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Comparing Health Care (HC) Systems

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     Quantification of Healthcare is a science within itself. Myself being aggressively Capitalist minus the litigious dogma of the U.S. replaced with the economy-cluster ideology of Gellner, citizen health and societal homeostasis is vital, requiring charitable vision different from housing and other essentials. This is preservation of life, not the choices it involves. The one entitlement of any human intrinsically is continued existence until unpreventable expiration.

     The United States lags poorly behind peer countries that should trail behind an example set by it. Our sister Australia has led the charge with a personalized Medicare model, the “Beveridge System” which utilizes income taxes to pay a majority of health services regardless of location or financial state. Medicare pays out hospital and medical services, tests, imaging, and scans. This is available to Australian and New Zealand citizens, as well as persons from other countries with reciprocal agreements (Harris, 2020).

     Beveridge’s Achilles Heel is waiting periods for those needing services. Also, the reduction of youth entering the workforce to offset aging demographics not producing necessary revenues creates new challenges.

     Medicare coalesces private insurance for maximum benefit to almost the entirety of the population. Two styles: Hospital, for some or all cost of treatment as a private patient. Second is General, Ancillary, or Extra - this covers services not under Medicare’s umbrella like optical or dental. Some opt for one but many carry both insurances (Australian Government, 2026).

     If an individual’s income is low they may get a rebate on private health insurance claims.

     Despite the prolific outdoors climate of Australia obesity is epidemic, outpacing the states for a leading cause of death being Diabetes. Also they are synonymous with us in the opioid epidemic killing not only huge swaths of addicts but ranking third in global infant mortality annually (OECD, 2026).

     The more permissive culture of Europe subtracting the lust for medication beginning in the 1990's could explain Switzerland’s cultural schism with the others in this triad. Rabid painkillers like Fentanyl exterminate populaces domestically and our Australian kin while not
affecting the fatality charts for Swiss adults nor their babies.

     Switzerland’s citizens boast generally great health, ranking fifth world-over. Obesity is far lower than the two counterparts here, and average lifespans longer. They also rate low instances of preventable/treatable deaths.

     Their healthcare model is the Bismarck System used by Germany and Japan. This style is contributed to by employers and employees. Patients paying in can access sickness funds when medical services are needed. Most hospitals and providers are private but the funds are
considered public. Insurers are not allowed to claim profits and service pricing is tightly controlled by law. This allows the State to keep costs low and operate financial controls in a manner similar to the Beveridge Model.

     Bismarck’s greatest setback is access to those outside employment structures. Unemployed and particularly the retired or aged-out population suffer from lack or sufficiency. The government mandates private healthcare for those without employer benefit. Still thousands with noncommunicable diseases and chronic conditions suffer under this
format.

     The United States uses a Private/Public mesh diametric from Australia. Extremely complex and confusing it does not offer Universal Healthcare making it alone on the developed national stage (W.H.O.).

     All the more confusing is the juxtaposition where we have the most advanced medical science available with shortest wait times offset by most treatable and preventable deaths, highest infant mortality, shortest life expectancy male and female, and the highest percentage individually spent on healthcare individually.

     This is disarming, depressive, and cause to work for common goals. Our continually fractured society clearly is killing our citizenry. We can hope shedding light on these structures will cause a laying down of arms with a mission of rescue in this century.

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