Great Britain has public healthcare that is free to all citizens and is funded mostly through taxes, however, there is no “precise scope of services” and “there is no absolute right for patients to receive a particular treatment” (Tikkanen, 2020). The United States has a variety of insurance options, depending on each individual’s situation, that can be provided by employers, through self-purchase, or government- funded. Access There is a significant difference in the healthcare offered between the United States and Great Britain. Country to Compare This paper will compare healthcare in the United States with that of Great Britain. Sometimes the medications are not fully covered, so the patient would need to pay for the rest of the medication out of pocket.2 SAT1 - SAT TASK 3: Healthcare Financing A1. In the United States, most medication prescriptions do go through a patient’s private insurance to cover the cost of the medication. According to International Health Care Systems Profiles, MHI covers most general practitioner (GP) and specialist services, as well as an extensive list of pharmaceuticals and medical devices home care services physiotherapy (if prescribed) and some preventive measures, including the costs of selected vaccinations, selected general health examinations, and screenings for early detection of disease among certain risk groups (). In Switzerland, MHI covers most medications. The Swiss government has three streams of publicly financed insurance, including direct financing for health care providers, mandatory health insurance premiums (MHI), and social insurance contributions. Health coverage is a condition of being a Swiss resident. The government is more highly involved in health care system management in Switzerland. Switzerland’s health care system differs wildly from the United States health care system. However, the Swiss government subsidizes healthcare for their poor on a progressive basis, with their end goal being the prevention of their citizens spending more than 10 percent of their income on insurance (Roy, 2013). They have the ability to choose their healthcare freely and spend more on the cost. The Swiss people as a whole are wealthier than the country of the United States. This causes cost shifting, which refers to unpaid costs being covered by those who do pay for healthcare (Williamson, 2017). In turn, the hospital organizations are left with a significant cost burden to pay for this patient population. This population as a whole statistically does not seek out preventative medicine for acute and chronic diseases and are hospitalized more often than individuals who have better access to health care. This population usually includes part-time workers, unemployed individuals, children, retired elderly, and the homeless. Prior to the passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, lack of access to health care primarily reflected a lack of insurance coverage, so access was an issue of financial access (Williamson, 2017). Health care costs have steadily risen in the United States over a period of decades, leaving the uninsured and underinsured at risk of access to quality health care. Both of the healthcare systems of these two countries are very similar but do have some differences. Organizational Systems and Quality LeadershipĬomparing the United States healthcare financing system to Switzerland.
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