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Running Head: ESSAY PROMPTS 1 Introduction The illnesses and death cases in any region determine the disease burden in various regions and states of the world. The higher the disease prevalence, the higher is the disease burden and vice versa. Else, the higher the ability of a country's healthcare system to handle the various healthcare needs, the lower are the disease burden and successful the system can be rated. The US healthcare system depicts a mixed scenario regarding these perspectives. Despite the great prospects made in the region's healthcare system regarding advancing the healthcare provision, there have been increases in disease burden due to the rising cases of degenerative and lifestyle diseases. Saguy (2013) refers to these diseases as foodborne diseases caused a result of the poor eating habits common in many American households presently. According to Saguy (2013), lifestyle diseases affect people from poor and rich households alike. However, the prevalence rates are consistently higher in developed countries such as the US compared to the underdeveloped nations. Overreliance on processed foods is the main cause of lifestyle diseases. ESSAY PROMPTS 2 Perspectives of illness and deaths in the USA As has been highlighted in the beginning, the huge burden of diseases in the United States stems mainly from lifestyle conditions. Figure 1, for instance, highlights the disease burden and the associated deaths for the years 2000, 2013 and 2014. The data shows that disease burden in the US have been decreasing consistently from 2000 to date. Nix (2015) attributes these to improvements in disease handling capabilities aided by growths in technology, awareness creation and improved access to healthcare for the majority of the US citizens. Access to healthcare remains the major determinant of disease burdens in any region of the world; the US is not an exception to these. The main intention behind the establishment of the Affordable Care Act, famous as Obamacare, was to improve access to healthcare and consequently reduce the disease burden in the region. ESSAY PROMPTS 3 Figure 1: Disease burden and deaths in the US in 2000, 2013 and 2014 Source: US Department of Health and Human Services, CDC, & National Center for Health Statistics (2016) As can be seen, the largest burden stems from the lifestyle (group 3) diseases which are inflicted primarily as a result of poor eating habits. However, Improved access to care since 2010 when the Obamacare came into action improved access to physician care and consequently reduced the disease burden and deaths resulting from this disease as well. According to a survey conducted by US Department of Health and Human Services, CDC, & National Center for Health Statistics (2016) from the perspective of the patients regarding the disease prevalence and prospects in the USA, the majority of the people, 87% felt that the ESSAY PROMPTS 4 disease burden had reduced considerably since 2010 with only 13% saying the high prices of healthcare in the region has prohibited access to physician care making diseases and deaths more prevalent. Regarding the types of illnesses, however, the majority are in agreement that the lifestyle diseases remain the largest causes of deaths among many Americans. The observations are consistent with the recent findings of various studies conducted in the past (Nix, 2015; Dolores & Bates, 2008). How individuals respond when faced with illnesses or deaths The response to diseases and deaths is a critical factor regarding diseases management and prevention. Still, Baskerville & Wood-Harper (2016) highlights that the perception of the people regarding the healthcare systems further determines their reactions and response to diseases and deaths. According to Williams (2012), the responses to disease and deaths among the Americans differ significantly according to the different ethnic and socioeconomic groupings. The low-income households, mainly the black American households, have the least ESSAY PROMPTS 5 access to disease and thus increased deaths amongst them. Baskerville & Wood-Harper (2016) perception survey among the Americans indicates that a majority of the people feel that the increased access to healthcare services in the region has enabled many Americans to seek medical care across the United States. Referring to this increased ease, Baskerville & Wood-Harper (2016) concurs that most Americans perceive that the death cases resulting from the inability to access medical care have reduced compared to the past. Conclusion and recommendations Observably, the disease burden in the United States has decreased considerably over the past years. Research indicates that the prevalence of various diseases has been declining consistently from 2000 to 2014. Nix (2015) attributes these to increased access to healthcare services for many Americans, improved technological application in diseases management and control. However, lifestyle diseases remain the most prevalent forms of illnesses in the region. Consistent with these statistics, there is a general perception that citizens' access to healthcare ESSAY PROMPTS 6 has improved significantly, therefore, reducing the deaths and disease cases. However, disparities are still observed in ethnic groups with the black Americans being the most affected with diseases and deaths most as a result of inaccessibility to healthcare. According to Baskerville & Wood-Harper (2016), improving accessibility to healthcare is the most effective way of reducing diseases and deaths occurring from such. This report recommends improving access and effective awareness creation among the American citizens regarding the lifestyle diseases. References Baskerville, R. L., & Wood-Harper, A. T. (2016). A critical perspective on action research as a method for information systems research. In Enacting Research Methods in Information Systems: Volume 2 (pp. 169-190). Springer International Publishing. Dolores, A., & Bates, L.M. (2008). Latino Health Paradoxes: Empirical Evidence, Explanations, Future Research, and Implications. In ESSAY PROMPTS 7 Latinas/os in the United States: Changing the Face of America, p. 101-113. Nix, K. (2015). "Comparative Effectiveness Research Under Obamacare: A Slippery Slope to Health Care Rationing," Heritage Foundation Backgrounder# 2679, April 12, 2012. Saguy, A. (2013). What’s wrong with fat? Oxford: Oxford University Press. US Department of Health and Human Services, CDC, & National Center for Health Statistics. (2016). Health, United States, 2015: With special feature on racial and ethnic health disparities. Retrieved December 11, 2016, from <http://www.cdc.gov/nchs/data/hus/hus15.pdf#019>. Williams, D.R. (2012). Miles to go before we sleep: Racial Inequities in Health. Journal of Health and Social Behavior, 35, 279-295. ESSAY PROMPTS 8