
Most industrialized nations have long supported the idea that access to health care is a fundamental right, and have built centrally planned systems to accomplish that goal. The result has been universal coverage that delivers excellent-quality outcomes at lower costs than the United States.
In some countries, such as England and Canada, the government controls both financing and certain aspects of health care delivery, while in others, including Australia, Sweden, and Germany, the system is publicly funded, but with the majority of the medical care privately delivered.
In sharp contrast, the United States provides health care coverage through a variety of channels–some public (Medicare and state-based Medicaid programs), some commercial (employer-sponsored health insurance) and more (individual, brokers and exchanges). Almost all of the care in the U.S., other than the Veterans Administration and some county-sponsored clinics, is delivered privately.
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