Developed world spans broad spectrum

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Question

The financing and organization of medical care throughout the developed world spans a broad spectrum. In most countries, the preponderance of medical care is finaced or delivered (or both) in the public sector; in others, like the United States, most people both pay for and receive their care through private institutions.

The health care systems of four nations: Germany, Canada, the United Kingdom, and Japan. Each of these nations resides at a different point on the international health care continuum. Examining their diverse systems may aid us in our search for an improved health care system for the United States.

The four varieties of health care financing: out-of-pocket payments, individual private insurance, employment-based private insurance, and government financing. Germany, Canada, the United Kingdom, and Japan emphasize the last two modes of payment. Germany finances medical care through government-mandated, employment-based private insurance, though German private insurance is a world apart from that found in the United States. Canada and the United Kingdom feature government-financed systems. Japan's financing falls between the German method of financing and the government model of Canada and the United Kingdom. Regarding the delivery of medical care, the German, Japanese, and Canadian systems are predominantly private, while the United Kingdom's is largely public.

Although these four nations demonstrate great differences in their manner of financing and organizing medical care, in one respect they are identical: They all provide universal health care coverage, thereby guaranteeing to their populations financial access to medical services.

These various approaches can be useful for Americans to understand, not only to draw ideas from as we look to improve the healthcare system in our country, but also to see that cost-saving mechanisms and broadened coverage have consequences for other parts of the system. America needs to evaluate its own values as a nation to decide what (if any) trade-offs we are willing to tolerate in order to cover a larger percentage of our population.

Reference no: EM133912694

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