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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References
1.
American Public Health Association . (1979). A health and population brief: Republic of Sri Lanka. Washington, DC: Author.
2.
Beveridge, W. (1942). Social insurance and allied services. New York: Macmillan.
3.
Borgenhammer, E. (1983). Health services in Sweden. Goteberg: Nordic School of Public Health.
4.
Casas, A. , & Vargas, H. (1980). The health system in Costa Rica: Toward a national health service. Journal of Public Health Policy, 1, 258-279.
5.
De Silva, U.H.S. (1986). A review of the national health development network of Sri Lanka. Colombo: Ministry of Health.
6.
Dukakis, M. (1992). The states and health care reform. New England Journal of Medicine, 327, 1090-1092.
7.
Field, M. G. (1967). Soviet socialized medicine—An introduction. New York: Free Press.
8.
Field, M. G. (1972). Taming a profession: Early phases of Soviet socialized medicine. Bulletin of the New York Academy of Medicine, 48(1), 83-92.
9.
Forsyth, G. (1973). United Kingdom. In I. Douglas-Wilson & G. McLachlen (Eds.), Health service prospects: An international survey (pp. 1-35). London: The Lancet and Nuffields Provincial Hospitals Trust.
10.
Galin, L. (1987, November 11). “Glasnost” boosts health care: Soviet MDs. Medical Tribune, p. 10.
11.
Gorbachev, M. (1987). Perestroika: New thinking for our country and the world. New York: Harper & Row.
12.
Gunatilleke, G. (1985). Health and development in Sri Lanka—An overview. In S. B. Halstead et al. (Eds.), Good health at low cost (pp. 111-124). New York: Rockefeller Foundation.
13.
Hyde, G. (1974). The Soviet health service: A historical and comparative study. London: Lawrence & Wighort.
14.
Kinnaird, J. (1981). The British National Health Service: Retrospect and prospect. Journal of Public Health Policy, 2, 382-412.
15.
Knaus, W. A. (1981). Inside Russian medicine: An American doctor's first-hand report. New York: Everest House.
16.
Koch, A. (1993). Financing health services. In S. J. Williams & P. R. Torrens (Eds.), Introduction to health services (4th ed.). Albany, NY: Delmar.
17.
Lindsay, A. (1962). Socialized medicine in England and Wales: The National Health Service 1948-1961. Chapel Hill: University of North Carolina Press.
18.
Marga Institute . (1984). Intersectoral action for health: Sri Lanka study. Colombo: Author.
19.
Ministry of Health and Family Welfare, Government of India . (1988). Health information of India. New Delhi: Nirman Bhavan.
20.
Nelson, H. (1988, May 15). Massive reforms—Soviet goal: Resuscitate health care. Los Angeles Times, pp. 1, 16.
21.
Perera, P.D.A. (1985). Health care systems of Sri Lanka. In S. B. Halstead et al. (Eds.), Good health at low cost (pp. 93-110). New York: Rockefeller Foundation.
22.
Raffel, M. W. (Ed.). (1984). Comparative health systems: Descriptive analyses of fourteen national health systems. University Park: Pennsylvania State University Press.
23.
Roemer, M. (1976). Health care systems in world perspective. Ann Arbor, MI: Health Administration Press.
24.
Roemer, M. (1991). National health systems of the world: Vol. 1. The countries. New York: Oxford University Press.
25.
Ryan, M. (1978). The organization of Soviet medical care. Oxford: Blackwell.
26.
Sidel, V. W. (1968). Feldshers and feldsherism: The role and training of the feldsher in the USSR. New England Journal of Medicine, 278, 934-939.
27.
Sidel, V. , & Sidel, R. (1977). A health state: Great Britain. Equitable entitlement. New York: Pantheon.
28.
Sigerist, H. E. (1937). Socialized medicine in the Soviet Union. New York: Norton.
29.
Sigerist, H. E. (1943). From Bismarck to Beveridge: Development and trends in social security legislation. Bulletin of the History of Medicine, 13, 365-388.
30.
Sigerist, H. E. (1947). Medicine and health in the Soviet Union. New York: Citadel.
31.
Taylor, M. (1990). Insuring national health care: The Canadian experience. Chapel Hill: University of North Carolina Press.
32.
U. S. Department of Health and Human Services . (1990). Seventh report of the President and Congress on the status of health personnel in the United States (DHHS Publication No. HRS-P-OD 90-1). Washington, DC: U.S. Government Printing Office.
33.
USSR Ministry of Health . (1987, November 27). The basic plan for the development of health care and for reorganization of the healthcare system of the USSR in the twelfth five-year plan and for the period until the year 2000 (C. Kaylin, Trans.). Meditsinskaya Gazeta, 96, 4749.
34.
Venediktov, D. (1973). Union of Soviet Socialist Republics. In I. Douglas-Wilson & G. McLachlen (Eds.), Health service prospects: An international survey (pp. 231-254). London: The Lancet and Nuffield Provincial Hospitals Trust.
35.
World Health Organization . (1984). Strengthening ministries of health for primary health care (Publication No. 82). Geneva: Author.
36.
World Health Organization and United Nations Children's Fund . (1978). Primary health care (Report of the International Conference on Primary Health Care). Geneva: Author.
37.
Zhuk, A. P. (1976). Public health planning in the USSR (DHEW Publication No. NIH 76-999). Washington, DC: Fogarty International Center.
