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Universal health care or universal nightmare?
When compared to health care systems of other wealthy economies, the American one comes out as the most expensive, the most unfair, and the worst in relevant health indices (http://www.who.int/whr/2000/en/index.html). While in other countries most health care costs are financed by individuals contributing to a system that guarantees everybody some amount of medical care, in the United States most individuals purchase a commodity in a market, a liability insurance policy (White 1995). This article explains key differences between the two systems, each based on two types of insurance, and the implications of choosing either type for achieving universal coverage.
When compared to health care systems of other wealthy economies, the American one comes out as the most expensive, the most unfair, and the worst in relevant health indices (http://www.who.int/whr/2000/en/index.html). While in other countries most health care costs are financed by individuals contributing to a system that guarantees everybody some amount of medical care, in the United States most individuals purchase a commodity in a market, a liability insurance policy (White 1995). This article explains key differences between the two systems, each based on two types of insurance, and the implications of choosing either type for achieving universal coverage.
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