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“Tuesday came and went and the democratic npresidential race is narrowing to two very different different candidates far left bernie sanders nand. The more moderate joe. Biden biden and sanders clashed on the best napproach to reforming. Us.
Health. Care. Sanders wants to get rid of private insurance. Naltogether.
While biden proposes building on the framework nleft over from barack. Obama s affordable care. Act. Bernie.
Says that you have to bring people ntogether and we have to have medicare for all but bernie says and he says he wrote the damn nthing. But he s unwilling to sell with the damn thing s gonna cost the idea middle class taxes aren t going to ngo up is just crazy. What medicare after all will do is save nthe average american substantial sums of money the us. Already spends more money on health ncare than any other developed country there s one country that spends less than.
Nhalf what the us. Does on health care and people generally don t pay anything out nof pocket. When they go to the doctor. The united kingdom and out of all the health ncare.
Systems we ve looked at the uk. Appears the most. Socialist the government effectively runs the whole nthing right now the uk. Is having its own debate.
Nover how to. Reform the national. Health service so how does the. Uk system compare to the nus.
And what reforms may be coming in. 2018 the united states spent around ten nthousand five hundred us dollars on health care for each of its. Residents the united kingdom spent around 4000. Us ndollars that.
Means the united kingdom. Spends 98 percent nof its gdp on. Health care while the. Us spends 169.
Percent despite spending less the united kingdom nmanages to have healthier citizens who live longer and are less likely to die in childbirth in 2017 life expectancy..
In the uk was 27 nyears higher than in. The us and the. Uk has roughly 15. Times fewer deaths that could nhave been avoided by access to better health.
Care the infant mortality rate is lower in the nunited kingdom with 39 deaths per 1000 live births as opposed to 58 in the united states and the maternal mortality rate in the. Us nis nearly 15 times higher than in the united. Kingdom so how is the uk. System structured so that nit gets these results while spending significantly less than the united states system.
The national health service is a case where nthe british decided right after world war. 2. That health care should be government s njob like paving the streets putting out fires running a library. Running the.
Parks that s tr. Reid. Author of the book the healing of america. He traveled the world.
Exploring different ncountries health care systems. It s a service. You get when you need it and nyou never get a bill. It s like going to the library.
They don t charge you to check out a book. He s saying that the nhs is it s a risk sharing nsystem. So everyone pays into it through their tax. If you need to use it you don t have to pay nanything else so in a sense.
It s not free. Because is paid nas of taxation. Dr. John puntis.
Is a pediatrician who recently nretired from the nhs. He is also co chair of an organization called nkeep our nhs public. All of his comments are reflective of the norganization and not his personal views. It s a fair system in that the more money nyou earn the more tax you pay the more you contribute.
But there has been discussion about whether ntax should be increased to pay for sorting the nhs out in terms of the current deficiencies. Nand problems and that that is controversial. I think a lot of people favor some tax increase nbut. Then there are other people who say well.
The focus should be on companies that ndon t pay tax and people who don t pay tax as the first step. I would call that socialized medicine government provides that care government pays for the care. It s paid for nthrough taxes. Everybody s covered the same to me that sounds like socialized medicine.
The term socialized medicine has become a npolitical football especially in the united states. The nhs is socialized medicine. It s great and we hear this term mainly coming from the nus where it s used as a as scaremongering. I would say if the nhs is socialized medicine nwe like it and most people are still very very supportive of the concept of of of a nnational health.
Service each of the uk s four constituent countries nhave their own branch of the nhs. So rules differ slightly between. Them but all of the branches operate under the npurview of the uk. Parliament.
There are some services that require. Patients nto pay something out of pocket such as dental eye care and certain prescription. Drugs but those fees are low compared to the us nand vary by nhs branch by one estimate from a. Data analytics firm.
Nprescription drugs cost 57 percent less in the. Uk than they do in the us. Unlike with nother universal health care systems that are only publicly funded. The government also nruns the nhs that means doctors that work in public nhs nfacilities are employees of the government.
Most britons receive their primary care through ngeneral practitioners. Who are frequently referred to as gps. They typically act as gatekeepers for secondary ncare. The problem is that people are experiencing nthe moment as is taking longer to see your general practitioner.
If you want to see them most gps are private contractors with the nnhs. They don t charge patients for care instead they earn money directly from the nnational health service. Many gps negotiate contracts with the nhs nto determine how much they can charge the government for their services gps may fund their own general practice facilities nor they can rent them from the nhs or private companies. One paper from the journal of the royal society nof medicine found that gps.
Faced many issues because of how general practices are funded nin the uk. Some gps. I think increasingly don t want nto take on the running of business aspects of general practice. And so there are lots nof gps who are salaried partners.
So they are paid by the practice to come in and work nas a gp. But they don t do any of the business side of this. Stuff there s also a private sector in the uk s nhealth care system. It s funded from a combination of out of pocket npayments private health insurance and the nhs itself the private sector is growing because is being nconsciously promoted by government and the boundaries being blurred.
But i think the private health care has been ngrowing at a very rapid steady pace in the united kingdom for the course of several decades that s going to continue that s nile gardiner..
He s the director of the thatcher center for nfreedom at the heritage foundation with regard to the national health service. Ni. Mean there s no there s no sign at this stage that the uk will be moving to a different nsystem to the national health service. All british parties all committed to the national nhealth service.
I think that s more or more britons will be nopting for private healthcare in the coming years and decades not least. Because there nare long waiting lists with regard to the national health service. And analysis from the london school of economics nfound that in the 2018 to 2019 fiscal year nhs england spent around 18 percent of its ntotal expenditure on the independent sector. There s been a blurring of the boundaries.
Nif you like for example cataract surgery is the most ncommon operation. Done under the nhs increasingly it s being provided in the independent nsector and the nhs as has contracts with the independent sector to do that work there are implications in terms of staffing private sector doesn t train its own staff. Nit takes it from the nhs. It cherry picks takes the low risk patients nnot the high risk patients.
It has an impact on training nhs staff and nthis is one of the problems with cataract surgery. If they re all going to the private sector. Nhospitals and the nhs staff. Don t become experienced in doing cataract surgery and then along the line you find it s more ndifficult to staff your nhs unit.
So it s not without negative consequence. And we are paying private companies increasingly nto do work for the nhs including american companies and they re very well established. Now particularly nin. The back office functions and providing advice on commissioning support this kind nof thing they re very involved and unfortunately.
That s nlikely to increase and something which campaigners are extremely worried about i don t think anyone really believed that nuk. Voters would decide to brexit the news that the united kingdom voted to nleave the european union. Shocked the world the nhs was a big part of the brexit media ndiscourse with the leave. Campaign famously claiming that the uk.
Would take back 350 nmillion pounds a week that could then be funneled into the nhs the uk. Statistics authority has since said nthat. The claim is a quote clear misuse of official statistics. My name is holly jarman.
I m an assistant professor in the department nof health management and policy at the university of michigan. Those promises really did hit home for a lot. Nof. People the idea that money would come back from europe nto the uk.
Was a very powerful symbol. It s not actually true that wasn t really how eu financing works nbut. We still saw that that was a big part of the media discourse and most likely part nof people s judgment when they were casting their. Vote the uk officially left the eu three years nafter the original brexit vote entering a transitory period through the end nof 2020 while the uk government negotiates international trade deals.
The concerns about nprivate american corporations engaging more with the nhs came up during the discussion nof..
The post brexit trade talks with the united states. When you re dealing in trade. Everything s non the table so nhs or anything else are a lot a lot more than that backlash to president trump s comments on nthe nhs led to many british politicians assuring their constituents that the nhs was not going nto be a part of the trade talks. The nhs is in no way on the table.
President trump and backtracked on his comments nsaying. He wouldn t consider the nhs as part of the trade deal a lot of trade negotiations are actually quite nsecretive by nature. The two sides don t really want to reveal na lot about what they re looking for in a deal our concern really as health researchers is nthat the nhs really won t be accounted for in that deal that the uk. Government s preferences nhave been shown to be largely economic and not so much on the focusing on the health nof.
People in britain. The problem is that the nhs is is already non the table. It has been for a while the politicians who are now going to be negotiating nthe trade deals. You know it s going to be across many fronts.
Campaigners were saying okay put your money nwhere your mouth is if if you re saying. The nhs won t be in a ntrade deal. Then let s see legislation that sets that out says cast in stone. And they haven t rushed to do that trade negotiations cover everything at once and it s difficult to tell how they are going nto be pushing for the liberalisation of drug regulations and to what extent the johnson ncabinet would actually agree with any changes that would be proposed to the way the uk.
Nregulates pharmaceuticals. It s really a central government led process that s not that democratic and does represent nbig business. And i think that s why a lot of people get nvery concerned and anxious around trade agreements. There are some who say the nhs won t be harmed nby brexit.
Even in the event. A trade deal with the eu isn t reached by the end of the nyear. I don t expect that we re going to see huge nchanges actually in the brexit era with regard to the to the national health service. And so i think with with regard to the nhs nwe.
re not likely to see a significant impact as a result of of brexit. I think the free trade deal will be largely nfocused upon the service industry. Which of course is now the largest part of both the nus and british economies whatever effect the trade deals end up having non the uk reforming. The nhs will continue to be a big part of the country s political.
Nconversation people s support for the nhs in the uk. Is nvery strong. There s no other country that when we hosted nthe olympics in london. We had nurses jumping on beds.
And the nhs was actually a part of nthat ceremony and a part of that national. Celebration the uk s nhs is very important in british npolitics. ” ..
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