Thursday, 28 March 2013

Secular Café: Kinds of Health-Care Systems

Secular Café
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Kinds of Health-Care Systems
Mar 29th 2013, 00:52

Health Care Systems - Four Basic Models | Physicians for a National Health Program

The Beveridge Model - after William Beveridge, designer of the UK's National Health Service. Also in Spain, New Zealand, most of Scandinavia.

The Bismarck Model - after Chancellor Otto von Bismarck, who created it for late 19th cy. Germany. In present-day Germany, it involves some 240 heavily-regulated private nonprofit "sickness funds". Also in France, Belgium, the Netherlands, Japan, Switzerland, and also a bit in Latin America.

The National Health Insurance Model - a Beveridge-Bismarck hybrid. Notably in Canada, but also in Taiwan, South Korea.

The Out-Of-Pocket Model - the usual system in the Third World.


The US has no single system, but an awkward hybrid of all four systems.

The Veterans Administration - Beveridge
Medicare, Medicaid - National Health Insurance
Employer-Based Health Insurance - Bismarck
Not covered by those systems - Out-Of-Pocket

The system known as Romneycare and Obamacare is essentially the Bismarck model.

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