Why Some Countries Have National Health Insurance, Others Have National Health Services, and the U.S. Has Neither
Social Science and Medicine. 1989; 28(9): 887-898.
This article presents a discussion of why some capitalist developed countries have national health insurance schemes, others have national health services, and the U.S. has neither. The first section provides a critical analysis of some of the major answers given to these questions by...the schools of thought defined as 'public choice', 'power group pluralism' and 'post-industrial convergence'. The second section puts forward an alternative explanation rooted in an historical analysis of the correlation of class forces in each country. The different forms of funding and organization of health services, structured according to the corporate model or to the liberal-welfare market capitalism model, have appeared historically in societies with different correlations of class forces. In all these societies the major social force behind the establishment of a national health program has been the labor movement....
Capitalism; Developed Countries; Economics; Financial Support; Forms; Health; Health Care; Health Care Delivery; Health Insurance; Health Services; Insurance; International Aspects; Medicine; National Health Insurance; Political Activity; Political Systems; Politics; Public Opinion; Public Policy; Power; Schools; State Medicine; Statistics; Values;
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