Notes

Affordable, Quality Health for All
There is really a broad range of medical services available via Discount Health Care Programs. They offer primary, complementary and quality alternative solutions to meet a host of needs. Additionally, the average person cost savings associated with Discount HEALTHCARE Programs (DHCP) use can be substantial.

These programs are relevant because at the very least 48 million Americans haven't any medical care insurance or are inadequately insured. But, there is "no free lunch." So, as the country has substantial experience delivering medical services by way of Medicaid, there are substantial issues with geographic distribution of services, appropriate access, services documentation, quality assurance, data storage, data security, and services payment, to mention a few. Additionally, there are significant challenges with financial accountability at all levels, and assuring reasonable ROI promptly investment for providers willing to use cumbersome, documentation-heavy government programs. As such, t here is no current, reasonable, all-encompassing, universal extension of Medicaid/Medicare. And, there are insufficient broad support of existing, too briskly cobbled together, Affordable Care Act based programs.

We are very familiar with government-funded public facilities, programs, and resources available in a few of the better-financed regions of the country. Even there, efficient usage of services is often demonstrably less than expected due to issues related to target population understanding, transportation and other barriers to access. And, in spite of the magnitude of the investment, a lot of the staff working at the facilities are marginally skilled and motivated to serve. As such, if the programs are linked to health, education, practical skills development, conditioning, social enrichment or other, the combination of limitations of both the delivery sources and recipients yields suboptimal outcomes.

Even if the complete country were speckled with sufficiently commodious, well-appointed technologically and optimally staffed (in accordance with skills and attitudes) health facilities, there would be a ubiquitous question: "If we build it, will they come?" Approximately ninety (90) percent of the American population is not Health Literacy (HL) proficient. This insufficient HL proficiency adversely impacts overall health status through poorer health behaviors, including some social activities, fitness habits, and health care decisions. Will the relative health illiterate use freely accessible, comprehensive health facilities sufficiently well?

Currently, inappropriate usage of health care services, due substantially to problems of access and poor HL decreases general health outcomes and increases personal annual medical care expenditures regardless of what mix of insurance and government-supported care, and cash-basis services are employed.

In response, improving population Health Literacy proficiency should drive future administrative planning and health care investment decisions. Enhancing Health Literacy and usage of Discount Health Care Programs (in the absence of national universal care) ought to be uppermost personal considerations in health care planning if we wish affordable, quality health for several.

We are health care professionals with diverse training and experience.
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