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18/05/2005 17:27:13
John Ryan
Captain-Cooker Appreciation Society
Taumata Whakatangi ..., Nouvelle Zélande
 
 
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18/05/2005 15:14:39
Dragan Nedeljkovich (En ligne)
Now officially retired
Zrenjanin, Serbia
Information générale
Forum:
Health
Catégorie:
Maladies
Divers
Thread ID:
01010898
Message ID:
01015591
Vues:
19
Dragan,

New Zealand has a mixed healthcare system- it has a socialized "public" model with care paid from taxes, and a private model covered by insurance or personal payment.

Almost all major trauma and really expensive treatment is handled via the public system. Almost anything else can be done in the public system if you want to wait, or you can pay to have it done privately. FWIW, insurance costs are reasonable- a NZ family might pay per year what you'd pay per month in the US.

The main problem is that society's appetite for healthcare is infinite and will rise to consume all GDP unless rationing occurs. Every nation has rationing. It may consist of system capacity,or price, or public legislation, or physician god-like decisionmaking, or HMO rules... but the rationing is always there. The first challenge is to select a form of rationing that is acceptable to the community. The second is to shift as much of the available $ to the coalface rather than having it consumed by administration. That's why healthcare used to be non-profit and healthcare a vocation. But lets not go there!
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us.
"
-- Shakespeare: Coriolanus, Act 1, scene 1
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