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Universal health care

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Universal health care is a system where everyone living in a country can get medical help. It aims to make sure people do not face hard money problems when they get sick.

Health spending by country. Percent of GDP (Gross domestic product)
Health spending by country. Percent of GDP (Gross domestic product)

This system focuses on three main parts. It looks at who is covered by the care. It also looks at what specific services are included. Finally, it looks at how much of the cost is paid for by the system. The World Health Organization says this helps people access services without losing their savings. Margaret Chan once called this a very powerful idea for public health. It brings many different services together in one organized way.

Countries use different ways to pay for these health services. Many nations use tax money to fund their systems. Other countries require every citizen to buy private health insurance. Some places use a mix of both taxes and private insurance.

Average annual health spending. US dollars (PPP) per person. OECD countries and more
Average annual health spending. US dollars (PPP) per person. OECD countries and more

For example, France uses a mix of different funds to help its people. In Germany, employers and workers both pay into special funds. These funds are often called sickness funds. This helps spread the cost of being sick across many people. This way, the cost is not a huge burden for just one person.

This way of caring for people has a long history. The first modern move toward this began in Germany in 1883. A law called the Sickness Insurance Law helped workers get care. This was known as the Bismarck Model. Other countries began to try similar ideas soon after. The United Kingdom passed a law in 1911 for primary care. In 1918, Soviet Russia created the first fully free and universal system. Japan also introduced health insurance for workers in 1927. By the 1930s, most of Western and Central Europe had similar systems in place.

Many different nations have built these systems over the years. The United Kingdom launched its National Health Service on July 5, 1948. Nordic countries like Sweden and Norway joined in during the 1950s and 1960s. Canada started building its system in 1962 in Saskatchewan. In the 1970s, Italy introduced its own National Health Service. Many Asian countries like South Korea and Taiwan joined later. Taiwan set up its system in 1995. Even in Latin America, countries like Brazil have worked to improve coverage for their people.

Today, many countries work toward the goal of universal coverage for everyone. The United Nations wants this to happen worldwide by the year 2030. Some people worry that these systems can lead to long wait times. They also worry about the quality of the care. However, many leaders believe it provides equality for health. The United States is the only wealthy, industrialized nation without a universal system. It does have special programs like Medicare for the elderly. It also has Medicaid for people with low incomes.

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Average annual health spending. US...
File:Total health expenditure per capita, US Dollars PPP.png
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