The world's most failed health care overhaul


【felt stickers reading U.S. medical system is not the best, probably the worst. But they embody human values.

According to the U.S. “Foreign Policy” magazine, “Foreign Policy” specially selected three of the world's most failed national medical reform program, in order to prevent similar mistakes Obama. China should also draw attention!

1. Russia's healthcare reform package – do not know why Russia's Health care system and as the worst example.

health care system: to provide free basic medical services, but also include employer-based personal security system.

reform program: the former Soviet Union, former Soviet Union, the Government has control of large-scale social health care system, in charge of millions of the country hundreds of thousands of hospital beds and medical system personnel. Health care system in place from 1989 to 1993, tremendous changes, from the completely under government control into public and private co-exist in the model. Conversion process is awful.

theory, 90% of Russians have enjoyed medical care. But hospitals and doctors often squeeze money from free medical care, calling for the donation. Rich pocket to a private hospital. In theory, every consumer the right to choose their own health care services. But in fact, only business owners owners the power to decide.

2006, the Putin government has approved a total of 3.2 billion healthcare reform package. But the program turned out to be not functioning. The medical reform program, including some key measures, such as providing funds to doctors to enable them to continue to provide basic medical services. But the program does not involve health care system has structural flaws.

Although new medical reform program amounted to 3.2 billion U.S. dollars of funds, but this part of the funds in the proportion of government budget is still below the world level. World Health Organization recommended standard is 5%, while Russia accounted for only 3.4%.

2. Turkmenistan's healthcare reform package – I know.

health care system: to cover all people in public health services by the government-controlled security system.

medical reform: in 2003 has long served as the President of Turkmenistan Saparmurat Niyazov issued a public statement on the radio. He said Turkmenistan's health care costs are too high, a serious shortage of doctors, good doctors stay in the city, the health care system needed reform

But Niyazov medical reform program was implemented but it is very ridiculous. He even staff from the candidates selected soldiers medical workers, replacing the nearly 15,000 doctors and nurses, limit access to health care system. In 2004, he asked in a hospital outside the capital of Turkmenistan and clinics all closed. But in fact, most 土库曼斯坦人 live in rural areas. British Broadcasting Corporation BBC reports, Niyazov said: “Why do we need this hospital? If people are sick can come to the capital treatment. “He also developed an informal ban on the diagnosis of certain infectious diseases such as hepatitis.

Niyazov of Turkmenistan's healthcare reform plan to cause serious consequences. It is reported that bubonic plague spread in large areas of the country. AIDS, hepatitis and tuberculosis patients are also increasing. Niyazov died in 2006 as myocardial infarction. When he died, 土库曼斯坦人 life expectancy 60 years less than in the whole of Asia at the end of a few.

other than the death of Niyazov, Turkmenistan's medical condition began to improve. Successor, President Gurbanguly Berdimuhamedov is a dental origin, even in an opening ceremony had surgery. He abolished the former President's decree to allow hospitals to reopen. But in this poor country, and many can be easily treated diseases continue to take away countless lives.

3. Former U.S. medical reform program – hope the new program can be reversed.

health care system: employer-based private insurance, private insurance market is relatively developed, but the government also for the poor, the elderly and to provide financial subsidies to people with disabilities.

medical reform: The United States is a strange country. It is one of the world's richest countries, but also the performance of the medical insurance system was one of the worst.

Americans to invest in the health insurance funds account for revenues almost 1 / 6. But they get very little in return. In all 'the Organization for Economic Cooperation and Development' countries, the Americans sick to death more easily, such as lung cancer. 4700 million people without health insurance. It is estimated that 60 million people in the United States filed for bankruptcy each year because they could not pay the medical expenses. In developed countries, the United States is the only one not to implement universal health insurance system countries.

the U.S. government has repeatedly tried to establish a broader coverage of health insurance system, so that more Americans benefit. They have also been part of the success achieved. Was established in 1997, the State Children's Health Insurance program and Massachusetts, recently introduced national health programs have played has been effective.

But overall, the U.S. health care system reform and more failure. The last time the U.S. government to implement a comprehensive reform was in 1993. Clinton was to develop a reform package, but now the program has not yet approved by the U.S. Congress. Since then, health care costs and health care costs doubled. Now only part of the employer to provide health insurance to employees. Millions of people outside the United States is still in the Medicare system.

drawn from U.S. experience: the earlier the intervention the government made an appointment, or costs are not measurable.




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