![]() ![]() One wonders, then, why any sensible reader should waste time on an article about the NHS. ![]() US journalists almost never describe its remarkable achievements or its innovative and instructive reforms. In US policy debates, the NHS serves as a dreary image of everything we want to avoid and might get if we actually developed a universal system that was equitable and efficient. ![]() Third, many believe that the only alternative to voluntary, market-based health insurance is a single-payer system financed by tax revenues, when there are a number of options.įourth, many believe that the United States is so large and diverse that any lessons one might learn from smaller and less diverse countries do not apply here, so why bother with possible lessons from anywhere else?įinally, conservative policymakers and providers imagine that a universal health care system would mean low salaries, rundown facilities, poor quality, and endless waits to see a doctor, as with the British National Health Service (NHS). Yet universal health care systems elsewhere give the profession greater institutional powers. 1 Even the largest employers are unable to hold major cost drivers in check.Ī second belief, held by the medical profession, is that they would lose still more power than they have already under corporate managed care. One such belief is that the United States cannot afford to cover the uninsured, when in fact a coordinated financing system is the key tool for holding costs down, and there are affordable ways to do it. THE UNITED STATES IS THE only remaining industrialized country without some form of universal access to medical services, in part because policy debates are driven by false, selfdefeating beliefs. ![]()
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