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Concern of the Health Care System Throughout the United States there has been an overwhelming concern as to the status of the present health care system Approximately 100000 people lose their health insurance each month Unfortunately the present system does little to nothing to aid these people It is for this reason that various managed health care plans have come into existence and use Managed health care is a system by which an outside body such as a state or federal government places regulations on the health care process St Luke Roosevelt Hospital in Manhattan is currently operating under a managed health care plan Vickie Powell In-patient Pharmacy Supervisor at St Luke Roosevelt states that the approach to managed care in the hospital involves a Gatekeeper mechanism According to Powell each patient is assigned a gatekeeper a general practitioner who will decide if the patient is in need of a specialist If so the gatekeeper will make a referral to a specialist Providing the patient chooses to follow the gatekeepers referral he or she will be granted the health care benefits covered under the managed health care plan If they are to go against the referral and see a doctor not recommended they do not receive the coverage that they would under the plan When asked how this would affect the pharmacy aspect of the hospital she said Pharmacy must become involved in the schooling of the patient about the medicine where this was previously the job of the nurse Besides this she says it would not have a great effect on her department as opposed to the hospital as a whole Managed health care plan that has received the most publicity is that of President Bill Clinton Clintons plan calls for universal health insurance meaning that no one could be denied coverage When faced with the question of what happens to
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