Mental Health Care and National Health Insurance: A by David Upton

By David Upton

The burial societies of the Romans have been, basically, inner most crew assurance courses. So have been the safety cash of medieval guilds. mostly during the efforts of work unions, by way of 1968 greater than two-thirds of the exertions strength in U.S. used to be coated by way of workforce existence and medical insurance plans in general supplied (as fringe advantages) through employers. at the present time the percentage is even larger, and the institution of nationwide medical insurance, to be subsidized by way of govt, is being debated within the halls of Congress. whole treatment for the citizenry, with overall healthiness pros in part or utterly salaried through a central authority service provider, is now regular in lots of coun­ attempts, together with these of jap Europe, lots of the British commonwealth (including Australia, Canada, and New Zealand), numerous Latin American nations, Greece, Turkey, Sweden, and naturally China, the USSR, and jap Europe. the key replacement scheme, during which the govt presents repayment for personal care, is hired by means of numerous different West­ ern countries, together with Norway, Denmark, Austria, West Germany, and Spain. either one of those equipment of presidency assurance exist for definite teams within the usa: the previous for army group of workers, service-connected or impecunious veterans, and the indigent mentally ailing; the latter for these cov­ ered less than the 1965 modification to the Social safety Act. besides the fact that, so much medical insurance within the usa is deepest, a lot of it working on a bunch basis.

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Treatment delivered by professionals and other personnel trained specifically in the mental health field. It does not record the large number of visits to non psychiatrist physicians-which in essence constitute mental health care-because the physician prescribes only tranquilizers or antidepressants for the patient during these visits. In this connection, Regier and his associates at the National Institute of Mental Health (NIMH) cite data 5 that reveal that while 3% of the population receive specialized mental health care services in a given year, over 9% of the population receive nonspecialized "mental health care" from the primary care/outpatient medical sector.

In addition, these diseases may affect the person's ability to think, remember, learn, and recognize. "Senile dementia" ("senility") is an example. Many organic (physical) diseases affect a person's nervous system mainly or exclusively, whereas others affect the nervous system only secondarily. Brain tumors, Huntington's chorea, and "senile dementia" belong to the first group; thyroid, liver, and kidney disease belong to the second. The distinction is somewhat artificial since the resulting mental illness/emotional problems can be quite similar.

This category may well constitute the single most common illness afflicting Americans, especially if we include the medical- surgical illnesses that result secondarily from alcohol! drug abuse and the overuse and abuse of tranquilizers, sedatives, and hypnotics. The "disease" of alcohol and drug abuse accounts directly or indirectly for a high portion of our total national expenditures for health. Of course, alcohol and drug abuse reflect underlying mental illness/emotional problems and/or lead to them so that effective treatment is often complex and extended.

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