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National Health Insurance
National health insurance (NHI), sometimes called statutory health insurance (SHI), is a system of health insurance that insures a national population against the costs of health care. It may be administered by the public sector, the private sector, or a combination of both. Funding mechanisms vary with the particular program and country. National or statutory health insurance does not equate to government-run or government-financed health care, but is usually established by national legislation. In some countries, such as Australia's Medicare system, the UK's National Health Service and South Korea’s National Health Insurance Service, contributions to the system are made via general taxation and therefore are not optional even though use of the health system it finances is. In practice, most people paying for NHI will join it. Where an NHI involves a choice of multiple insurance funds, the rates of contributions may vary and the person has to choose which insurance fund to belon ...
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Single-payer Health Care
Single-payer healthcare is a type of universal healthcare in which the costs of essential healthcare for all residents are covered by a single public system (hence "single-payer"). Single-payer systems may contract for healthcare services from private organizations (as is the case in Canada) or may own and employ healthcare resources and personnel (as is the case in the United Kingdom). "Single-payer" describes the mechanism by which healthcare is paid for by a single public authority, not a private authority, nor a mix of both. Description Within single-payer healthcare systems, a single government or government-related source pays for all covered healthcare services.Medical Subject Headings thesaurus, National Library of Medicin"Single-Payer System" Year introduced: 1996, (From Slee and Slee, Health Care Reform Terms, 1993, p. 106) Governments use this strategy to achieve several goals, including universal healthcare, decreased economic burden of health care, and improved heal ...
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Health Insurance
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity. According to the Health Insurance Association of America, health insurance is defined as "coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment". Background A health i ...
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Aasandha
Aasandha (Dhivehi: އާސަންދަ) is the universal health insurance scheme of the Maldives. It is a single-payer healthcare system financed solely by the Government of Maldives. The Scheme is designed to provide medical care including hospitalization (in-patient and out-patient), cover costs of drugs, provide emergency evacuation to higher tier medical facilities and even covered medical care from abroad. The name "Aasandha" is used for referencing to the Scheme as well as the state owned company, Aasandha Company Limited, which acts as a third party claims administrator. For the budget year 2020, Government is expected to spend over MVR 950.7 million for the scheme and represents 2.6% of the national expenditure budget. History Aasandha was established on December 29, 2011, by act number 15/2011 (National Social Health Insurance Act). National Social Protection Agency operating under the Ministry of Health was charged with the program execution. Initially, the Government forme ...
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Ayushman Bharat Yojana
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana ( or PM-JAY'';'' also referred to as Ayushman Bharat National Health Protection Scheme or NHPS) is a national public health insurance fund of the Government of India that aims to provide free access to health insurance coverage for low income earners in the country. Roughly, the bottom 50% of the country qualifies for this scheme. People using the program access their own primary care services from a family doctor. When anyone needs additional care, then PM-JAY provides free secondary health care for those needing specialist treatment and tertiary health care for those requiring hospitalization. The programme is part of the Indian government's National Health Policy and is means-tested. It was launched in September 2018 by the Ministry of Health and Family Welfare. That ministry later established the National Health Authority as an organization to administer the program. It is a centrally sponsored scheme and is jointly funde ...
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Employees' State Insurance
Employees' State Insurance Corporation (abbreviated as ESIC) is one of the two main statutory social security bodies under the ownership of Ministry of Labour and Employment, Government of India, the other being the Employees' Provident Fund Organisation. The fund is managed by the Employees' State Insurance Corporation (ESIC) according to rules and regulations stipulated in the ESI Act 1948. History In March 1943, Prof. B.P.Adarkar was appointed by the Government of India to create a report on the health insurance scheme for industrial workers. The report became the basis for the Employment State Insurance (ESI) Act of 1948. The promulgation of Employees’ State Insurance Act, 1948 envisaged an integrated need based social insurance scheme that would protect the interest of workers in contingencies such as sickness, maternity, temporary or permanent physical disablement, death due to employment injury resulting in loss of wages or earning capacity. The Act also guarantees re ...
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Healthcare In India
India has a multi-payer universal health care model that is paid for by a combination of public and private health insurance funds along with the element of almost entirely tax-funded public hospitals. The public hospital system is essentially free for all Indian residents except for small, often symbolic co-payments in some services. At the federal level, a national publicly funded health insurance program was launched in 2018 by the Government of India, called Ayushman Bharat. This aimed to cover the bottom 50% (500 million people) of the country's population working in the unorganized sector (enterprises having less than 10 employees) and offers them free treatment at both public and private hospitals. For people working in the organized sector (enterprises with more than 10 employees) and earning a monthly salary of up to ₹21,000 are covered by the social insurance scheme of Employees' State Insurance which entirely funds their healthcare (along with unemployment benef ...
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Health Care In Italy
Italy's healthcare system is consistently ranked among the best in the world. Life expectancy is the 4th highest among OECD countries (83.4 years in 2018) and the world's 8th highest according to the WHO (82.8 years in 2018). Healthcare spending accounted for 9.7% of GDP in 2020. The Italian state runs a universal public healthcare system since 1978. However, healthcare is provided to all citizens and residents by a mixed public-private system. The public part is the ''Servizio Sanitario Nazionale'', which is organised under the Ministry of Health and administered on a devolved regional basis. History After World War II, Italy re-established its social security system including a social health insurance administered by sickness funds and private insurances. In the 1970s the social health insurance faced severe equity problems as coverage differed between the sickness funds, around 7% of the population remained uninsured, especially in the South. Moreover, sickness funds went pra ...
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Healthcare In Israel
Healthcare in Israel is universal and participation in a medical insurance plan is compulsory. All Israeli residents are entitled to basic health care as a fundamental right. The Israeli healthcare system is based on the National Health Insurance Law of 1995, which mandates all citizens resident in the country to join one of four official health insurance organizations, known as Kupat Holim (קופת חולים - "''Sick Funds''") which are run as not-for-profit organizations and are prohibited by law from denying any Israeli resident membership. Israelis can increase their medical coverage and improve their options by purchasing private health insurance. In a survey of 48 countries in 2013, Israel's health system was ranked fourth in the world in terms of efficiency, and in 2014 it ranked seventh out of 51. In 2020, Israel's health system was ranked third most efficient in the world. In 2015, Israel was ranked sixth-healthiest country in the world by Bloomberg rankings and ranked ...
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Health Care In Ghana
In precolonial Ghana, infectious diseases were the main cause of morbidity and mortality. The modern history of health in Ghana was heavily influenced by international actors such as Christian missionaries, European colonists, the World Bank, and the International Monetary Fund. In addition, the democratic shift in Ghana spurred healthcare reforms in an attempt to address the presence of infectious and noncommunicable diseases eventually resulting in the formation of the National Health insurance Scheme in place today. The Human Rights Measurement Initiative finds that Ghana is fulfilling 67.1% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Ghana achieves 89.3% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 78.0% of what is expected based on the nation's level of income. Ghana falls into th ...
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Healthcare In Germany
Germany has a universal multi-payer health care system paid for by a combination of statutory health insurance (') and private health insurance ('). The turnover of the health sector was about US$368.78 billion (€287.3 billion) in 2010, equivalent to 11.6 percent of gross domestic product (GDP) and about US$4,505 (€3,510) per capita.A. J. W. Goldschmidt: Der 'Markt' Gesundheitswesen. In: M. Beck, A. J. W. Goldschmidt, A. Greulich, M. Kalbitzer, R. Schmidt, G. Thiele (Hrsg.): Management Handbuch DRGs, Hüthig / Economica, Heidelberg, 1. Auflage 2003 (): S. C3720/1-24, with 3 revisions / additional deliveries until 2012 According to the World Health Organization, Germany's health care system was 77% government-funded and 23% privately funded as of 2004. In 2004 Germany ranked thirtieth in the world in life expectancy (78 years for men). It was tied for eighth place in the number of practicing physicians, at 3.3 per 1,000 persons. It also had very low infant mortality rate (4. ...
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Health Care In France
The French health care system is one of universal health care largely financed by government national health insurance. In its 2000 assessment of world health care systems, the World Health Organization found that France provided the "best overall health care" in the world. In 2017, France spent 11.3% of GDP on health care, or US$5,370 per capita, a figure higher than the average spent by rich countries (OECD average is 8.8%, 2017), though similar to Germany (10.6%) and Canada (10%), but much less than in the US (17.1%, 2018). Approximately 77% of health expenditures are covered by government funded agencies. Most general physicians are in private practice but draw their income from the public insurance funds. These funds, unlike their German counterparts, have never gained self-management responsibility. Instead, the government has taken responsibility for the financial and operational management of health insurance (by setting premium levels related to income and determining ...
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Health Care In Colombia
Health care in Colombia refers to the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical, nursing, and allied health professions in the Republic of Colombia. The Human Rights Measurement Initiative finds that Colombia is fulfilling 94.0% of what it should be fulfilling for the right to health based on its level of income. When looking at the right to health with respect to children, Colombia achieves 96.3% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 91.7% of what is expected based on the nation's level of income. Colombia falls into the "fair" category when evaluating the right to reproductive health because the nation is fulfilling 93.9% of what the nation is expected to achieve based on the resources (income) it has available. Health issues Tropical diseases are important issues in Colombia ...
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