Varieties of public systems Publicly funded health care

most developed countries have partially or publicly funded health systems. western industrial countries have system of social insurance based on principle of social solidarity covers eligible people bearing direct burden of health care expenditure, funded taxation during working life.

among countries significant public funding of healthcare there many different approaches funding , provision of medical services. systems may funded general government revenues (as in canada) or through government social security system (as in australia, france, belgium, japan , germany) separate budget , hypothecated taxes or contributions. proportion of cost of care covered differs: in canada, hospital care paid government, while in japan, patients must pay 10 30% of cost of hospital stay. services provided public systems vary. example, belgian government pays bulk of fees dental , eye care, while australian government covers eye care not dental care.

publicly funded medicine may administered , provided government, in nordic countries, portugal, spain, , italy; in systems, though, medicine publicly funded hospital providers private entities, in canada. organization providing public health insurance not public administration, , budget may isolated main state budget. systems not provide universal healthcare or restrict coverage public health facilities. countries, such germany, have multiple public insurance organizations linked common legal framework. some, such netherlands, allow private for-profit insurers participate.

two-tier healthcare

almost every major country has publicly funded healthcare system has parallel private system patients hold private medical insurance or pay treatment. in states, able pay have access treatment , comforts may not available dependent upon state system.

from inception of nhs model (1948), public hospitals in united kingdom have included amenity beds typically siderooms fitted more comfortably, , private wards in hospitals fee more amenities provided. patients using these beds in nhs hospital surgical treatment, , operations carried out in same operating theatres nhs work , same personnel hospital , physician receive funding insurance company or patient. these amenity beds not exist in publicly funded systems, such in spain. nhs pays private hospitals take on surgical cases under contract.