Contrasting Healthcare approaches Flashcards
Emergent
viewed as an item of personal consumption.
solo entrepreneurs and facilities are privately owned.
States role is minimal.
Countries with Emergent healthcare
INDIA, BRAZIL, SOUTH AFRICA, BANGLADESH
Pluralistic
viewed as a consumer product provided by independent doctors. Consumer pays for all the treatment.
Many have insurance to pay for treatment.
Countries with Pluralistic Healthcare
USA
Insurance Social Security
Entire population pays compulsory health insurance, amount based on the income of the individual.
PAtient pays all medical bills but can claim up to 85% of it back.
National Health Service
State supported service. Funding provided by government taxation and in the UK.
Free at the point of consumption.
Equal access regardless of wealth.
Exampe of Insurance Social Security
FRANCE, SPAIN, JAPAN
Example of National Health Service
UK, CANADA
Socialised
State provided.
Physicians state employed and fascilities entirely public owned.
Paymentsfor services are entirely indirect, states role is total.
Comparing Cuba to USA
Spends less than USA but same life expectancy.
Cuba more proactive at reducing cost for future treatment.
Every family has a visit from the doctor once a year.
Negatives of Pluralistic- USA
Many in USA have poor health as they cannot afford healthcare and checkups.
People have to be desperate before addressing problems.
Positives of Pluralistic- USA
Medicaid provides care for poor and poor elderly.
Richer see benefits of paying as quality is higher.
Positives of Socialised- Cuba
Free medical and dental.
Home visit once a year
2nd highest LE in caribbean
21 medical schools provide free training.
Negatives of Socialised- Cuba
Huge pressure on gov resources
Reports of being intrusive
