A Comparative Study on the Provision of Healthcare in Britain, Germany and the United States Essay

3099 WordsFeb 1, 201413 Pages
The provision of healthcare can be delivered in many ways and is largely influenced by the historical and ideological perspectives of a country. This essay looks at the provision of healthcare in three countries: Britain, Germany and the United States (US). These countries were chosen because they comprise “a state led, a corporatist-governed, and market driven health care system[s]” (Giaimo and Manow, 1999: 968). The essay will look at the historical, political and social influences of each country in relation to healthcare provision as well as comparing each system against the other. When comparing these three countries this study will use the Organisation for Economic Co-operation and Development (OECD) categorisation to measure the access to care, the amount of coverage, how it is funded and the extent of mix between public and private healthcare provision (Reibling, 2010: 6). The study will not attempt to establish which healthcare system is the best, but offers a comparison between of them. The National Health Service (NHS) was introduced into Britain in 1948 following the Beveridge report (Lowe, 2005: 175) and is based on the “Three U’s” (Odier, 2010: 282), Universality, Unit and Uniformity. It is a Universal service that protects citizens whether in employment or not, all Units bear the same risks and each citizen is Uniformly treated dependant on their needs (ibid). As a “social liberal model” (Anderson. 2011: 414) it is founded on the belief that those who are unable to support themselves are provided for by the state. The state funds the NHS by means of taxation (Kuhlmann, et al, 2009: 512), but provision is supplemented by private insurance schemes (Newman and Kuhlmann, 2007: 101). The public funding of healthcare is one of the highest in the OECD countries at 84 percent (OECD, 2011: 157), leading to centralised planning and control in order
Open Document