Picked this up on another board: http://www.cbsnews.com/stories/2005/04/21/60minutes/main689998.shtml
Quite interesting, in a number of ways.
Now, let me add some more detail on what socialised healthcare is. This is, after all, not the all-tax commie weirdo sh*t stuff you make it out to be, but might actually be a lot closer to the U.S. system than you perhaps think.
First of all, health insurance is … shock … provided by private insurance companies. The Dutch system mixes public funding and private funding. Public funding is taken as income tax, and is paid when you work, and a percentage of your income (income-dependent). This basically your social insurance. Any private insurance company in the Netherlands will have to offer basic coverage for a certain price agreed between the government and the insurance company, paid for from these taxes. You are free to add insurance coverage for additional costs outside of the basic package.
Above 32.600 euro, you have to take a private insurance. You are free to choose here what kind of coverage you want, but there is again a basic level that insurance companies are required to provide and for which they cannot refuse customers, so as to prevent people with known illnesses to fall out of the system.
Currently, state hospitals are funded with tax money, and managed from the department of health. But they operate more and more independently, with budgets that have to be sustained by selling their services to the insurance companies. You can see these hospitals more and more as companies in which the government holds all the stock. Privately built hospitals are now free to compete with these on the consumer market.
Not only are health care customers free to choose what careprovider they want, but with the new agreements in the European Union, they are free to do so within Europe. This means that if a private or public hospital in Belgium or Portugal can provide the required care faster, then if the customer desires to go there, the insurance companies will be required to cover this. The insurance companies are not unhappy with this situation - in fact, our insurance companies use health brokerage as a service to win customers with. Certain healthcare is, like the examples in the CBS news article above, often better and cheaper and more available in other countries, and the customer is often willing to make the trade-off between having to travel further from home and having a certain procedure taken place faster. Such a private insurance company could even choose to cover the procedures in Thailand or India as described above, should the patient desire to use it.
I’m just giving a small outline of a much more multi-faceted and complex system (there’s a special provision for people with long term afflictions and disabilities, for instance) but I hope you by now understand that socialised insurance is not the same as the NHS, but much more like private insurance. It is, in fact, private insurance, but with guaranteed minimal standards of care. That’s the socialised part.
It works. And it is also noteworthy that the European Union has contributed to that.
I’ll be glad to answer any questions. A lot of material is available, but so far it’s mostly in Dutch.