The most visible problem is the 32 million people without health insurance; the most distressing is the number of preventable deaths - up topeople per year - simply due to the way the health care system is organized. This crisis persists despite available resources to protect the right to health, record levels of health care spending and repeated health reform efforts.
This article has been cited by other articles in PMC. Abstract The purpose of this research paper is to compare health care systems in three highly advanced industrialized countries: The first part of the research paper will focus on the description of health care systems in the above-mentioned countries while the second part will analyze, evaluate and compare the three systems regarding equity and efficiency.
Finally, an overview of recent changes and proposed future reforms in these countries will be provided as well. We start by providing a general description and comparison of the structure of health care systems in Canada, Germany and the United States.
Health insurance coverage is universal. General taxes finance NHI through a single payer system only one third-party payer is responsible for paying health care providers for medical services. Consumer co-payments are negligible and physician choice is unlimited.
Production of health care services is private; physicians receive payments on a negotiated fee for service and hospitals receive global budget payments Method used by third party payers to control medical care costs by establishing total expenditure limits for medical services over a specified period of time.
Most of the population lives within miles of the United States border. From the American point of view, Canada provides a good comparison and contrast in terms of the structure of its health care systems.
The Canadian health care system began to take on its current form when the province of Saskatchewan set up a hospitalization plan immediately after WWII.
The rural, low—income province was plagued by shortages of both hospital beds and medical practitioners. The main feature of this plan was the creation of the regional system of hospitals: Inthe federal parliament enacted the Hospital and Diagnostic Services Act laying the groundwork for a nationwide system of hospital insurance.
By all ten provinces and the two territories had hospital insurance plans of their own with the federal government paying one half of the costs.
Since the health care system has moved in different directions. While Canada has had publicly funded national health insurance, the United States has relied largely on private financing and delivery.
During this period, spending in the United States has grown much more rapidly despite large groups that either uninsured or minimally insured.
The provisions of the Canada Health Act define the health care delivery system as it currently operates. Under the Act, each provincial health plan is administered at the provincial level and provides comprehensive first dollar coverage of all medically necessary services.
With minor exceptions, health coverage is available to all residents with no out of pocket charges. Most physicians are paid on a fee for service basis and enjoy a great deal of practice autonomy.
Private health insurance for covered services is illegal. Most Canadians have supplemental private insurance for uncovered services, such as prescription drugs and dental services.United States of America: The European Observatory on Health Systems and Policies is a partnership, hosted by the WHO Regional Office for Europe, which includes the Governments of Belgium, Finland.
Active debate about health care reform in the United States concerns questions of a right to health care, access, fairness, efficiency, cost, choice, value, and quality. Some have argued that the system does not deliver equivalent value for the money spent.
“The History of Health Care Reform”, Roll Call, pp. 21,40, July 19, Navarro, Vicente. “Medical History as a Justification Rather than Explanation: Critique of Starr’s The Social Transformation of American Medicine” International Journal of Health Services, Vol.
14, No. 4, pp. , On pluralism in health politics, see, for example, Daniel Fox, “The Decline of Historicism: The Case of Compulsory Health Insurance in the United States,” Bulletin of the . Feb 12, · The purpose of this research paper is to compare health care systems in three highly advanced industrialized countries: The United States of America.
The history of the United States is vast and complex, but can be broken down into moments and time periods that divided, unified, and changed the United States into the country it is today: The Library of Congress has compiled a list of historic events for each day of the year, titled "This Day in.