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Healthcare System Related Topics

A healthcare system is the organization by which health care is provided.

Although some view healthcare from an economic perspective as being no different from other products or services, others believe it has many characteristics that encourage government intervention or regulation:

  • The provision of critical healthcare treatment is often regarded as a basic human right, regardless of whether the individual has the means to pay—some treatments cost more than a typical family's life savings.
  • Healthcare professionals are bound by law and their oaths of service to provide lifesaving treatment.
  • Healthcare professionals are monopolists in various respects: surgery, gynecology, prescribing, etc.
  • Consumers often lack the information or understanding to be able to choose rationally between competing healthcare providers when they need treatment, particularly in the event of the need of urgent or emergency treatment.

Healthcare systems models

  • Purely private enterprise healthcare systems are comparatively rare. Where they exist, it is usually for a comparatively well-off subpopulation in a poorer country with a poorer standard of healthcare–for instance, private clinics for a small, wealthy expatriate population in an otherwise poor country. But there are countries with a majority-private healthcare system with residual public service (see Medicare, Medicaid).
  • The other major models are public insurance systems:
    • Social security healthcare model, where workers and their families are insured by the State.
    • Publicly funded healthcare model, where the residents of the country are insured by the State.
    • Sickness insurance model, where the whole population or most of the population is a member of a sickness insurance company.

In almost every country with a government health care system a parallel private system is allowed to operate. This is sometimes referred to as two-tier health care. The scale, extent, and funding of these private systems is very variable. In Canada the lack of private care is notable, and pride is widespread in their one-tier system of only government-provided healthcare, largely coordinated at the provincial level.


  Medicare  
Medicare is a health insurance program administered by the United States government, covering people who are either age 65 and over, or who meet other special criteria. It was first passed on July.. Medicare
  Medicaid  
Medicaid in the United States is a program managed by the states and funded jointly by the states and federal government to provide health insurance for individuals and families with low incomes and... Medicaid
  Social Security  
Social Security in the United States is a social insurance program funded through a dedicated payroll tax. It is also known as the Old Age, Survivors and Disability Insurance program (OASDI), in... Social Security
  Publicly-Funded Medicine  
Publicly funded medicine, also called "socialized healthcare" or "universal healthcare", is a healthcare system that is financed entirely or in majority part by citizens' tax payments instead of... Publicly-Funded Medicine
  Healthcare Reform  
Healthcare reform is a general rubric used for discussing major policy changes--for the most part, governmental policy changes--to any existing healthcare system in a given place. Healthcare reform... Healthcare Reform
  HMO  
A Health Maintenance Organization (HMO) is a type of Managed Care Organization (MCO) that provides a form of health insurance coverage in the United States that is fulfilled through hospitals, doctors, and... HMO

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