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Types of Health Systems
There are about 200 countries on the planet, only 40 of which adopt a formal system. Below is a list of the four
different types of health care models.
BEVERIDGE MODEL
Named after William Beveridge, the U.K. social reformer who helped create the National Health System
Health care both paid for and provided by the government Free at point of service Financed through taxation – sometimes dedicated taxation, sometimes general tax revenues,
and sometimes both Examples: United Kingdom, New Zealand, Spain, U.S. Veterans Health Administration
BISMARCK MODELBISMARCK
Named after Prussian Chancellor Bismarck Health care paid for by non-profit insurance firms and provided by public and private actors Financed by employees and employers, generally through payroll deductions; often
complemented by general tax revenues Examples: Germany, France, Netherlands, Japan, Switzerland
NATIONAL HEALTH INSURANCE OR SINGLE-PAYER MODEL
Health care paid for by government-run insurance programs and provided by public and private actors
Financed through taxation – sometimes dedicated taxation, sometimes general revenues, and sometimes both
Examples: Canada (at a provincial level), South Korea, U.S. Medicare
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Health care paid for by consumers to public and private care providers Little to no insurance coverage This model is used by most low- and middle-income countries Examples: Chad, India, Rwanda
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