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FWIW, here is the list of the biggest issue I felt a few other countries that we covered faced:

 

U.K.:

The biggest issue that the NHS faces is sustainability. The costs the NHS have exceeded budgeted tax revenues, much like what’s happening with the Medicaid/Medicare systems in the U.S. The problem is that free health care is so popular among UK citizens that reform is not an option. Instead, the only real ways to sustain the health care system is by increasing taxes to cover costs. 


 

Russia:


<span style="font-size:11pt;">The biggest issue Russia is facing is lack of funding and an entirely too complex payment/reimbursement system. Because of the complexity of the payment system, there is a considerable amount of illegal, “under-the-table”, payments being made. Some patients are even having to provide their own medical supplies (bandages, needles, bedding, etc.) during hospitalization.  


Japan:

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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Japan’s biggest challenge health care challenge, by far, the aging population in the country. To put it in perspective, consider the problems the U.S. faces as the baby boomers leave the work force and need more health care services. By 2025, the U.S. is projected to have 18.3% of the population age 65 and over. Japan is projected to have 27.4% of the population age 65 and over. The situation in the U.S. is bad, it is much, much worse in Japan. It is going to take a lot of effective innovation and planning to keep costs low enough to provide care for that population. 
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Germany:
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Like many other nationally financed health care systems, Germany is facing an issue of an aging population. Part of the framework of Germany’s system is having enough citizens employed to cover the cost of national health care. As the population ages, there are less people working and more people needing expensive health procedures. 
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Australia:
</span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Japan’s biggest challenge health care challenge, by far, the aging population in the country. To put it in perspective, consider the problems the U.S. faces as the baby boomers leave the work force and need more health care services. By 2025, the U.S. is projected to have 18.3% of the population age 65 and over. Japan is projected to have 27.4% of the population age 65 and over. The situation in the U.S. is bad, it is much, much worse in Japan. It is going to take a lot of effective innovation and planning to keep costs low enough to provide care for that population.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Korea:
</span></span></span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">One of the issues Korea faces is providing adequate health care for their rural population. Anything market driven tends to go where the money is and rural hospitals are generally not cost effective. The Korean government will have to continue to find ways to provide incentives for private-owned facilities and health care workers to provide service in these areas.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Portugal:
</span></span></span></span></span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">One problem this health care system is facing is high use of emergency departments because of the shortage of public ambulatory services. This reminds me of the issue in the U.S. with people who don’t pay for their health care abuse the use of emergency departments. Citizens couldn’t be getting the same care for fractions of the cost if they had access to primary care physicians, but instead abuse the emergency departments at the expense of the national health care budget.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Mexico:
</span></span></span></span></span></span></span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Despite improvements being made, the biggest challenge Mexico’s health system faces is providing adequate access to its rural population. Because of the high rates of poverty of the rural, dispersed, and indigenous population, it is hard to provide access to affordable and cost-effective care.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Jordan:
</span></span></span></span></span></span></span></span></span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">A unique problem for Jordan is that life expectancy has increased dramatically. While that is a good thing, it provides new challenges to health care. The health care system was originally designed to deal with communicable disease, but now has to implement ways to deal with rise of non-communicable diseases resulting from that increase in life expectancy.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Turkey:
</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">The biggest issue Turkey’s health system is facing is implantation and acceptance of a new health care model. The government is trying to move away from community-based holistic medicine and move towards individual-based primary care. The problem is that they are also trying to turn it into a market based system which means more out-of-pocket costs for citizens and thus isn’t getting the acceptance it needs to succeed.
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Ghana:
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<span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;"><span style="font-family:calibri, sans-serif;"><span style="font-size:11pt;">Ghana is experiencing the problem of trained medical professionals leaving the country. It is one of the highest African countries that experiences what is termed as “brain drain”. Between 1993 and 2002, 33% of the medical professionals trained in Ghana left the country. With a retention rate that low, it would be hard for any country to expand or even sustain a successful health care industry.
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hailto, you seem to be describing financial or social systems instead of medical systems.  As if solving the problems of access and payment will solve the underlying medical issues.  Current allopathic medicine is focused on the treatment of SYMPTOMS, not CAUSES.  We treat symptoms with synthetic meds that are not found in nature.  These are not accepted by the body and result in side effects.  The original symptom may be successfully masked but never cured.  Meanwhile the side effects can be more problematic than the original malady.
Quote:hailto, you seem to be describing financial or social systems instead of medical systems.  As if solving the problems of access and payment will solve the underlying medical issues.  Current allopathic medicine is focused on the treatment of SYMPTOMS, not CAUSES.  We treat symptoms with synthetic meds that are not found in nature.  These are not accepted by the body and result in side effects.  The original symptom may be successfully masked but never cured.  Meanwhile the side effects can be more problematic than the original malady.
 

you're into holistic medicine and stuff aren't you?
Quote:hailto, you seem to be describing financial or social systems instead of medical systems.  As if solving the problems of access and payment will solve the underlying medical issues.  Current allopathic medicine is focused on the treatment of SYMPTOMS, not CAUSES.  We treat symptoms with synthetic meds that are not found in nature.  These are not accepted by the body and result in side effects.  The original symptom may be successfully masked but never cured.  Meanwhile the side effects can be more problematic than the original malady.
 

Um.... the United States is undeniably a leader when it comes to QUALITY of health care. It's also a leader in ACCESSIBILITY of heath care. The problem with our system in making the high quality of care AFFORDABLE. So yes, my focus is on financial and social aspects of health care because only someone uninformed could consider the U.S. to be lagging in quality of care.

Yet insurance is less "accessible" and even more expensive than ever before after the meddling by those without a clue.  With good doctors having enough of the nonsense and getting out, quality is about to go down, too.

Quote:I just took a full semester course comparing various health care systems across the world and I can assure you that you're mistaken.
 

Where do you go to school? Toilet....  University?

 

[Image: 5-anchorman-quotes-Brick-Tamland.gif]

 

I'm sorry, but I had to...  It just was funny.  No disrespect.
Quote:Yet insurance is less "accessible" and even more expensive than ever before after the meddling by those without a clue. With good doctors having enough of the nonsense and getting out, quality is about to go down, too.

Quote:Yet insurance is less "accessible" and even more expensive than ever before after the meddling by those without a clue. With good doctors having enough of the nonsense and getting out, quality is about to go down, too.


That is a cost and affordability issue and not necessarily an access issue. I'm very right leaning in how I see health care by the way and I think you're mistaking my post as defending the ACA. The way health care is paid for now is a travesty. I don't support it at all.


By accessible health care, I mean that if people have the funds needed they will be closer (in general) to clinics, diagnostic imaging, emergency rooms, etc. etc. than anywhere in the world. Our infrastructure is second to none. The way that care is paid for needs a serious makeover, though.
Quote:Where do you go to school? Toilet.... University?

[Image: 5-anchorman-quotes-Brick-Tamland.gif]


I'm sorry, but I had to... It just was funny. No disrespect.


None taken.
Quote:That is a cost and affordability issue and not necessarily an access issue. I'm very right leaning in how I see health care by the way and I think you're mistaking my post as defending the ACA. The way health care is paid for now is a travesty. I don't support it at all.


By accessible health care, I mean that if people have the funds needed they will be closer (in general) to clinics, diagnostic imaging, emergency rooms, etc. etc. than anywhere in the world. Our infrastructure is second to none. The way that care is paid for needs a serious makeover, though.
 

It's not a healthcare problem, it's a healthcare financing problem.
Quote:It's not a healthcare problem, it's a healthcare financing problem.


Which, if you cannot finance your healthcare, becomes a healthcare problem.


Single payer, it's what's for dinner.
Quote:Which, if you cannot finance your healthcare, becomes a healthcare problem.


Single payer, it's what's for dinner.
 

Well yeah, if you want to eat what little bit of [BLEEP] the government let's you have.
Quote:Um.... the United States is undeniably a leader when it comes to QUALITY of health care. It's also a leader in ACCESSIBILITY of heath care. The problem with our system in making the high quality of care AFFORDABLE. So yes, my focus is on financial and social aspects of health care because only someone uninformed could consider the U.S. to be lagging in quality of care.
 

I've worked in the the medical field since 1981, so I guess I'm more informed than most.  The human body is quite capable of healing itself in most cases.  We just need to figure out how we're damaging ourselves and then stop doing that.  Or we need to figure out what our body is lacking and provide it.  I prefer this method over continued bad practices masked with dangerous pharmaceuticals.  If you mask symptoms you are taking away the body's signal system and will never be able to treat the underlying cause. 
Quote:Well yeah, if you want to eat what little bit of [BAD WORD REMOVED] the government let's you have.


If you don't eat your [BAD WORD REMOVED] you can't have any pudding.


I don't remember asking you this... But do you not think health care, in out modern society, is an individual right?
Quote:I've worked in the the medical field since 1981, so I guess I'm more informed than most. The human body is quite capable of healing itself in most cases. We just need to figure out how we're damaging ourselves and then stop doing that. Or we need to figure out what our body is lacking and provide it. I prefer this method over continued bad practices masked with dangerous pharmaceuticals. If you mask symptoms you are taking away the body's signal system and will never be able to treat the underlying cause.


When you say medical field, you don't mean doctor or any kind of respected profession do you? More a certificate in an afternoon, right?
Quote:If you don't eat your [BAD WORD REMOVED] you can't have any pudding.


I don't remember asking you this... But do you not think health care, in out modern society, is an individual right?
 

How can it be an individual right if it needs a modern society?
Quote:Single payer, it's what's for dinner.
 

Nope.
Quote:How can it be an individual right if it needs a modern society?


Great question!


The reason I qualify it as within this modern age is because I think healthcare, in the 18th and 19th century, the medical feild and outcomes was not as advanced as it is now.


With the advancement of medicine, quality of life outcomes have increased dramatically. Our rights to life, liberty, and happiness would include this access to improved quality of life.


Things have progressed since the 1700s, technology advances. Demands of the society evolve. Healthcare I think becomes a right just as public education is now a right.


Most 1st world countries realize this now.
Quote:When you say medical field, you don't mean doctor or any kind of respected profession do you? More a certificate in an afternoon, right?
 

My sheepskin is bigger than yours?  That game doesn't impress me.  Most clinicians are restricted to "best practice" treatments or they risk malpractice lawsuits.  In most cases they are legally not allowed to provide the cheapest and best solutions, only the approved and profitable ones.  It's not a good system for the patient. 
Quote:If you don't eat your [BAD WORD REMOVED] you can't have any pudding.


I don't remember asking you this... But do you not think health care, in out modern society, is an individual right?
 

Of course not.
Quote:Of course not.
I guess surviving an infection should only be for elites, huh?


Surgery for injuries should only be if you can afford it.


You should lose your leg and vision to diabetes if you don't have a good enough job.


A child deserves to die if they weren't born into a family with healthcare.


Seems legit.
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