Deciding on access and levels of care: a comparison of Canada, Britain, Germany, and the United States

Article Abstract:

The US policy environment shaping the effort to curtail health care costs differs fundamentally from the policy environments of Canada, Germany and the UK. Americans typically believe that universal medical coverage will be genuine only if a minimum level of benefits is guaranteed. In contrast, the three other countries limit costs and enforce universal coverage plans through institutional policies that emphasize the structure of medical care. The American attitude probably accounts for why a major reworking of the medical care system is generally ruled out in the US.

Canada, Medical care, Cost of, Health care costs

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Hope in federalism? What can the states do and what are they likely to do?

Article Abstract:

States will probably proceed cautiously in enacting health care reforms, following the failure of reform at the national level. Insurance reforms and managed care programs for Medicaid recipients are the reforms most likely to be adopted by the states. The Employee Retirement Income Security Act (ERISA) does not present as much of an obstacle to state action as many state officials maintain. Medicaid spending remains one of the biggest and most rapidly growing state budgetary problems, a fact which should motivate reform at the state level.

United States, Forecasts and trends, Federalism, Political aspects, Health care reform, State government, states

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Challenges in the provision of care for the chronically ill

Article Abstract:

Providing adequate medical care and social services to the chronically ill has yet to be achieved satisfactorily in Western countries. The chronically ill include the disabled, the frail elderly and those suffering from chronic mental illness. These groups require not only continuing medical care but also support services needing the cooperation of multidisciplinary professionals. An evaluation of the UK, US and German health care systems shows that all three fall far short of maintaining acceptable levels of care for the chronically ill.

Care and treatment, Long-term care of the sick, Long term care, Chronically ill

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