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over 1 billion individuals globally. Additionally, in the year 2019, it was found that 2 billion people experienced financial difficulties due to health expenses, with ongoing, significant disparities in coverage. The report suggests several strategies to mitigate these challenges: it calls for the acceleration of essential health services, sustained attention to infectious disease management, improvement in health workforce and infrastructure, the elimination of financial barriers to care, an increase in pre-paid and pooled health financing, policy initiatives to curtail OOP expenses, a focus on primary healthcare to reinforce overall health systems, and the fortification of collaborative efforts to achieve UHC. These measures aim to increase health service coverage by an additional 477 million individuals by the year 2023 and to continue progress towards covering an extra billion people by the 2030 deadline.
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1348:, who introduced the first universal health care system in Germany in the 19th century. The funds typically contract with a mix of public and private providers for the provision of a specified benefit package. Preventive and public health care may be provided by these funds or responsibility kept solely by the Ministry of Health. Within social health insurance, a number of functions may be executed by parastatal or non-governmental sickness funds, or in a few cases, by private health insurance companies. Social health insurance is used in a number of Western European countries and increasingly in Eastern Europe as well as in Israel and Japan.
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1242:, effectively a single-payer or common risk pool. The government later opened VHI to competition, but without a compensation pool. That resulted in foreign insurance companies entering the Irish market and offering much less expensive health insurance to relatively healthy segments of the market, which then made higher profits at VHI's expense. The government later reintroduced community rating by a pooling arrangement and at least one main major insurance company, BUPA, withdrew from the Irish market.
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3209:. 2 bar charts: For both: From bottom menus: Countries menu > choose OECD. Check box for "latest data available". Perspectives menu > Check box to "compare variables". Then check the boxes for government/compulsory, voluntary, and total. Click top tab for chart (bar chart). For GDP chart choose "% of GDP" from bottom menu. For per capita chart choose "US dollars/per capita". Click fullscreen button above chart. Click "print screen" key. Click top tab for table, to see data.
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legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis. Usually, some costs are borne by the patient at the time of consumption, but the bulk of costs come from a combination of compulsory insurance and tax revenues. Some programs are paid for entirely out of tax revenues. In others, tax revenues are used either to fund insurance for the very poor or for those needing long-term chronic care.
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the
American values of individual choice and personal responsibility; it would raise healthcare expenditures due to the high cost of implementation that the United States government supposedly cannot pay; and represents unnecessary government overreach into the lives of American citizens, healthcare, the health insurance industry, and employers' rights to choose what health coverage they want to offer to their employees.
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pool. In this way, sickness funds compete on price and there is no advantage in eliminating people with higher risks because they are compensated for by means of risk-adjusted capitation payments. Funds are not allowed to pick and choose their policyholders or deny coverage, but they compete mainly on price and service. In some countries, the basic coverage level is set by the government and cannot be modified.
513:
1279:). In some instances, such as Italy and Spain, both these realities may exist at the same time. "Single-payer" thus describes only the funding mechanism and refers to health care financed by a single public body from a single fund and does not specify the type of delivery or for whom doctors work. Although the fund holder is usually the state, some forms of single-payer use a mixed public-private system.
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regulated rates, through mutual or publicly owned medical insurers. A few countries, such as the
Netherlands and Switzerland, operate via privately owned but heavily regulated private insurers, which are not allowed to make a profit from the mandatory element of insurance but can profit by selling supplemental insurance.
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involvement in the running of these plans. Community-based health insurance generally only play a limited role in helping countries move towards universal health coverage. Challenges includes inequitable access by the poorest that health service utilization of members generally increase after enrollment.
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Universal health care is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at extending access to health care as widely as possible and setting minimum standards. Most implement universal health care through
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Universal health care systems vary according to the degree of government involvement in providing care or health insurance. In some countries, such as Canada, the UK, Italy, Australia, and the Nordic countries, the government has a high degree of involvement in the commissioning or delivery of health
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indicates that the advancement towards
Universal Health Coverage (UHC) by the year 2030 has not progressed since 2015. The UHC Service Coverage Index (SCI) has remained constant at a score of 68 from 2019 to 2021. It is reported that catastrophic out-of-pocket (OOP) health expenditures have impacted
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This is usually enforced via legislation requiring residents to purchase insurance, but sometimes the government provides the insurance. Sometimes there may be a choice of multiple public and private funds providing a standard service (as in
Germany) or sometimes just a single public fund (as in the
58:
Universal healthcare does not imply coverage for all cases and for all people – only that all people have access to healthcare when and where needed without financial hardship. Some universal healthcare systems are government-funded, while others are based on a requirement that all citizens purchase
1663:
Critics of universal healthcare say that it leads to longer wait times and a decrease in the quality of healthcare. Critics of implementing universal healthcare in the United States say that it would require healthy people to pay for the medical care of unhealthy people, which they say goes against
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protection mechanisms have only a limited impact, is community-based health insurance. Individual members of a specific community pay to a collective health fund which they can draw from when they need medical care. Contributions are not risk-related and there is generally a high level of community
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sickness funds. Contributions are compulsory and defined according to law. A distinction is also made between municipal and national healthcare funding. For example, one model is that the bulk of the healthcare is funded by the municipality, specialty healthcare is provided and possibly funded by a
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Sometimes, the health funds are derived from a mixture of insurance premiums, salary-related mandatory contributions by employees or employers to regulated sickness funds, and by government taxes. These insurance based systems tend to reimburse private or public medical providers, often at heavily
1474:
in 2003 published an international comparison of ten different health care systems in ten developed countries, nine universal systems against one non-universal system (the United States), and their relative costs and key health outcomes. A wider international comparison of 16 countries, each with
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is overcome by using a risk compensation pool to equalize, as far as possible, the risks between funds. Thus, a fund with a predominantly healthy, younger population has to pay into a compensation pool and a fund with an older and predominantly less healthy population would receive funds from the
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revenue is the primary source of funding, but in many countries it is supplemented by specific charge (which may be charged to the individual or an employer) or with the option of private payments (by direct or optional insurance) for services beyond those covered by the public system. Almost all
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introduced a tax-payer funded decentralised universal healthcare system as well as comprehensive public and private health insurances that helped reduce mortality rates drastically and improved healthcare infrastructure across the country dramatically. A 2012 study examined progress being made by
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In private health insurance, premiums are paid directly from employers, associations, individuals and families to insurance companies, which pool risks across their membership base. Private insurance includes policies sold by commercial for-profit firms, non-profit companies and community health
1252:
Among the potential solutions posited by economists are single-payer systems as well as other methods of ensuring that health insurance is universal, such as by requiring all citizens to purchase insurance or by limiting the ability of insurance companies to deny insurance to individuals or vary
821:
in 1883, with the
Sickness Insurance Law. Industrial employers were mandated to provide injury and illness insurance for their low-wage workers, and the system was funded and administered by employees and employers through "sick funds", which were drawn from deductions in workers' wages and from
67:
described universal health coverage as the "single most powerful concept that public health has to offer" since it unifies "services and delivers them in a comprehensive and integrated way". One of the goals with universal healthcare is to create a system of protection which provides equality of
2402:
Universal and comprehensive health insurance was debated at intervals all through the Second World War, and in 1946 such a bill was voted in
Parliament. For financial and other reasons, its promulgation was delayed until 1955, at which time coverage was extended to include drugs and sickness
1435:
care services and access is based on residence rights, not on the purchase of insurance. Others have a much more pluralistic delivery system, based on obligatory health with contributory insurance rates related to salaries or income and usually funded by employers and beneficiaries jointly.
1191:, Spain, Denmark and Sweden). Some nations, such as Germany, France, and Japan, employ a multi-payer system in which health care is funded by private and public contributions. However, much of the non-government funding comes from contributions from employers and employees to regulated
2086:{{cite web Greco, S., Putans, R., & Springe, L. (2022). Antimicrobial and antibiotic resistance in developing countries: Health economics, global governance, and sustainable development goals. In Antimicrobial Resistance: Collaborative Measures of Control (pp. 113-140). CRC Press.
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built upon its 1928 national health insurance system, with subsequent legislation covering a larger and larger percentage of the population, until the remaining 1% of the population that was uninsured received coverage in 2000. Single payer healthcare systems were introduced in
1369:. In the Netherlands, which has regulated competition for its main insurance system (but is subject to a budget cap), insurers must cover a basic package for all enrollees, but may choose which additional services they offer in supplementary plans; which most people possess .
1446:
A critical concept in the delivery of universal healthcare is that of population healthcare. This is a way of organizing the delivery, and allocating resources, of healthcare (and potentially social care) based on populations in a given geography with a common need (such as
1459:). Rather than focus on institutions such as hospitals, primary care, community care etc. the system focuses on the population with a common as a whole. This includes people currently being treated, and those that are not being treated but should be (i.e. where there is
1360:
In some countries with universal coverage, private insurance often excludes certain health conditions that are expensive and the state health care system can provide coverage. For example, in the United
Kingdom, one of the largest private health care providers is
1287:
In tax-based financing, individuals contribute to the provision of health services through various taxes. These are typically pooled across the whole population unless local governments raise and retain tax revenues. Some countries (notably
79:
member states have agreed to work toward worldwide universal health coverage by 2030. Therefore, the inclusion of the universal health coverage (UHC) within the SDGs targets can be related to the reiterated endorsements operated by the WHO.
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55:. It is generally organized around providing either all residents or only those who cannot afford on their own, with either health services or the means to acquire them, with the end goal of improving health outcomes.
1922:"Will Universal Health Coverage (UHC) Lead to the Freedom to Lead Flourishing and Healthy Lives? Comment on "Inequities in the Freedom to Lead a Flourishing and Healthy Life: Issues for Healthy Public Policy""
3954:“World Health Organization; World Bank. 2023. Tracking Universal Health Coverage: 2023 Global Monitoring Report. © Washington, DC: World Bank. http://hdl.handle.net/10986/40348 License: CC BY-NC-SA 3.0 IGO.”
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From the 1970s to the 2000s, Western
European countries began introducing universal coverage, most of them building upon previous health insurance programs to cover the whole population. For example,
59:
private health insurance. Universal healthcare can be determined by three critical dimensions: who is covered, what services are covered, and how much of the cost is covered. It is described by the
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has also suggested that the country should embrace insurance to achieve universal health coverage. General tax revenue is currently used to meet the essential health requirements of all people.
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In a social health insurance system, contributions from workers, the self-employed, enterprises and governments are pooled into single or multiple funds on a compulsory basis. This is based on
1324:) choose to fund public health care directly from taxation alone. Other countries with insurance-based systems effectively meet the cost of insuring those unable to insure themselves via
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Bärnighausen, Till; Sauerborn, Rainer (May 2002). "One hundred and eighteen years of the German health insurance system: are there any lessons for middle- and low-income countries?".
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established a similar system in 1912, and other industrialized countries began following suit. By the 1930s, similar systems existed in virtually all of
Western and Central Europe.
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Currently, most industrialized countries and many developing countries operate some form of publicly funded health care with universal coverage as the goal. According to the
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costs. Single-payer systems may contract for healthcare services from private organizations, or own and employ healthcare resources and personnel (as was the case in
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opportunity for people to enjoy the highest possible level of health. Critics say that universal healthcare leads to longer wait times and worse quality healthcare.
3875:"International health comparisons: a compendium of published information on healthcare systems, the provision of health care and health achievement in 10 countries"
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In Poland, people are obliged to pay a percentage of the average monthly wage to the state, even if they are covered by private insurance. People working under a
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2386:
Serner, Uncas (1980). "Swedish health legislation: milestones in reorganisation since 1945". In
Heidenheimer, Arnold J.; Elvander, Nils; Hultén, Charly (eds.).
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found that universal health care systems are modestly redistributive and that the progressivity of health care financing has limited implications for overall
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pay a percentage of their wage, while entrepreneurs pay a fixed rate, based on the average national wage. Unemployed people are insured by the labor office.
855:
89:
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Most contemporary studies posit that a single payer universal healthcare system would benefit the United States. According to a 2020 study published in
4183:(November 15, 2010). New York: The Rockefeller Foundation. Report on the feasibility of establishing the systems and institutions needed to pursue UHC.
4108:
3769:"Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies From Low- and Middle-Income Countries"
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is the only wealthy, industrialized nation that does not provide universal health care. The only forms of government-provided healthcare available are
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larger entity, such as a municipal co-operation board or the state, and medications are paid for by a state agency. A paper by Sherry A. Glied from
1226:
In some European countries where private insurance and universal health care coexist, such as Germany, Belgium and the Netherlands, the problem of
1132:
2741:
3229:. Click the sources tab under the chart for info on the countries, healthcare expenditures, and data sources. See the later version of the chart
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found that a single-payer universal healthcare system would have saved 212,000 lives and averted over $ 100 billion in medical costs during the
1688:
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1471:
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introduced a universal healthcare system based on an insurance mandate in 1994. In addition, universal health coverage was introduced in some
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European systems are financed through a mix of public and private contributions. Most universal health care systems are funded primarily by
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provided coverage for primary care (but not specialist or hospital care) for wage earners, covering about one-third of the population. The
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arrangements funded from taxation, either by directly paying their medical bills or by paying for insurance premiums for those affected.
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retained and reformed its universal health care system, as did other now-independent former Soviet republics and Eastern bloc countries.
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3253:. Copenhagen: WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies. Archived from
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2115:
880:, universal health care systems began to be set up around the world. On July 5, 1948, the United Kingdom launched its universal
63:
as a situation where citizens can access health services without incurring financial hardship. Then-Director General of the WHO
1365:, which has a long list of general exclusions even in its highest coverage policy, most of which are routinely provided by the
1276:
3683:"Health and life cover: Health care select 1: Key features of this health insurance plan: What's covered? What's not covered?"
1414:
4248:
4156:
1409:
4023:"Universal healthcare as pandemic preparedness: The lives and costs that could have been saved during the COVID-19 pandemic"
3903:. Copenhagen: World Health Organization on behalf of the European Observatory on Health Systems and Policies. Archived from
3162:
2493:
Growth to limits: the Western European welfare states since World War II, Vol. 4 Appendix (synopses, bibliographies, tables)
3686:
3218:
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Since 2 July 1956 the entire population of Norway has been included under the obligatory health national insurance program.
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insurers. Generally, private insurance is voluntary in contrast to social insurance programs, which tend to be compulsory.
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1836:
72:
4177:(3). Theme issue: authors from 19 countries on dimensions of the challenges of providing universal access to health care.
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region, including developing countries, took steps to bring their populations under universal health coverage, including
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Galvani, Alison P; Parpia, Alyssa S; Foster, Eric M; Singer, Burton H; Fitzpatrick, Meagan C (February 13, 2020).
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Countries with social security programs in operation, January 1, 1955, by type of program and date of legislation
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536:
60:
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3426:
2826:"Towards neo-Bismarckian health care states? Comparing health insurance reforms in Bismarckian welfare systems"
1971:"Universal health coverage from multiple perspectives: a synthesis of conceptual literature and global debates"
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introduced an employee health insurance law in 1927, expanding further upon it in 1935 and 1940. Following the
518:
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Closing the door to destitution: the shaping of the Social Security Acts of the United States and New Zealand
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392:
122:
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in 1920. However, it was not a truly universal system at that point, as rural residents were not covered.
830:, was the first form of universal care in modern times. Other countries soon began to follow suit. In the
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Single-payer health care is a system in which the government, rather than private insurers, pays for all
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in 1962, followed by the rest of Canada from 1968 to 1972. A public healthcare system was introduced in
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320:
302:
176:
158:
140:
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2468:. DHEW publication ; no. (NIH) 77-673. Bethesda: National Institutes of Health. pp. 43–44.
2116:"Chapter 5. Reorganizing the Health Care System in Brazil: International Development Research Centre"
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introduced their universal healthcare systems in 1950 and 1957 respectively (prior to independence).
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194:
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Percentage of population covered under national health programs , selected countries , 1955 and 1970
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698:
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464:
266:
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3475:"Equilibrium in competitive insurance markets: an essay on the economics of imperfect information"
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3412:"Competition among social health insurers: a case study for the Netherlands, Belgium and Germany"
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1801:
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847:
48:
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Bentes, Margarida; Dias, Carlos Matias; Sakellarides, Sakellarides; Bankauskaite, Vaida (2004).
2954:"Universal health insurance coverage for 1.3 billion people: What accounts for China's success?"
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3717:
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Universal health care in most countries has been achieved by a mixed model of funding. General
4189:
Chicago: PNHP. A group of physicians and health professionals who support single-payer reform.
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3532:"How adverse election affects the health insurance market. Policy Research Working Paper 2574"
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2230:
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2010:
1992:
1951:
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1345:
1227:
1201:
827:
3152:, Institute of Medicine at the National Academies of Science, 2004-01-14, accessed 2007-10-22
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2248:"OECD Reviews of Health Systems OECD Reviews of Health Systems: Russian Federation 2012": 38.
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Parting at the crossroads: the emergence of health insurance in the United States and Canada
2469:
2442:(3rd ed.). Oslo: Norwegian Joint Committee on International Social Policy. p. 23.
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2146:
2038:
2000:
1982:
1941:
1933:
1756:
1708:
1452:
1321:
885:
932:
countries. The Soviet Union extended universal health care to its rural residents in 1969.
27:
System that grants access to healthcare to all residents or citizens of a country or region
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3149:
2930:
2784:"Social health insurance: key factors affecting the transition towards universal coverage"
2266:
1816:
1464:
1325:
843:
52:
4201:
Washington, D.C.: Results for Development Institute. Portal on universal health coverage.
3929:
3556:
865:, a universal health care system was created in a series of steps, from 1938 to 1941. In
17:
4038:
2033:
1483:, but many countries use mixed public-private systems to deliver universal health care.
4057:
4022:
3990:
3965:
3850:
3825:
3801:
3063:
3030:
2980:
2953:
2061:
2005:
1970:
1946:
1921:
1899:
1722:
1385:
1293:
851:
839:
823:
76:
3981:
3198:
2725:
1613:
4242:
4074:
4007:
3031:"Lessons from Brazil: on the difficulties of building a universal health care system"
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1806:
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818:
64:
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2866:
Green, David; Irvine, Benedict; Clarke, Emily; Bidgood, Elliot (January 23, 2013).
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in 2004. In some cases, government involvement also includes directly managing the
1039:
929:
917:
877:
3898:"Snapshots of health systems: the state of affairs in 16 countries in summer 2004"
4106:
2417:"The developmental welfare state in Scandinavia: lessons to the developing world"
1863:
The world health report: health systems financing: the path to universal coverage
948:(National Health Service) in 1978. Universal health insurance was implemented in
1751:
1456:
1301:
1268:
1180:
1084:
997:
989:
862:
3580:
3904:
3768:
3254:
1987:
1761:
1716:
1698:
1669:
1496:
1192:
1143:). For example: 11.2% for Canada in 2022. 16.6% for the United States in 2022.
870:
3841:
3792:
3310:
3054:
2760:
2419:. Geneva: United Nations Research Institute for Social Development. p. 7
1996:
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3222:
2287:"Social welfare; Social security; Benefits in kind; National health schemes"
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1080:
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1005:
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3810:
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2464:
Gannik, Dorte; Holst, Erik; Wagner, Mardsen (1976). "Primary health care".
2158:
2014:
1955:
1937:
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3309:. Sterling, Virginia: American Medical Student Association. Archived from
2447:
2234:
2087:
1702:
1114:(active, reserve, and retired military personnel and dependants), and the
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The first move towards a national health insurance system was launched in
95:
Starting year of universal health care. Links are "Healthcare in COUNTRY"
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was created from a revision of this article dated 30 April 2020
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A particular form of private health insurance that has often emerged, if
1313:
1184:
1175:
1107:
1013:
973:
3366:"Healthcare vote: Barack Obama passes US health reform by narrow margin"
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2358:(2nd ed.). Cambridge: Cambridge University Press. pp. 164–65.
822:
employers' contributions. This social health insurance model, named the
4181:
Catalyzing Change: The System Reform Costs of Universal Health Coverage
3501:
1772:
Health spending as a percent of GDP by country (gross domestic product)
1272:
1158:. For example: $ 6,319 for Canada in 2022. $ 12,555 for the US in 2022.
1088:
1068:
985:
969:
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905:
901:
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3716:. New Delhi: Society for Environmental Communications. Archived from
2135:"Transforming Turkey's Health System--Lessons for Universal Coverage"
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in which all residents of a particular country or region are assured
3708:
Varshney, Vibha; Gupta, Alok; Pallavi, Aparna (September 30, 2012).
3493:
2527:. Chapel Hill: University of North Carolina Press. pp. 96–130.
2440:
Health services in Norway. English version by Dorothy Burton SkĂĄrdal
2329:. University Park: Pennsylvania State University Press. p. 14.
1046:
which has the largest universal health care system in the world and
3930:"Tracking Universal Health Coverage: 2023 Global Monitoring Report"
3570:"Social Health Insurance Report of a Regional Expert Group Meeting"
3349:
3336:
1877:
3941:
3219:
Link between health spending and life expectancy: US is an outlier
2523:
Taylor, Malcolm G. (1990). "Saskatchewan medical care insurance".
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MEDICC Review: International Journal of Cuban Health and Medicine
4228:
Health at a Glance: Europe 2018: State of Health in the EU Cycle
3194:
2691:"Austerity and the Unraveling of European Universal Health Care"
1683:
1423:
1362:
1072:
993:
3142:
1340:. The social health insurance model is also referred to as the
1166:
Life expectancy vs healthcare spending of rich OECD countries.
3627:
Saltman, Richard B.; Busse, Reinhard; Figueras, Josep (eds.).
3102:"Developing Countries Strive to Provide Universal Health Care"
1969:
Abiiro, Gilbert Abotisem; De Allegri, Manuela (July 4, 2015).
1607:
1548:
1507:
1239:
3577:
World Health Organization Regional Office for South-East Asia
4104:
1106:(for elderly patients as well as people with disabilities),
4021:
Galvani, Alison P.; Parpia, Alyssa S.; et al. (2022).
3393:"Switzerland – a case study in consumer driven health care"
2626:"Protection of childhood and motherhood in the countryside"
2601:
National health systems of the world: Volume II: The issues
928:. Centralized public healthcare systems were set up in the
2927:"WHO - Rocky road from the Semashko to a new health model"
2549:. Princeton: Princeton University Press. pp. 121–22.
1118:(members of federally recognized Native American tribes).
3163:"The Case for Universal Health Care in the United States"
3143:
Insuring America's Health: Principles and Recommendations
3767:
Umeh, Chukwuemeka A.; Feeley, Frank G. (June 27, 2017).
1787:
List of countries by total health expenditure per capita
1428:
List of countries by total health expenditure per capita
4186:
3657:"Health financing mechanisms: private health insurance"
3473:
Rothschild, Michael; Stiglitz, Joseph (November 1976).
1626:
1573:
2824:
Hassenteufel, Patrick; Palier, Bruno (December 2007).
2630:
Rural women in the Soviet Union and post-Soviet Russia
2581:. Boulder, Colo.: Westview Press. pp. 38–39, 43.
2525:
Insuring national health care: the Canadian experience
3410:
Varkevisser, Marco; van der Geest, Stéphanie (2002).
1926:
International Journal of Health Policy and Management
1054:
which improved coverage up to 80% of the population.
908:(1964). Universal health insurance was introduced in
4209:
Information on health coverage in various countries
3824:
Gray, M.; Pitini, E.; Kelley, T.; Bacon, N. (2017).
2415:
Kuhnle, Stein; Hort, Sven E.O. (September 1, 2004).
2206:
Rowland, Diane; Telyukov, Alexandre V. (Fall 1991).
956:, which led to universal coverage under the current
3966:"Improving the prognosis of health care in the USA"
3659:. Geneva: World Health Organization. Archived from
3629:"Social health insurance systems in western Europe"
3283:. Chicago: Physicians for a National Health Program
3123:"Universal Healthcare on the rise in Latin America"
2293:(15th ed.). Chicago: Encyclopædia Britannica.
884:. Universal health care was next introduced in the
2579:Health care in the Soviet Union and Eastern Europe
2280:
2278:
2276:
873:introduced a free public hospital system in 1946.
3279:Physicians for a National Health Program (2004).
3190:
3188:
1059:these countries, focusing on nine in particular:
3896:Grosse-Tebbe, Susanne; Figueras, Josep (2004).
2603:. Oxford: Oxford University Press. p. 94.
1860:World Health Organization (November 22, 2010).
1238:at one time had a "community rating" system by
852:fully public and centralized health care system
4117:
3337:"Health Care Financing, Efficiency and Equity"
3241:
3239:
2495:. Berlin: Walter de Gruyter. pp. 137–40.
1782:List of countries by health insurance coverage
916:through stages, starting with the province of
3248:"Health care systems in transition: Portugal"
2390:. New York: St. Martin's Press. p. 103.
1777:Healthcare reform debate in the United States
1677:would save 68,000 lives and $ 450 billion in
1562:The examples and perspective in this section
8:
4299:Health Resources and Services Administration
2663:Perrin, Karen (Kay) M. (September 8, 2016).
2099:Foreign Countries with Universal Health Care
1792:List of countries with universal health care
1475:universal health care, was published by the
1399:List of countries with universal health care
1019:Following the collapse of the Soviet Union,
90:List of countries with universal health care
4163:WHO fact sheet on universal health coverage
3419:Research in Healthcare Financial Management
2902:Health-Care Reform: A Surgeon'S Perspective
2740:Busse, Reinhard; Riesberg, Annette (2004).
1542:Learn how and when to remove these messages
3873:National Audit Office (February 1, 2003).
2782:Carrin, Guy; James, Chris (January 2005).
1855:
1853:
1580:, or create a new section, as appropriate.
1154:. Public and private spending. US dollars
93:
4056:
4046:
3989:
3849:
3800:
3606:"Health Care Systems - Four Basic Models"
3348:
3062:
2979:
2969:
2487:Alestalo, Matti; Uusitalo, Hannu (1987).
2208:"Soviet Healthcare From Two Perspectives"
2004:
1986:
1975:BMC International Health and Human Rights
1945:
1651:Learn how and when to remove this message
1596:Learn how and when to remove this message
4187:Physicians for a National Health Program
4134:, and does not reflect subsequent edits.
3830:Journal of the Royal Society of Medicine
3610:Physicians for a National Health Program
2388:The shaping of the Swedish health system
1681:annually. A 2022 study published in the
3616:from the original on February 13, 2024.
2088:https://doi.org/10.1201/9781003313175}}
1849:
1467:and a more effective use of resources.
3462:from the original on December 4, 2023.
2899:Hilmy, Ashraf A. (November 14, 2012).
2262:
2251:
2034:"Universal Health Care Topic Overview"
1689:COVID-19 pandemic in the United States
3737:
3735:
3100:Eagle, William (September 20, 2012).
2658:
2656:
2466:The national health system in Denmark
2170:
2168:
1866:. Geneva: World Health Organization.
7:
3302:Chua, Kao-Ping (February 10, 2006).
2791:International Social Security Review
2632:. New York: Routledge. p. 167.
2028:
2026:
2024:
1418:Health spending per capita, in US$
1026:Beyond the 1990s, many countries in
3773:Global Health: Science and Practice
3364:Tomasky, Michael (March 21, 2010).
3173:from the original on April 23, 2018
3005:"In Brazil, health care is a right"
3003:GĂłmez, Eduardo J. (July 13, 2012).
2669:. Jones & Bartlett Publishers.
2577:Kaser, Michael (1976). "The USSR".
2118:. February 11, 2008. Archived from
2103:New York State Department of Health
1920:Matheson, Don * (January 1, 2015).
1487:Overview of Health Coverage Reports
1397:For a more comprehensive list, see
4223:", - Statistics Explained eurostat
4221:Unmet health care needs statistics
3934:Tracking Universal Health Coverage
3743:"Community based health insurance"
3199:Health resources - Health spending
2833:Social Policy & Administration
2597:"Social security for medical care"
1737:Cultural competence in health care
1223:is based on compulsory insurance.
25:
2873:. London: Civitas. Archived from
2749:Health Care Systems in Transition
2543:"The 1960s: the political battle"
2062:"Universal health coverage (UHC)"
1900:"Universal health coverage (UHC)"
1523:This section has multiple issues.
4150:
4116:
3826:"Managing population healthcare"
3087:"India | Commonwealth Fund"
2845:10.1111/j.1467-9515.2007.00573.x
2803:10.1111/j.1468-246X.2005.00209.x
2356:A concise history of New Zealand
1715:
1701:
1612:
1553:
1512:
1380:Community-based health insurance
1152:Total healthcare cost per person
799:
781:
763:
745:
727:
709:
691:
673:
655:
637:
619:
601:
583:
565:
547:
529:
511:
493:
475:
457:
439:
421:
403:
385:
367:
349:
331:
313:
295:
277:
259:
241:
223:
205:
187:
169:
151:
133:
115:
4168:Achieving Universal Health Care
3877:. London: National Audit Office
3335:Glied, Sherry A. (March 2008).
2971:10.1016/j.healthpol.2015.07.008
2666:Principles of Health Navigation
2291:The new Encyclopædia Britannica
1679:national healthcare expenditure
1531:or discuss these issues on the
1275:before the introduction of the
3685:. London: Bupa. Archived from
3559:", Merriam Webster Dictionary.
3537:. Washington, D.C.: World Bank
3482:Quarterly Journal of Economics
3281:"International health systems"
2352:"Making New Zealand 1930–1949"
1426:countries. For later data see
1410:Health care systems by country
1393:Implementation and comparisons
1168:US average of $ 10,447 in 2018
1:
3982:10.1016/S0140-6736(19)33019-3
2868:"Healthcare systems: Germany"
2726:10.1016/S0277-9536(01)00137-X
2714:Social Science & Medicine
2595:Roemer, Milton Irwin (1993).
2350:Mein Smith, Philippa (2012).
2181:. Santa Barbara, California:
1837:Universal Health Coverage Day
1110:(for low-income people), the
73:Sustainable Development Goals
3341:NBER Working Paper No. 13881
2624:Denisova, Liubov N. (2010).
1767:Health insurance cooperative
1463:). This approach encourages
1374:Planning Commission of India
1096:National Academy of Medicine
946:Servizio Sanitario Nazionale
4195:, World Health Organization
3579:. June 2003. Archived from
3530:Belli, Paolo (March 2001).
2628:. In Mukhina, Irina (ed.).
1812:Publicly funded health care
1576:, discuss the issue on the
1253:price between individuals.
926:Egyptian revolution of 1952
836:National Insurance Act 1911
4335:
3452:"Ubezpieczenie dobrowolne"
3425:(1): 65–84. Archived from
2323:"Two Social Security Acts"
2321:Richards, Raymond (1993).
2285:Abel-Smith, Brian (1987).
2183:Greenwood Publishing Group
1742:Euro Health Consumer Index
1403:
1396:
1277:Health and Social Care Act
1260:
1211:
1137:Health spending by country
1125:
826:after Prussian Chancellor
87:
3636:World Health Organization
2491:. In Flora, Peter (ed.).
2175:Butticè, Claudio (2019).
2066:World Health Organization
1988:10.1186/s12914-015-0056-9
1797:National health insurance
1491:The 2023 report from the
1477:World Health Organization
1422:-adjusted, among various
1221:Healthcare in Switzerland
1214:National health insurance
61:World Health Organization
37:universal health coverage
18:Universal health coverage
3842:10.1177/0141076817721099
3710:"Universal health scare"
3035:Journal of Global Health
3029:Muzaka, Valbona (2017).
2541:Maioni, Antonia (1998).
2474:2027/pur1.32754081249264
4048:10.1073/pnas.2200536119
3785:10.9745/GHSP-D-16-00286
2227:10.1377/hlthaff.10.3.71
1822:Single-payer healthcare
1420:purchasing power parity
1367:National Health Service
1332:Social health insurance
1263:Single-payer healthcare
882:National Health Service
4112:
4092:Listen to this article
3936:. September 18, 2023.
3372:. London: The Guardian
3370:Michael Tomasky's blog
3167:cthealth.server101.com
3047:10.7189/jogh.07.010303
2403:compensation, as well.
2261:Cite journal requires
1938:10.15171/ijhpm.2015.09
1732:Acronyms in healthcare
1431:
1171:
1159:
1144:
1141:Gross domestic product
1112:Military Health System
4249:Universal health care
4111:
3910:on September 26, 2007
3720:on September 20, 2012
2178:Universal Health Care
2122:on February 11, 2008.
1504:Criticism and support
1472:National Audit Office
1417:
1219:Canadian provinces).
1165:
1150:
1135:
1128:Health care economics
1116:Indian Health Service
996:countries, including
53:access to health care
33:Universal health care
4159:at Wikimedia Commons
4157:Universal healthcare
4143:More spoken articles
3458:. January 22, 2024.
2438:Evang, Karl (1970).
2151:10.1056/NEJMp1410433
1675:Medicare for All Act
1574:improve this section
1564:may not represent a
1208:Compulsory insurance
789:United Arab Emirates
4279:Health care quality
4193:Primary health care
4039:2022PNAS..11900536G
4033:(25): e2200536119.
3511:on October 20, 2017
3316:on October 24, 2006
3260:on January 26, 2010
3221:. May 26, 2017. By
3207:10.1787/8643de7e-en
2933:on October 18, 2014
2185:. pp. 20, 25.
2068:. December 12, 2016
1832:Two-tier healthcare
1827:Socialized medicine
1470:The United Kingdom
1344:, after Chancellor
1283:Tax-based financing
1247:employment contract
1236:Republic of Ireland
1198:Columbia University
854:was established in
96:
4113:
3976:(10223): 524–533.
3663:on October 9, 2010
3645:on March 31, 2022.
3304:"Single payer 101"
3148:2007-08-18 at the
2880:on October 5, 2013
2693:. Dissent Magazine
1880:on August 20, 2010
1802:Primary healthcare
1625:. You can help by
1481:health care system
1432:
1172:
1160:
1145:
1139:. Percent of GDP (
960:system from 1984.
848:Russian Revolution
94:
49:health care system
41:universal coverage
4155:Media related to
4109:
3586:on March 18, 2017
3227:Our World in Data
2912:978-1-4759-5231-5
2854:on April 12, 2019
2770:on March 21, 2020
2676:978-1-284-09076-5
2639:978-0-203-84684-1
2610:978-0-19-507845-9
2588:978-0-89158-604-3
2556:978-0-691-05796-5
2534:978-0-8078-1934-0
2502:978-3-11-011133-0
2397:978-0-312-71627-1
2365:978-1-107-40217-1
2336:978-0-271-02665-7
2300:978-0-85229-443-7
2192:978-1-4408-6844-3
1873:978-92-4-156402-1
1661:
1660:
1653:
1643:
1642:
1606:
1605:
1598:
1546:
1352:Private insurance
1346:Otto von Bismarck
1228:adverse selection
1202:income inequality
952:in 1975 with the
828:Otto von Bismarck
815:
814:
16:(Redirected from
4326:
4309:Health education
4259:Health insurance
4254:Health economics
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3694:
3689:on April 9, 2010
3679:
3673:
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3646:
3644:
3638:. Archived from
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2994:
2993:
2983:
2973:
2952:Yu, Hao (2015).
2949:
2943:
2942:
2940:
2938:
2929:. Archived from
2923:
2917:
2916:
2896:
2890:
2889:
2887:
2885:
2879:
2872:
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2861:
2859:
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2769:
2763:. Archived from
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2737:
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1949:
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1896:
1890:
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1876:. Archived from
1857:
1757:Health promotion
1725:
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1711:
1709:Economics portal
1706:
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1322:Nordic countries
1098:and others, the
912:in 1961, and in
886:Nordic countries
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4289:Health sciences
4264:Right to health
4239:
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4129:
4127:
4124:This audio file
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3494:10.2307/1885326
3477:
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3432:on May 16, 2013
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3150:Wayback Machine
3141:
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3089:. June 5, 2020.
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2738:
2720:(10): 1559–87.
2711:
2710:
2706:
2696:
2694:
2689:
2688:
2684:
2677:
2662:
2661:
2654:
2644:
2642:
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2593:
2589:
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2575:
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2458:
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2303:
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2247:
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2242:
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2200:
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2173:
2166:
2133:Atun R (2015).
2132:
2131:
2127:
2114:
2113:
2109:
2097:
2093:
2085:
2081:
2071:
2069:
2060:
2059:
2055:
2045:
2043:
2032:
2031:
2022:
1968:
1967:
1963:
1919:
1918:
1914:
1904:
1902:
1898:
1897:
1893:
1883:
1881:
1874:
1859:
1858:
1851:
1846:
1841:
1817:Right to health
1721:
1714:
1707:
1700:
1697:
1691:in 2020 alone.
1673:, the proposed
1657:
1646:
1645:
1644:
1639:
1633:
1630:
1623:needs expansion
1617:
1602:
1591:
1585:
1582:
1571:
1558:
1554:
1517:
1513:
1506:
1489:
1465:integrated care
1461:health inequity
1412:
1402:
1395:
1382:
1354:
1334:
1326:social security
1285:
1265:
1259:
1216:
1210:
1130:
1124:
944:introduced its
869:, the state of
800:
798:
782:
780:
764:
762:
746:
744:
728:
726:
710:
708:
692:
690:
674:
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656:
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638:
636:
620:
618:
602:
600:
584:
582:
566:
564:
548:
546:
530:
528:
512:
510:
494:
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476:
474:
458:
456:
440:
438:
422:
420:
404:
402:
386:
384:
368:
366:
350:
348:
332:
330:
314:
312:
296:
294:
278:
276:
260:
258:
242:
240:
224:
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206:
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188:
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170:
168:
152:
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4178:
4165:
4160:
4136:
4122:
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4103:
4090:
4089:
4087:
4086:External links
4084:
4081:
4080:
4013:
3956:
3947:
3921:
3888:
3865:
3816:
3779:(2): 299–314.
3759:
3731:
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3648:
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3327:
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3271:
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2964:(9): 1145–52.
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2240:
2215:Health Affairs
2198:
2191:
2164:
2145:(14): 1285–9.
2125:
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1723:Society portal
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1693:
1659:
1658:
1641:
1640:
1634:September 2022
1620:
1618:
1611:
1604:
1603:
1568:of the subject
1566:worldwide view
1561:
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1547:
1521:
1520:
1518:
1511:
1505:
1502:
1488:
1485:
1394:
1391:
1386:financial risk
1381:
1378:
1353:
1350:
1342:Bismarck Model
1333:
1330:
1294:United Kingdom
1284:
1281:
1261:Main article:
1258:
1255:
1212:Main article:
1209:
1206:
1123:
1122:Funding models
1120:
924:following the
840:Russian Empire
832:United Kingdom
824:Bismarck Model
813:
812:
809:
807:United Kingdom
795:
794:
791:
777:
776:
773:
759:
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755:
741:
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737:
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722:
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687:
686:
683:
669:
668:
665:
651:
650:
647:
633:
632:
629:
615:
614:
611:
597:
596:
593:
579:
578:
575:
561:
560:
557:
543:
542:
539:
525:
524:
521:
507:
506:
503:
489:
488:
485:
471:
470:
467:
453:
452:
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435:
434:
431:
417:
416:
413:
399:
398:
395:
381:
380:
377:
363:
362:
359:
345:
344:
341:
327:
326:
323:
309:
308:
305:
291:
290:
287:
273:
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269:
255:
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237:
236:
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219:
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183:
182:
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165:
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147:
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143:
129:
128:
125:
111:
110:
108:
105:
104:
101:
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77:United Nations
45:universal care
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
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4320:
4319:Global health
4317:
4315:
4312:
4310:
4307:
4305:
4302:
4300:
4297:
4295:
4294:Public health
4292:
4290:
4287:
4285:
4282:
4280:
4277:
4275:
4272:
4270:
4267:
4265:
4262:
4260:
4257:
4255:
4252:
4250:
4247:
4246:
4244:
4235:
4232:
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4225:
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4218:
4216:
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4206:
4203:
4200:
4197:
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4191:
4188:
4185:
4182:
4179:
4176:
4173:
4170:(July 2011).
4169:
4166:
4164:
4161:
4158:
4153:
4149:
4148:
4144:
4140:
4125:
4085:
4076:
4072:
4068:
4064:
4059:
4054:
4049:
4044:
4040:
4036:
4032:
4028:
4024:
4017:
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4009:
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3997:
3992:
3987:
3983:
3979:
3975:
3971:
3967:
3960:
3957:
3951:
3948:
3943:
3942:10.1596/40348
3939:
3935:
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3906:
3899:
3892:
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3876:
3869:
3866:
3861:
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3774:
3770:
3763:
3760:
3748:
3744:
3738:
3736:
3732:
3724:September 25,
3719:
3715:
3714:Down To Earth
3711:
3704:
3701:
3688:
3684:
3678:
3675:
3662:
3658:
3652:
3649:
3641:
3637:
3630:
3623:
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3558:
3552:
3549:
3533:
3526:
3523:
3507:
3503:
3499:
3495:
3491:
3488:(4): 629–49.
3487:
3483:
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3469:
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3461:
3457:
3453:
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3428:
3424:
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3041:(1): 010303.
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2996:
2991:
2987:
2982:
2977:
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2963:
2959:
2958:Health Policy
2955:
2948:
2945:
2932:
2928:
2922:
2919:
2914:
2908:
2905:. iUniverse.
2904:
2903:
2895:
2892:
2876:
2869:
2850:
2846:
2842:
2839:(6): 574–96.
2838:
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2715:
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2705:
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2686:
2683:
2678:
2672:
2668:
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2659:
2657:
2653:
2645:September 30,
2641:
2635:
2631:
2627:
2616:September 30,
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2602:
2598:
2590:
2584:
2580:
2573:
2570:
2562:September 30,
2558:
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2519:
2516:
2504:
2498:
2494:
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2418:
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2379:
2367:
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2324:
2317:
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2306:September 30,
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2136:
2129:
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2100:
2095:
2092:
2089:
2083:
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2072:September 14,
2067:
2063:
2057:
2054:
2041:
2040:
2035:
2029:
2027:
2025:
2021:
2016:
2012:
2007:
2002:
1998:
1994:
1989:
1984:
1980:
1976:
1972:
1965:
1962:
1957:
1953:
1948:
1943:
1939:
1935:
1931:
1927:
1923:
1916:
1913:
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1879:
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1833:
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1818:
1815:
1813:
1810:
1808:
1807:Public health
1805:
1803:
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1793:
1790:
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1785:
1783:
1780:
1778:
1775:
1773:
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1763:
1760:
1758:
1755:
1753:
1750:
1748:
1747:Global health
1745:
1743:
1740:
1738:
1735:
1733:
1730:
1729:
1724:
1718:
1713:
1710:
1704:
1699:
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1686:
1685:
1680:
1676:
1672:
1671:
1665:
1655:
1652:
1637:
1628:
1624:
1621:This section
1619:
1615:
1610:
1609:
1600:
1597:
1589:
1579:
1575:
1569:
1567:
1560:
1551:
1550:
1545:
1543:
1536:
1535:
1530:
1529:
1524:
1519:
1510:
1509:
1503:
1501:
1498:
1494:
1486:
1484:
1482:
1478:
1473:
1468:
1466:
1462:
1458:
1454:
1450:
1444:
1440:
1436:
1429:
1425:
1421:
1416:
1411:
1407:
1406:Health system
1400:
1392:
1390:
1387:
1379:
1377:
1375:
1370:
1368:
1364:
1358:
1351:
1349:
1347:
1343:
1339:
1331:
1329:
1327:
1323:
1319:
1315:
1311:
1307:
1303:
1299:
1295:
1291:
1282:
1280:
1278:
1274:
1270:
1264:
1256:
1254:
1250:
1248:
1243:
1241:
1237:
1232:
1229:
1224:
1222:
1215:
1207:
1205:
1203:
1199:
1194:
1190:
1186:
1182:
1177:
1169:
1164:
1157:
1153:
1149:
1142:
1138:
1134:
1129:
1121:
1119:
1117:
1113:
1109:
1105:
1101:
1100:United States
1097:
1092:
1090:
1086:
1082:
1078:
1074:
1070:
1066:
1062:
1057:
1053:
1049:
1045:
1041:
1037:
1033:
1029:
1028:Latin America
1024:
1022:
1017:
1015:
1011:
1007:
1003:
999:
995:
991:
987:
983:
979:
975:
971:
966:
961:
959:
955:
951:
947:
943:
939:
935:
931:
927:
923:
919:
915:
911:
907:
903:
899:
895:
891:
887:
883:
879:
874:
872:
868:
864:
859:
857:
856:Soviet Russia
853:
849:
845:
841:
837:
833:
829:
825:
820:
810:
808:
797:
796:
792:
790:
779:
778:
774:
772:
761:
760:
756:
754:
743:
742:
738:
736:
725:
724:
720:
718:
707:
706:
702:
700:
689:
688:
684:
682:
671:
670:
666:
664:
653:
652:
648:
646:
635:
634:
630:
628:
617:
616:
612:
610:
599:
598:
594:
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581:
580:
576:
574:
563:
562:
558:
556:
545:
544:
540:
538:
527:
526:
522:
520:
509:
508:
504:
502:
491:
490:
486:
484:
473:
472:
468:
466:
455:
454:
450:
448:
437:
436:
432:
430:
419:
418:
414:
412:
401:
400:
396:
394:
383:
382:
378:
376:
365:
364:
360:
358:
347:
346:
342:
340:
329:
328:
324:
322:
311:
310:
306:
304:
293:
292:
288:
286:
275:
274:
270:
268:
257:
256:
252:
250:
239:
238:
234:
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216:
214:
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202:
198:
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65:Margaret Chan
62:
56:
54:
50:
46:
42:
38:
35:(also called
34:
30:
19:
4304:Primary care
4269:Universalism
4215:in the 1980s
4211:in the 1970s
4174:
4171:
4030:
4026:
4016:
3973:
3969:
3959:
3950:
3933:
3924:
3912:. Retrieved
3905:the original
3891:
3879:. Retrieved
3868:
3833:
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3819:
3776:
3772:
3762:
3750:. Retrieved
3746:
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3718:the original
3713:
3703:
3691:. Retrieved
3687:the original
3677:
3665:. Retrieved
3661:the original
3651:
3640:the original
3635:
3622:
3609:
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3588:. Retrieved
3581:the original
3576:
3564:
3557:single-payer
3551:
3539:. Retrieved
3525:
3513:. Retrieved
3506:the original
3485:
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3436:November 28,
3434:. Retrieved
3427:the original
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3369:
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3311:the original
3297:
3285:. Retrieved
3274:
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3255:the original
3214:
3175:. Retrieved
3166:
3157:
3138:
3128:November 30,
3126:. Retrieved
3117:
3107:November 30,
3105:. Retrieved
3095:
3081:
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3034:
3024:
3012:. Retrieved
3008:
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2937:November 30,
2935:. Retrieved
2931:the original
2921:
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2875:the original
2856:. Retrieved
2849:the original
2836:
2832:
2814:. Retrieved
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3970:The Lancet
3264:August 30,
3014:August 20,
2884:October 8,
2858:October 8,
2816:October 8,
2774:October 8,
1844:References
1762:Health law
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1528:improve it
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