Single-payer health care

Single-payer healthcare is a type of universal health care system in which the costs of essential healthcare for all residents are covered by a single public system (hence 'single-payer').

Definition

In a single-payer system, the government typically owns and operates healthcare facilities, and healthcare providers are government employees. However, some single-payer systems do not restrict the private sector from delivering healthcare if it can be done more cost-effectively.

Comparison with other systems

Single-payer systems may contract for healthcare services from private organizations (as is the case in Canada) or may own and employ healthcare resources and personnel (as is the case in the United Kingdom). "Single-payer" describes the mechanism by which healthcare is paid for by a single public authority, not the type of delivery or for whom physicians work, which varies.

Advantages and disadvantages

Advantages of single-payer healthcare systems include efficiency, cost savings, and a greater ability to plan and coordinate care. Disadvantages include potential for reduced flexibility and innovation due to lack of competition, potential for increased wait times for procedures, and potential for rationing of care.

Examples

Examples of countries with single-payer healthcare systems include the United Kingdom, Canada, Taiwan, and Australia.

See also

• Healthcare reform
• Public health
• Universal health care

Single-payer health care Resources
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