotel” position in Frowe, where war ought not be allowed except if all actions to look for strategy falls flat (Frowe (2011), Page 62). This implies war shouldn’t be announced until one party must choose the option to pronounce battle, to safeguard its domain and freedoms, the point of war. Notwithstanding, we can likewise contend that the conflict can never be the final hotel, considering there is generally a method for attempting to keep away from it, similar to approvals or submission, showing Vittola’s hypothesis is imperfect. Fourthly, Vittola inquiries upon whose authority can request a presentation of war, where he suggests any ward can do battle, however more critically, “the ruler” where he has “the regular request” as indicated by Augustine, and all authority is given to him. This is additionally upheld by Aristotle’s Politics ((1996), Page 28): ‘a ruler is the normal prevalent of his subjects.’ However, he truly does later stress to place all confidence in the sovereign is off-base and has results; a careful assessment of the reason for war is expected alongside the ability to arrange rival party (Begby et al (2006b), Page 312& 318). This is upheld by the activities of Hitler are considered shamefully. Likewise, in this day and age, wars are not generally battled exclusively by states yet additionally non-state entertainers like Al-Queda and ISIS, showing Vittola’s regulating guarantee on power is obsolete. This is additionally upheld by Frowe’s case that the pioneer needs to address individuals’ inclinations, under genuine power, which joins on to the fourth condition: Public statement of war. Concurred with many, there should be an authority declaration on a revelation of war (Frowe (2011), Page 59-60&63).

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