In addition to 19 rich democracies, I have studied over the past 40 years, health spending in the United States queer organization, and results. Obama could be so useful lessons from abroad, because it leads to social security. In the last hundred years, with the exception of the United States, which currently all the rich democracies in general health care field converges. All of them personal promotion and mandatory employer contributions and / or central control of the government's revenue budget is developed. All the special care, privately purchased with government services have added to the policyholders. Including the United States, health care is rationed. All primary care doctors and specialists to increase the density of relationships between experienced staff. All indications of a trend toward public financing. Our departure has to do with national health insurance,

A large-scale private sector, a very high medical cost-effectiveness of primary care physicians and nurses with poor and a face (not) ratio. Treatment: about 45% to 65% over the current level to increase public participation. Transition costs and ongoing costs of providing universal coverage in relation to the financing of the guarantee: no democracy, comprehensive national health insurance, no tax on communication, finances, especially the wage and consumption taxes. We can start with a broad base is the result. "Why National Health Insurance in America?" Three explanations have been tested.

U.S. health care system is complex and expensive in the world. System of the size of the investment funds, U.S. high standards of healthcare in other developed countries can not. The current model of health insurance has failed to efficiently and effectively. Administrative costs and lack of purchasing power, which is the root of the problem is with the current system Multipay. The current system also directly contribute to the growing number of Americans without health insurance. This lack of health insurance leads to poorer outcomes in the system through the payment of these complications have lost a significant amount of money. The experience of other countries have shown that a single payer system reform may be with the conversion. But

Our peculiar system of labor based on private insurance has been called an accident of history. During World War II wage freeze prevented employers attract workers through higher wages. Additional benefits that were not controlled and employers soon discovered that they compete for workers by offering health insurance package. This benefit was during the war by the Americans, and insurance schemes have increased enrollment in the evaluation. The new project of voluntary health insurance tax-free status after receiving the financial benefits to employers. On the dynamics of health systems work in conjunction with the won, and is today.


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