Healthcare reform

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A feature of most political systems. It may be informed by comparative healthcare but often is determined by ideology. Examples of such ideology is free at the point of delivery -UK NHS and solidarity : the more ill a person becomes, the less they pay - France. Traditional healthcare based on private and voluntary provision of care is a feature from which reform started as the state took on more responsibility from individuals and religion in providing such care. Generally such provision leads to more effective use of healthcare resources for a population, with some form of rationing. No state has proved able or willing to meet all potential individual demand for healthcare.

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The major reform events from the traditional catholic church and private practitioner model were:

  • 1536 to 1541 dissolution of the monasteries (suppression of the monasteries) by Henry VIII
  • 1587 to 1598 codification of Poor Laws
  • 1834 Poor Law Amendment Act resulted in building of workhouses in each union area
  • 1911 National Health Insurance Act
  • 1948 creation of NHS as seen in NHS History
  • 2012 new NHS Act as seen in NHS History
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A system has evolved due to the late involvement of the federal government in healthcare. It relies heavily on private and not-for-profit health insurance.

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A national healthcare insurance system has evolved. This may predominantly rely on social health insurance (eg Germany), single-payer health care (eg UK, France) or an insurance equalization pool (eg Netherlands).

  • 1883 Prussian Health Insurance Bill
  • 1884 Prussian Accident Insurance Bill
  • 1889 Prussian Old Age and Disability Insurance Bill
  • 2006 Netherlands system of compulsory insurance backed by a risk equalization program
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  • 1948 Universal Declaration of Human Rights (Note: USA did not ratify the Article 25 right to health.)

This article is a work in progress. Please feel free to contribute to it.