The Long Road to Universal Health Coverage: Historical Analysis of Early Decisions in Germany, the United Kingdom, and the United States

2015 ◽  
Vol 1 (1) ◽  
pp. 28-38 ◽  
Author(s):  
Jesse B. Bump
Author(s):  
Joseph Harris

This chapter summarizes the overall argument and points to the influential role that elites from esteemed professions played in the institutionalization of policy in the three cases. While in all cases democratization provided new opportunities for professional movements in medicine to use the organizational vehicle of the state to advance universal health coverage and the power of the law to deepen commitments to essential medicine, The chapters relate how the differences in outcomes between Thailand and Brazil, on one hand, and South Africa, on the other, hinged on dramatically different political dynamics. I consider the contemporary state of professional movements and health reforms in the three countries; why health has remained a minor concern to mass movements; the durability of professional movements; the influence of professional movements in other policy domains and cases; and their relevance to the United States and other countries in the industrializing world.


Author(s):  
Mark Britnell

In this chapter, Mark Britnell takes a close look at the American healthcare system. He analyses the openly polarized American society, and how this is reflected in its health systems. American healthcare can deliver the finest service to some, and yet leave millions without insurance. It is the only OECD country without universal health coverage but leads the world in research. He looks at the United States’s slightly low density of physicians with 2.6 per 1,000 population compared with the OECD average of 3.0, and how this aggregate figure hides shortfalls and surpluses across the country spanning specialties, regions, and income brackets.


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