Saturday, July 7, 2012

Universal health care map of the world

Nice map in the Atlantic which maps countries with some form of universal health care system. Most of them are through compulsory, but government-subsidized, public insurance plans.












As it writes, the astonishing thing about the map "is how cleanly the green and grey separate the developed nations from the developing". The developed world exception is the United States.

Essentially, there are four models of health care systems. In the Beveridge model, as in the single-payer system of UK, health care is provided and financed by the government through tax payments. Many, but not all, hospitals and clinics are owned by the government; some doctors are government employees, but there are also private doctors who collect their fees from the government. The Bismarck model, adopted by Germany and other continental European countries, uses private service providers and several non-profit insurance funds, and is financed jointly by employers and employees, with means tested premium support for the poor. However, tight government control keeps premiums and service costs under control.

The National Health Insurance nodel of Canada, now embraced by South Korea and Taiwan, has private-sector providers, though payment comes from a government-run insurance program that every citizen pays into. Such single-payer, mandatory, community rated insurance system helps keep costs under control. Finally, there is the out-of-pocket model, where payments are made directly by the patients, based on the service delivered, without any intermediation by the government or insurer. Most developing countries have this model of health care delivery. 

1 comment:

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