International Healthcare Series: Canada, Germany, United Kingdom
While the debate over the best healthcare system for the United States goes on, Canada usually comes up in the conversation at some point. Whether it be because of its proximity to the United States or the way their healthcare system is set up, Canada is a popular country to compare to the US. In this blog post, I will be gathering detailed information about Canada's healthcare system to see what parts would work to help the United States healthcare system and which would not be as applicable. But first a video!
Although the video may be a bit dry, the information within it is very important to people living in the United States because many have the same questions that these senators are asking and the experts answer them very well. So let's dive into Canada's NHI and see whether their system is successful and why that is.
Canada's Healthcare System
Canada's healthcare system is called Medicare (not to be confused with the Medicare in the US) and works along with the National Health Insurance (NHI) to provide quality care to every citizen in Canada.
NHI
Canada's National Health Insurance program is, "...a government run health insurance system covering the entire population for a well defined medical benefits package." Source This program is funded through general taxes and the consumer never has to worry about reimbursement that is all done through the government. One of the big concerns that US citizens have when it comes to a single payer option like Canada are the increased taxes that come along with it.
Production of health care services is all private which is a part that I think would bode well for bringing it to the United States because of how privatized our system is already. Having this privatization of the actual performance of the healthcare should make sure that the quality does not drop for the US it would just mainly be the payment method that would be different.
Cost
The way that costs are controlled by the government is usually done by a predetermined global budget and fees for physicians. This is another concern that having the government in these negotiations may hurt the doctors because Canada's physicians do get paid less on average than US doctors. This could be for a multitude of reasons aside from the way that cost is controlled but it is not something the US would take lightly.
Source: World Health Organization
Germany
Germans mandated to buy their insurance from one of the ~300 regulated “Sickness Funds” These programs are financed through employee and employer payroll deductions. The wealthy can opt to get private insurance as an addition.
United Kingdom
Comprised of 4 systems
National Health Service – England
NHS Scotland
NHS Wales
Health and Social Care in Northern Ireland (HSC)
Healthcare is provided and financed by the government through tax payments.
Some doctors are government employees but there are also private doctors who collect fees from the government.
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