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National Health Systems Throughout the World

Lessons for Health System Reform in the United States

University of California, Los Angeles

This article provides essential tools for reforming the U.S. health system. It describes the component elements of health systems and discusses the U.S. entrepreneurial health system. Several welfare-oriented examples are presented from which U.S. policymakers might draw, Germany being one case. Also explained are comprehensive health systems such as Great Britain's. The article also notes that even some developing countries, such as Sri Lanka, have managed to provide near 100% of their populations with complete health services. One cannot help but ask, why not in the United States? The socialist model is reviewed, and some general trends are sketched out.

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