Health care systems models

Social security primarily refers to a field of socialVarieties of public systems
welfare service concerned with social protection,Most developed countries currently have publicly
or protection against socially recognized conditions,funded health systems that cover the great
including poverty, old age, disability,majority of the population. The notable exception
unemployment, families with children and others.is the United States. For some examples, see the
Although some publications use the terms "socialUnited Kingdom's National Health Service (NHS), or
security" and "social protection" interchangeably,the Medicare systems in Canada and in Australia.
social security is used both more narrowly (toIn the United States, the role of the government
refer only to schemes with the formal title ofin healthcare provision is a source of continued
'social security') and more widely (referring toand sharp debate.
many kinds of social welfare scheme). SocialEven among these countries, different approaches
security may refer toexist to the funding and provision of medical
social insurance, where people receive benefits orservices. Systems may be funded from general
services in recognition of contributions to angovernment revenues (as in Italy and Canada), or
insurance scheme. These services typically includethrough a government social security system (as
provision for retirement pensions, disabilityin France, Belgium, Japan, and Germany) with a
insurance, survivor benefits and unemploymentseparate budget and hypothecated taxes. The
insurance.proportion of the cost of care covered also
income maintenance—mainly thediffers: in Canada, all hospital care is paid for by
distribution of cash in the event of interruption ofthe government, while in Japan patients must pay
employment, including retirement, disability and10 to 30% of the cost of a hospital stay.
unemploymentServices provided by public systems vary. For
services provided by administrations responsibleexample, the Belgian government pays the bulk
for social security. In different countries this mayof the fees for dental and eye care, while the
include medical care, aspects of social work andAustralian government covers neither.
even industrial relations.Publicly funded medicine may be administered and
More rarely, the term is also used to refer toprovided by the government, as in the United
basic security, a term roughly equivalent toKingdom; in some systems, though, medicine is
access to basic necessities—things suchpublicly funded but most health providers are
as food, clothing, shelter, education and medicalprivate entities, as in Canada. The organization
care.providing public health insurance is not necessarily
Income maintenancea public administration, and its budget may be
Social security policy is usually applied throughisolated from the main state budget. Some
various programs designed to provide a populationsystems do not provide universal healthcare, or
with income at times when they are unable torestrict coverage to public health facilities. Some
care for themselves. Income maintenance iscountries, such as Germany, have multiple public
based in a combination of five main types ofinsurance organizations linked by a common legal
program:framework.
social insurance, considered aboveInnovations in health care can be very expensive.
means-tested benefits. This is financial assistancePopulation aging generally implies more health care,
provided for those who are unable to cover basicat a time when the taxed working population
needs, such as food, clothing and housing, due todecreases.
poverty or lack of income because ofTwo-tier health care
unemployment, sickness, disability, or caring forAlmost every country that has a publicly funded
children. While assistance is often in the form ofhealth care system also has a parallel private
financial payments, those eligible for social welfaresystem, generally catering to private insurance
can usually access health and educational servicesholders. While one goal of public systems is to
free of charge. The amount of support is enoughprovide equal service to all, this egalitarianism is
to cover basic needs and eligibility is often subjectoften partial. Every nation either has parallel
to a comprehensive and complex assessment ofprivate providers or its citizens are free to travel
an applicant's social and financial situation.to a nation that does, so there is effectively a
non-contributory benefits. Several countries havetwo-tier healthcare system that reduces the
special schemes, administered with noequality of service. Private hospitals often get
requirement for contributions and no means test,newer and better equipment and facilities, and
for people in certain categories of need - forsince private providers are typically better paid,
example, veterans of armed forces, people withsome medical professionals motivated by
disabilities and very old people.remunerative concerns migrate to the private
discretionary benefits. Some schemes are basedsector.[citation needed]
on the discretion of an official, such as a socialFrom the inception of the NHS model (1948),
worker.public hospitals in the United Kingdom have
universal or categorical benefits, also known asincluded "amenity beds" which would typically be
demogrants. These are non-contributory benefitssiderooms fitted more comfortably, and private
given for whole sections of the population withoutwards in some hospitals where for a fee more
a test of means or need, such as familyamenities are provided. These are predominantly
allowances or the public pension in New Zealandused for surgical treatment, and operations are
(known as New Zealand Superannuation).generally carried out in the same operating
Publicly funded health care systems are financedtheatres as NHS work and by the same
in one of two ways: tax-based financing or socialpersonnel. These amenity beds do not exist in
security financing. In some systems, taxation isother socialized healthcare systems, such as the
the primary means of financing health care.Spanish one. From time to time, the NHS pays for
Everyone receives the same level of coverageprivate hospitals (arranged hospitals) to take on
regardless of their ability to pay, their level ofsurgical cases for which NHS facilities do not have
taxation, or risk factors. In others, compulsorysufficient capacity. This work is usually, but not
membership in a social health insurance "sicknessalways, done by the same doctors in private
fund" finances health care through premiumshospitals.
determined by a percentage of a person's wage.