Jump to content
Medicine Forum

Summary of Seven Countries' Universal Health Plans 2

Recommended Posts

Singapore: Singapore's two-tier system is one of the best in the world. Two-thirds is private and one-third public spending. It provides five classes of hospital care. The government manages hospitals that provide low-cost or free care. It sets regulations that control the cost of the entire health care system. People can buy higher levels of deluxe care for a fee. Workers pay 20 percent of their salary to three mandated savings accounts. The employer pays another 16 percent into the account. One account is for housing, insurance, or education investment. The second account is for retirement savings. The third is for health care. The Medisave account collects 7 to 9.5 percent of income, earns interest, and is capped at the $43,500 income. More than 90 percent of the population enrolls in Medishield, a catastrophic insurance program. The Medifund pays for health costs after the Medisave and Medishield accounts are exhausted. Eldershield pays for nursing home care. Once an employee turns 40, a portion of income is automatically deposited into the account.

In 2009, Singapore spent 4.9 percent of its GDP on health care. That's US$2,000 per person. In 2015, life expectancy was 83.1 years.

Switzerland: The country has mandatory health insurance that covers all residents. Quality of care is one of the best in the world. Coverage is provided by competing private insurance companies. People can buy voluntary insurance to access better hospitals, doctors, and amenities. The government pays for 60 percent of the country's health care. Dental care is not covered. Vision is only covered for children. The government subsidizes premiums for low-income families, about 30 percent of the total. There is a 10 percent coinsurance cost for services and 20 percent for drugs. These out-of-pocket costs are waived for maternity care, preventive care, and child hospitalization. The government sets prices. 

In 2016, health care spending was 12.4 percent of GDP. It was US$7,919 per person. There were 11.6 percent of patients who skipped prescriptions because of cost. Also, 20.2 percent of patients reported a wait time of more than four weeks to see a specialist. In 2015, life expectancy was 83.4 years. 

United Kingdom: The United Kingdom has single-payer socialized medicine. The National Health Service runs hospitals and pays doctors as employees. The government pays 80 percent of costs through general taxes. It pays for all medical care, including dental, hospice care, and some long-term care and eye care. There are some copays for drugs. All residents receive free care. Visitors receive care for emergencies and infectious diseases. Private insurance for elective medical procedures is available.

In 2016, health care costs were 9.7 percent of GDP. The cost was US$4,193 per person. Only 2.3 percent of patients skipped prescriptions because of cost. But 29.9 percent of patients reported a wait time of more than four weeks to see a specialist. To keep prices low, some expensive and uncommon drugs aren't available. Hospitals can be crowded with long wait times. In 2018, the flu outbreak extended wait times to 12 hours. But most measures of health, like infant mortality rates, are better than average. In 2015, life expectancy was 81.2 years. 

Link to post
Share on other sites
  • 1 year later...

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Create New...