Health Insurance Systems Around the World
There are several different healthcare systems in different countries. These include the single-payer system, the Bismarck model, and the Beveridge model. In this article, we will take a look at some of the main health insurance systems in different countries. And of course, we will also take a look at how health insurance is funded.
Single-payer system
There are a number of nations in the world that have implemented a single-payer health insurance system. In most cases, this type of healthcare system provides universal coverage for health care. The method of implementation varies from country to country. Some countries run their own hospitals and employ physicians, while others purchase healthcare services from outside organizations.
One major question is how single-payer systems will affect patient choice. One example of how this might work is Taiwan, which adopted a single-payer system in 2008. Taiwanese citizens strongly prefer the freedom of choice in their healthcare providers, insurance carriers, and contracts. Despite this, Taiwan’s single-payer system is endorsed by its citizens, as it eliminates ethnic and racial disparities in health care.
Beveridge model
The Beveridge model is used in the United States to provide healthcare for military veterans. This model is a mixture of private and public providers and enables people to make more choices about how they spend their money on healthcare. While the insurance companies and providers are typically private, governments are also heavily involved in the pricing and administration of the system. Several countries employ this model, including Belgium, France, Japan, Switzerland, and the Netherlands.
The Beveridge model is used in countries around the world, including the United Kingdom, Denmark, Sweden, and Finland. This model is named for social reformer William Beveridge and it is financed through taxes. Hospitals and medical providers are often government-owned. In some countries, the government controls the fees and treatments for in-network providers and controls the overall cost of care. While free access to health care may sound good, it also has some drawbacks. For one thing, it may lead to high costs, and may result in higher taxes.
Bismarck model
Health insurance policies based on the Bismarck model cover all citizens and are typically funded by employers through payroll deductions. These health insurance plans are not profit-making, and the government is responsible for overseeing the plan. Typically, hospitals and doctors in countries with Bismarck health insurance systems are private. Countries that use this model include the United Kingdom, France, Belgium, the Netherlands, Japan, Switzerland, and parts of Latin America.
The Bismarck model has a number of benefits. Unlike the Beveridge model, this system does not offer universal health coverage, and requires employers to pay into a sickness fund for their employees. As a result, this system has been criticized for failing to provide for the needs of an aging population, and an imbalance between employees and retirees. But some countries, including the Netherlands, have successfully implemented the Bismarck model.
National health insurance
Various countries have their own national health insurance systems. These systems differ in their funding and aims, but they all share the same goal of meeting the medical needs of their populations. Some health systems are based on private insurance plans, while others rely on government funding. In general, healthcare spending in many countries is a high percentage of GDP. In the United States, for example, healthcare spending is just under 20% of GDP.
The Netherlands implemented a national health insurance program in 1941, following the Bismarck model. In 1941, 63 percent of the population was covered by public health insurance. The uninsured, however, could choose private insurance. After the Second World War, market-oriented reforms were made in response to concerns about inefficiencies and long waiting lists. In the Netherlands, the 2006 Health Insurance Act merged traditional private and public health insurance markets into a single social health insurance plan.