health services .” second introductory paragraphintroduce second source W r i t i n g

this is my outline for the proposal

• A Working Outline for a Proposal Argument on the U.S. Healthcare System
  1. Introduction to Topic (1 or 2 paragraphs)Attention Grabber/HOOK:The Guardian reports that an estimated number of 46 million Americans are unable to afford quality healthcare if needed today. That is approximately 14% of American citizens left without their basic human right of access to healthcare.Introduce first source: Chemweno, Johonniuss. “The U.S. Healthcare System is Broken: A National Perspective. “Chemweno argues that “The United States does not have a uniform health system and has no universal healthcare coverage. The health disadvantage of the U.S. relative to other high-income countries is health disparities in health services.”
  2. Second Introductory ParagraphIntroduce second source: Huckman, Robert. “What Will U.S. Health Care Look Like After the Pandemic.?“Even the most vocal critic of the American health care system cannot watch coverage of the current Covid-19 crisis without appreciating the heroism of each caregiver and patient fighting its most-severe consequences. Hospitals are being built in parks and convention centers, new approaches to sterilizing personal protective equipment (PPE) for reuse are being implemented, and new protocols for placing multiple patients on a single ventilator have been developed. Most dramatically, caregivers have routinely become the only people who can hold the hand of a sick or dying patient since family members are forced to remain separate from their loved ones at their time of greatest need.”Thesis Statement at End of Introduction: use “problem and solution rhetoric” to set up argument:Healthcare in America is a pressing issue that affects nearly every American citizen. Addressing this issue and opening the floor for possible solutions is a must.
  3. History of the Problem (1 or 2 paragraphs)(P)oint- US citizens have not always struggled with acquiring healthcare.(I)llustration- “The U.S. Health Care Non-System, 1908-2008.” AMA Journal of Ethics“One hundred years ago, in 1908, health care was virtually unregulated and health insurance, nonexistent. Physicians practiced and treated patients in their homes. The few hospitals that existed provided minimal therapeutic care. Both physicians and hospitals were unregulated. When patients saw a physician, they paid their modest fees out-of-pocket; they were more concerned about the wages they would lose if illness kept them out of work than about the cost of their medical care.” (E)xplanation- US citizens were previously able to cover their healthcare fees without remarkable financial burdens.
  4. History of the Problem (1 or 2 paragraphs)(P)oint- The problems within the healthcare system did not begin until 1938.(I)llustration- “The American Health Care System Has Lots of Problems. Here’s When They Started.” Time“ it was in 1938 that they picked the insurance model as the only option they would allow, setting out conditions with which the doctors and the insurers would have to comply, like the requirement of a fee-for-service model. Though the insurers had long balked at the idea and predicted that the result would be chaotic, they had little choice when faced with the entire medical establishment as well as the idea that the other option was socialism.”(E)xplanation- The beginning of the incorporation of the insurance model in American healthcare marked the beginning of the deterioration of healthcare in America.
  5. Solution to the Problem(P)oint- Relationship-based clinics might be one of the solutions to the healthcare crisis.(I)llustration: – “What Broke American Health Care and How to Fix It” ForbesWith relationship-based clinics, the doctors get paid a lump sum from Medicare Advantage plans [private insurer plans for people on Medicare] or employers and then coordinate care. Sometimes they teach cooking classes for patients with diabetes. Relationship-based clinics are becoming the central station for referring patients to high-value specialists.(E)xplanation: If adopted, relationship-based clinics can improve the current state of American healthcare.
  6. Solution to the Problem(P)oint- The American Health Care Plan gives all people access to healthcare and reduces the costs on the long run.(I)llustration “Finally, a conservative plan to fix America’s broken health care system” The Hill“Under the AHCP, there would be no need for Medicaid or employer health insurance plans, because Americans would have enough money in their HOA accounts to buy their own health insurance plans, providing more options than ever for the vast majority of families.”(E)xplanation: The American Health Care Plan is a better option than the current healthcare plans and can improve access to healthcare without increasing costs.
  7. Counter to changing the healthcare system(P)oint- Many people would argue that the US healthcare system as it is offering a lot of advantages to some patients.(I)lustration- “The Pros and Cons of the US Healthcare Model (the Direct-Fee System)” The Clinton Courier“You won’t have to wait a long time to see a surgeon or specialist if you’re in the United States. In a study conducted by the Commonwealth Fund, it was concluded that 57% of Canadians wait more than 4 weeks to get an appointment with a specialist. In the US, only 23% wait longer than 4 weeks to see a specialist.Although the medical systems in these two countries often get compared, the truth is that it’s much easier to get an appointment or surgery in the United States. In the US, there is minimal wait time even for complex procedures.”(E)xplanation: Although the healthcare system in the US is flawed, it offers patients more access to physicians with less waiting time in comparison to the Canadian healthcare system.
  8. Conclusion to Proposal Argument: Re-cap w/The Purpose of the Proposal
  9. Restate Thesis StatementThe healthcare system in America is indeed flawed and its problems affect each and everyone of us, however there is still room for change.
  10. 2-3 Sentences about Each Part of the ProposalBy acknowledging the reasons that lead to this situation, we can formulate ways to solve it. The current state puts a large portion of people at risk, and it should be talked urgently. Some solutions include relationship-based clinics and a new healthcare plan that offers improved access to healthcare while remaining cost-effective.
  11. Return to Attention Grabber/HOOK:Let’s never forget the 14% of Americans who have no access to healthcare, and we should never rest until we make sure that these 46 million lives are protected by the healthcare they deserve.Work cited:“The Pros and Cons of the US Health-Care Model (the Direct-Fee System).” The Clinton Courier, 19 Oct. 2021, https:// Haskins, Justin. “Finally, a conservative plan to fix America’s broken health care system” The Hills 07 Oct 2021. https://thehill.com/opinion/healthcare/562254-finally-a-conservative-plan-to-fix-americas-broken-health-care-system (Links to an external site.) Accesses on 28 Oct 2021Rothman, Lily. “The American Health Care System Has Lots of Problems. Here’s When They Started” Time, 17 July 2017. https://time.com/4837864/healthcare-history-beginning-obamacare-ahca/ (Links to an external site.) Accessed on 28 Oct 2021.Huckman, Robert. “What Will U.S. Health Care Look Like After the Pandemic” Harvard Business Review, 07 April. 2020, https://hbr.org/2020/04/what-will-u-s-health-care-look-like-after-the-pandemic (Links to an external site.) Accessed on 28 Oct 2021.Glenza, Jessica. “Nearly 46m Americans Would Be Unable to Afford Quality Healthcare in an Emergency.” The Guardian, Guardian News and Media, 31 Mar. 2021, https:// Chemweno, Johonniuss. “The U.S. Healthcare System is Broken: A National Perspective.” Managed Healthcare Executive, 27 July. 2021, https:// (Links to an external site.) Accessed on 28 Oct, 2021.Moseley, George. “The U.S. Health Care Non-System, 1908-2008” AMA Journal of Ethics, May 2008,https://journalofethics.ama-assn.org/article/us-he… (Links to an external site.) Accessed on 28 Oct 2021.Eisengerg, Richard. “What Broke American Health Care And How To Fix It” Forbes, 25 Oct 2019. https:// (Links to an external site.) Accesses on 28 Oct 2021