Which Healthcare System is Best? Crash Course Public Health #7

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Are you ready for the understatement of the century? Health care is complicated. Across the 200 or so countries on Earth, there are a lot of different ways people receive health care. In this episode of Crash Course Public Health, we’re going to break down the building blocks that are used to create a health care system and take a look at four of the most common models.

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Introduction to Health Care Systems 00:00
Six Building Blocks 2:03
Beveridge Model 5:18
Bismarck Model 6:37
National Health Insurance Model 7:09
Out-of-Pocket Model 7:35
Goals of Healthcare 10:45
Review & Credits 11:44

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Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information.

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  1. All Govt Hospitals in India are Free. Private Also there at Premium but Poor People will be paid from Crowed Funded NGO.

  2. I find, with the NHS in the UK, how good it runs depends on the people who are in government, when really it should be independent of government and not used as a political football.

  3. US health care and education 🙈
    US Army 👈🏼
    Just kidding, I guess it is more complex, but it is tempting to believe that your leaders want you sick and dumb

  4. If we also talked about why changing a bad public hc system is so hard, the impression I have is that developing a hc system is something extremely path-dependent. Politicians decide how things will be, but when a HUGE budget is already being allocated to anyone, be private companies or public servants, this creates lots of interests in discussions about changing a given policy, and politicians will tender to those interests whatever be the system in place.

  5. Better to have a modestly flawed model that functions the majority of the time than no model at all.
    Especially because having a model let's you know where and what you're lacking in care.

  6. I'm an American living in South Korea, I've spent 3 years here so far and counting.

    The biggest advantage to Korean healthcare imo, is that I can reliably make same day appointments for basically anything, including directly see a specialist without a referral. This is a long and outlandish process often time in the states.

    The other thing, is waiting rooms, I've never spent more than 10 minutes in a Korean waiting room. On the other hand in the states, I'd spent hours in the waiting room only to go to a examination room, wait on a nurse, then wait eventually for the doctor to come in, then wait testing, etc. Ultimately, my average visit to a Korean hospital including examination, discussion, testing, diagnosis and picking up prescriptions takes about 1 hour. In the states it'd take several hours and possibly multiple visits.

    Then cost, thanks to the Korean national healthcare, my bill out the door, prescriptions included comes to about $30usd.

  7. A factoid about the Beveridge Model is that it was inspired (at least in part though I’m not sure about other influences) by the system that the Great Western Railway put in place around their railway works where I live in Swindon. That was back in the 1800s, and because basically the whole of the community was employed by this organisation they were able to create a system where everyone paid into the healthcare system there, making it free at the point of access.

  8. I don't know which system is best, but US system is definitely the worst. I live in Russia, and in past years I got a salivary gland adenoma removed, a tick removed and analysed in a lab for TBE and Lyme, a cast done on a Jones fracture, and a number of visits to a psychotherapist to first cure severe depression, then manage my ADHD. Guess what, all of these services were free. I've only paid for medication – cheap doxycycline for prevention of Lyme and not so cheap Zoloft and Strattera for mental stuff. Dental care is a different story – you can get it for free if it's an emergency, like sharp pain, but get the cheapest materials and anaesthesia. In essence, Russian healthcare tries pretty hard to not let you die or become an invalid. Not the best healthcare in the world, but available to anyone mostly free of charge. Definitely better than paying exorbitant amounts of money to stay alive.

  9. US' health care model isn't only broken, it straight up has no point existing to begin with as an economic-defensive union.

    The folly is 50 times worse that what you think. No US constituent state has become outstanding for their health care, despite it being their job as the government responsible for their citizens. The why varies on location, from there just not being anything anyways to harsh environments to simple gross negligence (say hello to New York and California, with an honorary nod to England), but the end conclusion is the same.

    Respect your elections. The illusion of parties are a trap. The "US health care system" can't work if our own systems don't work either.

    We know who the problem is. We'll go up the ladder when we have rungs at the base to climb on.

  10. In the US, many companies use health insurance as leverage to retain their employees, while garnishing their wages. Corporate America is fighting a single-payer system because it will give many employees more employment mobility: They can quit a low-paying, dead end job without fear of paying uninsured medical/pharmaceutical bills.

  11. Can't get over the fact that the universal Healthcare system was a British man idea. And a knight at that.
    I guess I'm too biased against the british, I thought they were all about sleazy stuff when it came to politics. I stand corrected.

  12. Tiny correction: The system might be called Bismarck but it wasn't founded by him – he implemented it cause the workers and their political parties fought for it. Bismarck then implemented that in order to appease the working class. It wasn't like he wanted to do them a favor.

    That's also a hint for you guys over in the US: You'll need to fight for universal health care!

  13. It might be hard to definitively rank Healthcare systems, but I feel very confident in saying that the US would be very, very far from the top.

  14. Let’s not forget how stigma surrounding (recreational) drug use is massive and significantly harming people.

    Also. Doctors don’t seem to know anything realistic about drug use for fun.

  15. Truly believe the socialism method is best. If I have to pay the government instead of a private company my healthcare. Government can fight to lower cost and when ever an Unforeseen medical event that costs a lot of money, the government will pay for it. Out of pocket shouldn't exist in the US who claims to be a wealthy nation.

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