Universal health care

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Universal health care, sometimes referred to as universal health coverage or UHC, is a health care system in which all individuals and communities receive the health services they need without suffering financial hardship.

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Countries with Universal Health Care

Introduction[edit | edit source]

Universal health care aims to provide health care and financial protection to all residents of a particular country or region. It is organized around providing a specified package of benefits to all members of a society with the end goal of providing financial risk protection, improved access to health services, and improved health outcomes.[1]

Models of Universal Health Care[edit | edit source]

  • There are several different models for the provision of universal health care, each with their unique structure and funding mechanisms:
  • Single-Payer System: In this system, healthcare is funded by a single public agency but care is delivered by private providers. An example is Canada's healthcare system.
  • National Health Service: In this model, the government not only funds care, but also provides care through public providers. The United Kingdom's National Health Service (NHS) is an example.
  • Social Health Insurance: In this model, employees, employers, and sometimes, the state contribute to a health fund that is used to provide health services to contributors and their dependents. Germany and Japan use this model.
  • Private Mandatory Health Insurance: In this system, it is mandatory for citizens to buy insurance from private insurers. The Netherlands employs this model.[2]

Benefits of Universal Health Care[edit | edit source]

Universal health care can improve access to quality health services, protect people from the financial consequences of ill health, and lead to improved population health outcomes. It also has the potential to reduce social inequalities and contribute to social and economic development.[3]

Challenges and Criticisms[edit | edit source]

Universal health care systems also face challenges. These can include high costs, long waiting times for certain procedures, potential for reduced competition, and potential for lower quality of care. Designing the benefits package, ensuring equity, and managing the private sector's role are also significant challenges.[4]

Universal Health Care in Different Countries[edit | edit source]

Several countries have achieved universal health coverage to varying degrees, including the United Kingdom, Canada, Australia, Germany, and many others. Each country has its unique implementation model, depending on its political, social, and economic contexts.[5]

See Also[edit | edit source]

Universal health care Resources
  1. World Health Organization. (2019). Universal health coverage (UHC). World Health Organization.
  2. Glied, S., & Smith, P.C. (2011). The Oxford handbook of health economics. Oxford University Press.
  3. Stuckler, D., et al. (2010). The political economy of universal health coverage. Background paper for the global symposium on health systems research. Health Systems Global.
  4. Reich, M.R., et al. (2016). Moving towards universal health coverage: lessons from 11 country studies. The Lancet, 387(10020), 811–816.
  5. Maeda, A., et al. (2014). Universal health coverage for inclusive and sustainable development: a synthesis of 11 country case studies. The World Bank.

Contributors: Prab R. Tumpati, MD