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The critical difference between NHS and NHI is how medical care is provided to the population and how it is financed. For instance, with National Health Service would provide medical services to the people. With that, the government funds the system, and medical providers work for the system. One good example of such a system is the British National Health Service. The services are free for the population at the time of use. On the other hand, national health insurance provides the population with health insurance coverage. Health care providers do not work directly for the system but act as independent contractors. They bill the government for medical services. An example of this type of health care system is Canada. This country adopted a single-payer system, financed by Canada’s government but delivered by privately owned providers. When it comes to the US, Medicare, and Medicaid programs are similar to NHI. The population eligible for the coverage seeks medical care from independent providers, but the government pays for the services. National Health System is not available in the US. Also, it is unlikely it will ever be available in this country due to the population’s mentality. The idea of a government-owned healthcare system will not be appealing to Americans.

The main difference between The US and other countries with similar per capita income levels is that the US seems to spend more on healthcare. The study conducted to compare such countries (Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, Sweden, Switzerland, and the United Kingdom) presented few findings. The US spent 17.8% of GDP on healthcare in 2016, which is considerably higher than other countries. For instance, Australia and Switzerland spent 9.6% and 12.4%, respectively. Despite that, the US had the lowest percentage of people with healthcare coverage (90%). Within 11 developed courtiers, the US scored the lowest in life expectancy and the highest in infant mortality rates. The workforce was similar to other courtiers (2.6 physicians per 1000 population). Likewise, the utilization was almost identical. On the other hand, the US spends 8% on administrative needs, which is way higher than other countries. On average, administrative costs account for 1-3% of GDP in other countries (Papanicolas, 2018). Pharmaceutical costs in the US per capita are $1443. Compared to a range of $466 to $939 in other countries (Papanicolas, 2018). Physician salaries are twice or even three times higher in the US. The apparent reason for such a healthcare spending gap is the high healthcare service prices. The highly fragmented healthcare system in the US is one of the significant disadvantages because it compromises the quality of care. As a result, care coordination is not as good as in other developed countries.

 

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