Health Care Systems: Three International Comparisons

The Netherlands has adopted a third placement which is soci every(prenominal)y administered. ternion sources of wellness-c atomic number 18 investment trusting outlast in the Netherlands: the nausea bullion, head-to-head wellness policy, and the extraordinary health check Expenses Act [Kirkinan-Liff, 1991]. some 62 per centum of the public adjoins health services from the affection cash in hand. There be about 35 regional funds, and they behave all individuals and their families whose income is to a lower place a condition level. A discipline general fund supports the sickness funds which is itself support by contributions from employers, employees, retirement funds, and unemployment funds. The ministration of the population (38 per centum) purchases private redress. The cost of the policy is based on the age and brace of the purchaser, and employees who purchase insurance receive a contribution from their employer. Finally, the Exceptional Medical function Act, covers the cost of long-run c be and maternal(p) and child health services. This fund is supported by governing contributions and mandatory contributions by employers. Doctors in the Netherlands atomic number 18 either family doctors or specialists who are paying on a fee-for service basis. Family doctors are paid by private insurance or by the sickness funds, and family doctors are the ones who decide when a patient require to see a specialist. Hospitals are all nonprofit, and they annually receive income from the sickness funds and the private insurers in their area. Similar to the U.S. and Canada, move health contend costs and administrative costs in the Dutch arranging are good concerns. Comparisons \nWhen these three systems are compared using 1989 data, per capita health expenditures were $2,354 in the U.S. as compared to $1,683 in Canada and $1,135 in the Netherlands. Personal health services consumed 11.8 percent of the gross interior(prenominal) product in t he U.S. compared to 8.7 percent in Canada, and 8.3 percent in the Netherlands. It should be storied that the GDP of the coupled States is high than that of the otherwise countries; therefore, the United States higher percentage of health care expenditures is significant. \n