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Health care reform

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a more personal service, and it is negotiating with doctors to provide more services at times more convenient to the patient, such as in the evenings and at weekends. This personal service idea would introduce regular health check-ups so that the population is screened more regularly. Doctors will give more advice on ill-health prevention (for example encouraging and assisting patients to control their weight, diet, exercise more, cease smoking etc.) and so tackle problems before they become more serious. Waiting times, which fell considerably under Blair (median wait time is about 6 weeks for elective non-urgent surgery) are also in focus. A target was set from December 2008, to ensure that no person waits longer than 18 weeks from the date that a patient is referred to the hospital to the time of the operation or treatment. This 18-week period thus includes the time to arrange a first appointment, the time for any investigations or tests to determine the cause of the problem and how it should be treated. An
1092:, which encompasses all the mechanisms and activities designed to raise money for the health system. With respect to mechanisms, the financing knob includes health-related taxes, insurance premiums and out-of-pocket expenses among others. Activities refers to the institutional organization that collects and distributes finance to participants in the health sector. In other words, financing is about the resources available to the healthcare system, who controls them and who receives them. The financing knob has clear implications for the health status of the population and particular groups in it, as well as the access to health care and protection from financial risk that these groups, and the population as a whole, have. The financing knob involves numerous potential financing mechanisms and processes that should be selected in accordance with a country's social values and politics. 622:. Private health care was not abolished but had to compete with the NHS. About 15% of all spending on health in the UK is still privately funded but this includes the patient contributions towards NHS provided prescription drugs, so private sector healthcare in the UK is quite small. As part of a wider reform of social provision it was originally thought that the focus would be as much about the prevention of ill-health as it was about curing disease. The NHS for example would distribute baby formula milk fortified with vitamins and minerals in an effort to improve the health of children born in the post war years as well as other supplements such as cod liver oil and malt. Many of the common childhood diseases such as measles, mumps, and chicken pox were mostly eradicated with a national program of 845:
physician associations); this ability to negotiate affects reform efforts. Germany makes use of sickness funds, which citizens are obliged to join but are able to opt out if they have a very high income (Belien 87). The Netherlands used a similar system but the financial threshold for opting out was lower (Belien 89). The Swiss, on the other hand use more of a privately based health insurance system where citizens are risk-rated by age and sex, among other factors (Belien 90). The United States government provides healthcare to just over 25% of its citizens through various agencies, but otherwise does not employ a system. Healthcare is generally centered around regulated private insurance methods.
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above, many frameworks for health care reform exist in the literature. Using a comprehensive yet responsive approach such as the control knobs framework proposed by Roberts, Hsiao, Berman, and Reich allows decision-makers to more precisely determine the "mechanisms and processes" that can be changed in order to achieve improved health status, customer satisfaction, and financial risk protection.
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the reforms had in many respects made the system worse. Russia has more physicians, hospitals, and healthcare workers than almost any other country in the world on a per capita basis, but since the collapse of the Soviet Union, the health of the Russian population has declined considerably as a result of social, economic, and lifestyle changes. However, after
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proposed new reforms for care in England. One is to take the NHS back more towards health prevention by tackling issues that are known to cause long term ill health. The biggest of these is obesity and related diseases such as diabetes and cardio-vascular disease. The second reform is to make the NHS
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propose a framework for assessing health systems that guides decision-makers' understanding of the reform process. Rather than a prescriptive proposal of recommendations, the framework allows users to adapt their analysis and actions based on cultural context and relevance of interventions. As noted
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The five control knobs of health care reform are not designed to work in isolation; health care reform may require the adjustment of more than one knob or of multiple knobs simultaneously. Further, there is no agreed-upon order of turning control knobs to achieve specific reforms or outcomes. Health
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system for seniors. As a result, the 40% of Taiwanese people who had previously been uninsured are now covered. It is said to deliver universal coverage with free choice of doctors and hospitals and no waiting lists. Polls in 2005 are reported to have shown that 72.5% of Taiwanese are happy with the
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of healthcare actors includes actions of both providers (e.g., doctors' behavior) and patients (e.g., anti-smoking campaigns) and involves "changing individual behavior through population-based interventions". Healthcare reform with respect to behavior revolves around the behaviors that can be used
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Following the collapse of the Soviet Union, Russia embarked on a series of reforms intending to deliver better healthcare by compulsory medical insurance with privately owned providers in addition to the state run institutions. According to the OECD none of 1991-93 reforms worked out as planned and
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refers to actions at the state level that modify or alter the behavior of various actors within the health care system. The actors may include health care providers, medical associations, individual consumers, insurance agents, and more. Regulations are only effective when enforced, therefore laws
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Their method emphasizes the importance of "identifying goals explicitly, diagnosing causes of poor performance systematically, and devising reforms that will produce real changes in performance". The authors view health care systems as a means to an end. Accordingly, the authors advocate for three
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These developments have caused numerous healthcare reforms since the 1980s. An actual example of 2010 and 2011: First time since 2004 the drug expenditure fell from 30.2 billion euro in 2010, to 29.1 billion Euro in 2011, i. e. minus 1.1 billion Euro or minus 3.6%. That was caused by restructuring
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retained elements of competition and even extended it, allowing private health care providers to bid for NHS work. Some treatment and diagnostic centres are now run by private enterprise and funded under contract. However, the extent of this privatisation of NHS work is still small, though remains
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have implemented some incremental reforms in health care, but neither state has complete coverage of its citizens. For example, data from the Kaiser Family Foundation shows that 5% of Massachusetts and 8% of Hawaii residents are uninsured. To date, The U.S. Uniform Law Commission, sponsored by the
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Employers and the self-employed are legally bound to pay National Health Insurance (NHI) premiums which are similar to social security contributions in other countries. However, the NHI is a pay-as-you-go system. The aim is for the premium income to pay costs. The system is also subsidized by a
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refers to the mechanisms and processes through which the health system or patients distribute payments to providers, including fees, capitation and budgets on the part of the government and fees paid by patients. Payment is about the distribution of available resources to the providers of health
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of the health system refers to the structure of providers, their roles, activities and operations. Essentially, organization describes how the health care market is set up: who are the providers, who are the consumers, who are the competitors, and who runs them. Changes in the organization of a
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The five proposed control knobs represent the mechanisms and processes that policy-makers can use to design effective health care reforms. These control knobs are not only the most important elements of a healthcare system, but they also represent the aspect that can be deliberately adjusted by
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aim to provide decision-makers with tools and frameworks for health care system reform. They propose five "control knobs" of health reform: financing, payment, organization, regulation, and behavior. These control knobs refer to the "mechanisms and processes that reformers can adjust to improve
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As evidenced by the large variety of different healthcare systems seen across the world, there are several different pathways that a country could take when thinking about reform. In comparison to the UK, physicians in Germany have more bargaining power through professional organizations (i.e.,
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administrations attempted to bring competition into the NHS by developing a supplier/buyer role between hospitals as suppliers and health authorities as buyers. This necessitated the detailed costing of activities, something which the NHS had never had to do in such detail, and some felt was
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became president in 2000 there was significant growth in spending for public healthcare and in 2006 it exceed the pre-1991 level in real terms. Also life expectancy increased from 1991-93 levels, infant mortality rate dropped from 18.1 in 1995 to 8.4 in 2008. Russian Prime Minister
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was about 287.3 billion euro in 2010, equivalent to 11.6 percent of the gross domestic product (GDP) this year and about 3,510 euro per capita. Direct inpatient and outpatient care equal just about a quarter of the entire expenditure - depending on the perspective. Expenditure on
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One key component to healthcare reform is the reduction of healthcare fraud and abuse. In the U.S. and the EU, it is estimated that as much as 10 percent of all healthcare transactions and expenditures may be fraudulent. See Terry L. Leap,
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controversial. The administration committed more money to the NHS raising it to almost the same level of funding as the European average and as a result, there was large expansion and modernisation programme and waiting times improved.
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While final performance goals are largely agreed upon, other frameworks suggest alternative intermediate goals to those mentioned here, such as equity, productivity, safety, innovation, and choice.
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This goal refers to the overall health of the target population, assessed by metrics such as life expectancy, disease burden, and/or the distribution of these across population subgroups.
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Numerous healthcare reforms in Germany were legislative interventions to stabilise the public health insurance since 1983. 9 out of 10 citizens are publicly insured, only 8% privately.
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The knobs interact with cultural and structural factors that are not illustrated within this framework, but which have an important effect on health care reform in a given context.
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system performance". The authors selected these control knobs as representative of the most important factors upon which a policymaker can act to determine health system outcomes.
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announced a large-scale health care reform in 2011 and pledged to allocate more than 300 billion rubles ($ 10 billion) in the next few years to improve health care in the country.
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The authors also propose three intermediate performance measures, which are useful in determining the performance of system goals, but are not final objectives. These include:
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the Social Security Code: manufacturer discount 16% instead of 6%, price moratorium, increasing discount contracts, increasing discount by wholesale trade and pharmacies.
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suggested that the Dutch health system, which combines mandatory universal coverage with competing private health plans, could serve as a model for reform in the US.
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is almost twice the amount of those for the entire hospital sector. Pharmaceutical drug expenditure grew by an annual average of 4.1% between 2004 and 2010.
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The health and demographic crisis in post-Soviet Russia: a two-phase development in "Russia's Torn Safety Nets", edited by Field M. G., Twigg J. L. (eds)
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services. Health care reform can implement a variety of incentive schemes for both providers and patients in a way to optimize limited resources.
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was published which lays out the legal rights of patients as well as promises (not legally enforceable) the NHS strives to keep in England.
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This goal refers to the health system's ability to protect the target population from the financial burden of poor health or disease.
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Health System Performance Comparison: An Agenda For Policy, Information And Research: An agenda for policy, information and research
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This goal is concerned with the degree of satisfaction that the health care system produces among the target population.
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intrinsic performance goals of the health system that can be adjusted through the control knobs. These goals include:
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Also interesting to notice is the oldest healthcare system in the world and its advantages and disadvantages, see
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Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to do about It
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system, and when they are unhappy, it's with the cost of premiums (equivalent to less than US$ 20 a month).
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has not submitted a uniform act or model legislation regarding health care insurance or health care reform.
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that are "on the books" but are not implemented in practice have little effect on the system as a whole.
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Allocative efficiency: a given budget maximises health system user satisfaction or other defined goals
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Taiwan changed its healthcare system in 1995 to a National Health Insurance model similar to the US
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Freeman, Richard. The Politics of Health in Europe. 1999 (Manchester: Manchester University Press)
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care reform varies by setting and reforms from one context may not necessarily apply in another.
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Healthcare was reformed in 1948 after the Second World War, broadly along the lines of the 1942
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to improve the outcomes and performance of the health care system. These behaviors include
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healthcare system happen at multiple levels at both the front-line and managerial level.
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Please help update this article to reflect recent events or newly available information.
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In the United States, the debate regarding health care reform includes questions of a
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The Netherlands has introduced a new system of health care insurance based on
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than in any other nation, and a greater portion of gross domestic product (
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Getting health reform right: a guide to improving performance and equity
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Roberts, Marc; Hsiao, William; Berman, Peter; Reich, Michael (2003).
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consideration of both the average quality and distribution of quality
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Expand the array of health care providers consumers may choose among
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tobacco tax surcharge and contributions from the national lottery.
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The NHS has been through many reforms since 1974. The Conservative
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or NHS. It was originally established as part of a wider reform of
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generally opposed these changes, although after the party became
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OECD: HEALTHCARE REFORM IN RUSSIA: PROBLEMS AND PROSPECTS (2006)
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List of healthcare reform advocacy groups in the United States
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Kaiser Family Foundation. "Health Coverage & Uninsured."
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Ye, Chun-Yuan; Lee, Jie-Min; Chen, Sheng-Hong (2006-03-10).
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in a given place. Health care reform typically attempts to:
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Committee on the Environment, Public Health and Food Safety
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National Conference of Commissioners on Uniform State Laws
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Health Care Reform: FAQs and Implications for Employers
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http://www.minvws.nl/en/themes/health-insurance-system/
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reforms to affect change. The five control knobs are:
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is for the most part governmental policy that affects
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effective availability by which patients receive care
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European Observatory on Health Systems & Policy
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Journal of Health Care for the Poor and Underserved
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Oxford University Press. 1877:PBS: Sick Around the World 1013:WHO Performance framework 912:Financial risk protection: 754: 730: 701: 666: 662: 614:and funded by a system of 490: 344:Third-party payment models 156:Medicare Modernization Act 78: 67:Give more care to citizens 3683: 3618: 3577: 3562:World Toilet Organization 3557:World Health Organization 3464: 3453: 3390: 3315: 3231: 3159: 3124:Public health informatics 3064: 2869: 2831:Right to rest and leisure 2660:Globalization and disease 2595: 2537: 2491: 2471:Public health informatics 2407: 2384:Electronic health records 2354: 2318: 2262: 2254:Supervised injection site 2207: 2194:Allied health professions 2161: 2098: 2033:World Health Organization 1635:Andreas J. W. Goldschmidt 1562:Hunter, David J. (2011). 1453:World Health Organization 1417:Puerto Rico Health Reform 1402:National health insurance 1318: 750: 726: 300:Health insurance exchange 3608:Schools of public health 3400:Diffusion of innovations 3099:Health impact assessment 2811:Public health laboratory 2707:Management of depression 1752:: CS1 maint: location ( 1371:Kaiser Family Foundation 1269:Community health service 1218:Philosophy of healthcare 971:Control knobs framework 466:Hawaii and Massachusetts 458:member state except for 383:United States portal 200:American Health Care Act 99:Healthcare reform in the 88:This article is part of 45:coverage through either 3671:Social hygiene movement 3598:Doctor of Public Health 3430:Social cognitive theory 3232:Infectious and epidemic 3014:Fecal–oral transmission 2419:Medical image computing 2369:Artificial intelligence 2043:International Resources 1893:www.world-lotteries.org 1713:In the Literature, the 1422:Single-payer healthcare 1310:Unnecessary health care 1264:Social health insurance 1130:health-seeking behavior 620:National Insurance Fund 608:National Health Service 3666:Germ theory of disease 3445:Transtheoretical model 2456:Translational medicine 1931:10.1186/1471-2458-6-62 1397:Medicare Rights Center 1282:School health services 906:Customer satisfaction: 875: 864:"Control knobs" theory 675:Health care in Germany 669:Health care in Germany 394:Health care portal 350:All-payer rate setting 305:Nationalized insurance 267:Reform advocacy groups 49:insurance programs or 3750:Universal health care 3550:Public Health Service 3435:Social norms approach 3425:PRECEDE–PROCEED model 2871:Preventive healthcare 2764:Pharmaceutical policy 2613:Chief Medical Officer 2445:Computational biology 2346:Universal precautions 1222:Universal health care 871: 755:Further information: 731:Further information: 702:Further information: 667:Further information: 491:Further information: 320:Canadian vs. American 212:Healthy Americans Act 3626:Sara Josephine Baker 3525:Public Health Agency 3410:Health communication 3275:Disease surveillance 3241:Asymptomatic carrier 3223:Statistical software 2911:Preventive nutrition 2739:Medical anthropology 2628:Environmental health 2439:Behavior informatics 1392:Medicare for All Act 1326:Health care compared 1195:Health care politics 1177:Health care provider 806:improve this section 757:Healthcare in Taiwan 733:Healthcare in Russia 688:pharmaceutical drugs 564:improve this section 432:right to health care 206:Medicare for All Act 35:health care delivery 3636:Carl Rogers Darnall 3631:Samuel Jay Crumbine 3405:Health belief model 3258:Notifiable diseases 3194:Regression analysis 3029:Waterborne diseases 2618:Cultural competence 2423:imaging informatics 2331:Cultural competence 1291:Preventive medicine 1278:Direct primary care 1273:Direct primary care 1240:Preventive medicine 955: 231:Affordable Care Act 218:Health Security Act 54:insurance companies 27:Governmental policy 3740:Health care reform 3234:disease prevention 3169:Case–control study 2841:Security of person 2690:Health care reform 2409:Health informatics 2184:Healthcare science 1660:2013-01-01 at the 1494:www.britannica.com 1033:High-quality care 965:Intermediate Goals 951: 876: 650:The government of 616:National Insurance 436:health care system 277:Insurance coverage 187:Baucus Health Bill 31:Health care reform 3727: 3726: 3679: 3678: 3589:Higher education 3420:Positive deviance 3415:Health psychology 3391:Health behavioral 3318:safety management 3292:Social distancing 3066:Population health 3046:Smoking cessation 2994:Pharmacovigilance 2965:Injury prevention 2933:Infection control 2851:Social psychology 2801:Prisoners' rights 2744:Medical sociology 2712:Public health law 2608:Biological hazard 2555: 2554: 2319:Skills / training 2243:Teaching hospital 1918:BMC Public Health 1715:Commonwealth Fund 1670:978-3-642-32586-1 1580:10.2190/HS.41.1.k 1300:Military medicine 1200:Medical education 1173:Healthcare system 1080: 1079: 1064:Systems Thinking 858:Health in Germany 842: 841: 834: 714:equalization pool 710:risk equalization 634:unnecessary. The 600: 599: 592: 534: 533: 428: 427: 208:(2021, H.R. 1976) 102: 18:Healthcare reform 16:(Redirected from 3767: 3755:Health education 3745:Health insurance 3715: 3714: 3703: 3702: 3691: 3690: 3585:Health education 3462: 3461: 3316:Food hygiene and 3297:Tropical disease 3109:Infant mortality 3084:Community health 2960:Controlled Drugs 2896:Health promotion 2826:Right to housing 2670:Health economics 2582: 2575: 2568: 2559: 2558: 2545: 2544: 2433:Neuroinformatics 2374:Connected health 2085: 2078: 2071: 2062: 2061: 2016: 2015: 2007: 2001: 2000: 1992: 1971: 1968: 1962: 1961: 1951: 1933: 1909: 1903: 1902: 1900: 1899: 1885: 1879: 1874: 1868: 1863: 1857: 1856: 1854: 1852: 1837: 1831: 1830: 1823: 1817: 1816: 1814: 1812: 1803: 1795: 1789: 1788: 1786: 1785: 1779: 1772: 1764: 1758: 1757: 1751: 1743: 1735: 1729: 1724: 1718: 1707: 1701: 1691: 1685: 1679: 1673: 1652: 1646: 1632: 1626: 1625: 1614: 1608: 1607: 1559: 1553: 1552: 1542: 1513:Ham, C. (2008). 1510: 1504: 1503: 1501: 1500: 1486: 1480: 1474: 1468: 1467: 1465: 1464: 1455:. Archived from 1447:WHO (May 2009). 1444: 1256:Health insurance 1164:Health insurance 956: 950: 942:Quality of care: 837: 830: 826: 823: 817: 786: 778: 657:NHS Constitution 644:Blair government 604:Beveridge Report 595: 588: 584: 581: 575: 544: 536: 529: 526: 520: 513:factual accuracy 505: 504: 497: 420: 413: 406: 392: 391: 390: 381: 380: 379: 98: 85: 84: 21: 3775: 3774: 3770: 3769: 3768: 3766: 3765: 3764: 3730: 3729: 3728: 3723: 3675: 3646:Margaret Sanger 3614: 3573: 3457: 3455: 3449: 3392: 3386: 3358:Safety scandals 3317: 3311: 3233: 3227: 3161: 3155: 3151:Social medicine 3144:Race and health 3079:Child mortality 3060: 3019:Open defecation 2901:Human nutrition 2891:Family planning 2879:Behavior change 2865: 2821:Right to health 2734:Maternal health 2724:Health politics 2675:Health literacy 2591: 2586: 2556: 2551: 2533: 2487: 2486: 2485: 2403: 2350: 2314: 2290:Overutilization 2258: 2249:Pharmacy school 2215:Assisted living 2203: 2157: 2094: 2089: 2025: 2020: 2019: 2008: 2004: 1993: 1974: 1969: 1965: 1910: 1906: 1897: 1895: 1887: 1886: 1882: 1875: 1871: 1864: 1860: 1850: 1848: 1839: 1838: 1834: 1825: 1824: 1820: 1810: 1808: 1801: 1797: 1796: 1792: 1783: 1781: 1777: 1770: 1766: 1765: 1761: 1745: 1744: 1736: 1732: 1725: 1721: 1708: 1704: 1692: 1688: 1680: 1676: 1662:Wayback Machine 1653: 1649: 1633: 1629: 1616: 1615: 1611: 1560: 1556: 1525:(7635): 53–54. 1511: 1507: 1498: 1496: 1488: 1487: 1483: 1475: 1471: 1462: 1460: 1459:on May 25, 2009 1445: 1441: 1436: 1431: 1342:Healthcare-NOW! 1321: 1316: 1295:Social medicine 1287:Family medicine 1244:Social medicine 1236:Family medicine 1159: 1154: 1035:Efficient care 866: 838: 827: 821: 818: 803: 787: 776: 759: 753: 735: 729: 712:through a risk 706: 700: 698:The Netherlands 671: 665: 612:social services 596: 585: 579: 576: 561: 545: 530: 524: 521: 518: 510:This article's 506: 502: 495: 489: 468: 462:(Timor-Leste). 424: 388: 386: 385: 377: 375: 370: 369: 360:Fee-for-service 345: 337: 336: 310:Publicly-funded 290: 282: 281: 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3153: 3148: 3147: 3146: 3141: 3136: 3126: 3121: 3119:Multimorbidity 3116: 3111: 3106: 3101: 3096: 3091: 3086: 3081: 3076: 3070: 3068: 3062: 3061: 3059: 3058: 3056:Vector control 3053: 3048: 3043: 3041:School hygiene 3038: 3037: 3036: 3031: 3026: 3024:Sanitary sewer 3021: 3016: 3011: 3001: 2996: 2991: 2990: 2989: 2982:Patient safety 2979: 2978: 2977: 2972: 2967: 2962: 2957: 2952: 2942: 2941: 2940: 2935: 2930: 2925: 2915: 2914: 2913: 2908: 2898: 2893: 2888: 2887: 2886: 2875: 2873: 2867: 2866: 2864: 2863: 2858: 2853: 2848: 2843: 2838: 2833: 2828: 2823: 2818: 2813: 2808: 2803: 2798: 2797: 2796: 2791: 2786: 2781: 2776: 2766: 2761: 2756: 2746: 2741: 2736: 2731: 2726: 2721: 2720: 2719: 2714: 2704: 2699: 2694: 2693: 2692: 2687: 2677: 2672: 2667: 2665:Harm reduction 2662: 2657: 2652: 2647: 2646: 2645: 2640: 2630: 2625: 2620: 2615: 2610: 2605: 2599: 2597: 2593: 2592: 2585: 2584: 2577: 2570: 2562: 2553: 2552: 2550: 2549: 2538: 2535: 2534: 2532: 2527: 2522: 2517: 2512: 2510:United Kingdom 2507: 2506: 2505: 2495: 2493: 2489: 2488: 2484: 2483: 2478: 2473: 2468: 2463: 2458: 2453: 2448: 2442: 2436: 2430: 2425: 2415: 2414: 2413: 2411: 2405: 2404: 2402: 2401: 2396: 2391: 2386: 2381: 2379:Digital health 2376: 2371: 2366: 2364:3D bioprinting 2360: 2358: 2352: 2351: 2349: 2348: 2343: 2338: 2333: 2328: 2326:Bedside manner 2322: 2320: 2316: 2315: 2313: 2312: 2307: 2302: 2297: 2292: 2287: 2282: 2277: 2272: 2266: 2264: 2260: 2259: 2257: 2256: 2251: 2246: 2235:Medical school 2232: 2227: 2222: 2217: 2211: 2209: 2205: 2204: 2202: 2201: 2196: 2191: 2186: 2181: 2176: 2171: 2165: 2163: 2159: 2158: 2156: 2155: 2150: 2145: 2140: 2135: 2130: 2125: 2120: 2115: 2110: 2105: 2099: 2096: 2095: 2088: 2087: 2080: 2073: 2065: 2059: 2058: 2049: 2040: 2035: 2024: 2023:External links 2021: 2018: 2017: 2002: 1972: 1963: 1904: 1880: 1869: 1858: 1832: 1818: 1790: 1759: 1730: 1719: 1717:, May 13, 2008 1702: 1698:Health Affairs 1686: 1674: 1647: 1627: 1609: 1574:(1): 159–174. 1554: 1505: 1481: 1469: 1438: 1437: 1435: 1432: 1430: 1429: 1424: 1419: 1414: 1409: 1404: 1399: 1394: 1389: 1386:Matthew effect 1383: 1378: 1373: 1368: 1363: 1358: 1349: 1344: 1339: 1334: 1329: 1322: 1320: 1317: 1315: 1314: 1313: 1312: 1307: 1302: 1297: 1284: 1275: 1266: 1248: 1247: 1246: 1233: 1227:Social service 1215: 1209:Doctor's visit 1202: 1197: 1192: 1179: 1166: 1160: 1158: 1155: 1153: 1150: 1134: 1133: 1120: 1111: 1102: 1093: 1078: 1077: 1075:Effectiveness 1065: 1061: 1060: 1048: 1044: 1043: 1031: 1027: 1026: 1014: 1010: 1009: 1000: 996: 995: 988:Effectiveness 986: 982: 981: 972: 968: 967: 962: 946: 945: 939: 933: 932: 931: 928: 916: 915: 909: 903: 900:Health status: 882:Marc Roberts, 865: 862: 840: 839: 790: 788: 781: 775: 772: 752: 749: 745:Vladimir Putin 728: 725: 721:Health Affairs 699: 696: 679:German economy 664: 661: 598: 597: 548: 546: 539: 532: 531: 509: 507: 500: 488: 487:United Kingdom 485: 467: 464: 456:United Nations 426: 425: 423: 422: 415: 408: 400: 397: 396: 372: 371: 368: 367: 365:Global payment 362: 357: 352: 346: 343: 342: 339: 338: 335: 334: 329: 324: 323: 322: 312: 307: 302: 297: 291: 288: 287: 284: 283: 280: 279: 274: 269: 264: 262:Public opinion 259: 253: 250: 249: 246: 245: 242: 241: 234: 227: 226: 225:Latest enacted 222: 221: 215: 209: 203: 196: 195: 191: 190: 184: 178: 171: 170: 166: 165: 159: 153: 147: 140: 139: 133: 132: 128: 125: 124: 121: 120: 119: 118: 113: 105: 104: 94: 93: 79:Main article: 76: 73: 72: 71: 68: 65: 62: 59: 56: 51:private sector 26: 9: 6: 4: 3: 2: 3772: 3761: 3760:Public health 3758: 3756: 3753: 3751: 3748: 3746: 3743: 3741: 3738: 3737: 3735: 3720: 3719: 3710: 3708: 3707: 3698: 3696: 3695: 3686: 3685: 3682: 3672: 3669: 3667: 3664: 3662: 3659: 3657: 3654: 3652: 3649: 3647: 3644: 3642: 3641:Joseph Lister 3639: 3637: 3634: 3632: 3629: 3627: 3624: 3623: 3621: 3617: 3609: 3606: 3604: 3601: 3599: 3596: 3594: 3591: 3590: 3588: 3586: 3583: 3582: 3580: 3576: 3569: 3565: 3563: 3560: 3558: 3555: 3551: 3548: 3546: 3543: 3541: 3538: 3536: 3533: 3532: 3530: 3526: 3523: 3521: 3520:Health Canada 3518: 3517: 3515: 3511: 3508: 3507: 3505: 3501: 3498: 3496: 3493: 3492: 3490: 3486: 3483: 3482: 3480: 3476: 3473: 3472: 3470: 3469: 3467: 3465:Organizations 3463: 3460: 3452: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3397: 3395: 3389: 3381: 3378: 3376: 3373: 3372: 3371: 3368: 3366: 3363: 3359: 3356: 3354: 3351: 3349: 3346: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3325: 3323: 3322: 3320: 3314: 3308: 3305: 3303: 3302:Vaccine trial 3300: 3298: 3295: 3293: 3290: 3288: 3285: 3283: 3280: 3276: 3273: 3272: 3271: 3268: 3264: 3261: 3260: 3259: 3256: 3252: 3249: 3248: 3247: 3244: 3242: 3239: 3238: 3236: 3230: 3224: 3221: 3217: 3215: 3211: 3209: 3207: 3202: 3200: 3197: 3195: 3192: 3190: 3187: 3186: 3185: 3182: 3180: 3179:Relative risk 3177: 3175: 3172: 3170: 3167: 3166: 3164: 3158: 3152: 3149: 3145: 3142: 3140: 3139:Health equity 3137: 3135: 3132: 3131: 3130: 3127: 3125: 3122: 3120: 3117: 3115: 3112: 3110: 3107: 3105: 3104:Health system 3102: 3100: 3097: 3095: 3094:Global health 3092: 3090: 3087: 3085: 3082: 3080: 3077: 3075: 3074:Biostatistics 3072: 3071: 3069: 3067: 3063: 3057: 3054: 3052: 3049: 3047: 3044: 3042: 3039: 3035: 3032: 3030: 3027: 3025: 3022: 3020: 3017: 3015: 3012: 3010: 3007: 3006: 3005: 3002: 3000: 2997: 2995: 2992: 2988: 2985: 2984: 2983: 2980: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948: 2947: 2946: 2943: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2920: 2919: 2916: 2912: 2909: 2907: 2904: 2903: 2902: 2899: 2897: 2894: 2892: 2889: 2885: 2882: 2881: 2880: 2877: 2876: 2874: 2872: 2868: 2862: 2859: 2857: 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2832: 2829: 2827: 2824: 2822: 2819: 2817: 2816:Right to food 2814: 2812: 2809: 2807: 2804: 2802: 2799: 2795: 2792: 2790: 2787: 2785: 2782: 2780: 2777: 2775: 2772: 2771: 2770: 2767: 2765: 2762: 2760: 2757: 2754: 2750: 2749:Mental health 2747: 2745: 2742: 2740: 2737: 2735: 2732: 2730: 2727: 2725: 2722: 2718: 2715: 2713: 2710: 2709: 2708: 2705: 2703: 2700: 2698: 2697:Housing First 2695: 2691: 2688: 2686: 2685:Health system 2683: 2682: 2681: 2680:Health policy 2678: 2676: 2673: 2671: 2668: 2666: 2663: 2661: 2658: 2656: 2653: 2651: 2648: 2644: 2641: 2639: 2636: 2635: 2634: 2631: 2629: 2626: 2624: 2621: 2619: 2616: 2614: 2611: 2609: 2606: 2604: 2601: 2600: 2598: 2594: 2590: 2589:Public health 2583: 2578: 2576: 2571: 2569: 2564: 2563: 2560: 2548: 2540: 2539: 2536: 2531: 2528: 2526: 2523: 2521: 2518: 2516: 2513: 2511: 2508: 2504: 2501: 2500: 2499: 2498:United States 2496: 2494: 2490: 2482: 2479: 2477: 2474: 2472: 2469: 2467: 2464: 2462: 2459: 2457: 2454: 2452: 2449: 2447:in healthcare 2446: 2443: 2441:in healthcare 2440: 2437: 2435:in healthcare 2434: 2431: 2429: 2426: 2424: 2420: 2417: 2416: 2412: 2410: 2406: 2400: 2397: 2395: 2392: 2390: 2387: 2385: 2382: 2380: 2377: 2375: 2372: 2370: 2367: 2365: 2362: 2361: 2359: 2357: 2353: 2347: 2344: 2342: 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G. 1734: 1728: 1723: 1716: 1712: 1706: 1699: 1696: 1690: 1683: 1678: 1671: 1667: 1663: 1659: 1656: 1651: 1644: 1643:3-87081-300-8 1640: 1636: 1631: 1623: 1619: 1613: 1605: 1601: 1597: 1593: 1589: 1585: 1581: 1577: 1573: 1569: 1565: 1558: 1550: 1546: 1541: 1536: 1532: 1528: 1524: 1520: 1516: 1509: 1495: 1491: 1485: 1479: 1473: 1458: 1454: 1450: 1443: 1439: 1428: 1425: 1423: 1420: 1418: 1415: 1413: 1410: 1408: 1405: 1403: 1400: 1398: 1395: 1393: 1390: 1387: 1384: 1382: 1379: 1377: 1374: 1372: 1369: 1367: 1364: 1362: 1359: 1357: 1353: 1350: 1348: 1345: 1343: 1340: 1338: 1335: 1333: 1330: 1327: 1324: 1323: 1311: 1308: 1306: 1303: 1301: 1298: 1296: 1292: 1288: 1285: 1283: 1279: 1276: 1274: 1270: 1267: 1265: 1261: 1257: 1254: 1253: 1252: 1251:Health policy 1249: 1245: 1241: 1237: 1234: 1232: 1228: 1225: 1224: 1223: 1219: 1216: 1214: 1210: 1206: 1203: 1201: 1198: 1196: 1193: 1191: 1187: 1183: 1182:Health center 1180: 1178: 1174: 1170: 1167: 1165: 1162: 1161: 1149: 1146: 1141: 1138: 1131: 1126: 1125: 1121: 1117: 1116: 1112: 1108: 1107: 1103: 1099: 1098: 1094: 1091: 1090: 1086: 1085: 1084: 1076: 1073: 1070: 1066: 1063: 1062: 1059: 1056: 1053: 1049: 1046: 1045: 1042: 1039: 1036: 1032: 1029: 1028: 1025: 1022: 1019: 1015: 1012: 1011: 1008: 1005: 1002:Productivity 1001: 999:EGIPSS model 998: 997: 994: 991: 987: 984: 983: 980: 977: 973: 970: 969: 966: 963: 961: 958: 957: 954: 949: 943: 940: 937: 934: 929: 926: 925: 924: 921: 920: 919: 913: 910: 907: 904: 901: 898: 897: 896: 892: 889: 885: 884:William Hsiao 881: 874: 870: 861: 859: 854: 852: 846: 836: 833: 825: 815: 811: 807: 801: 800: 796: 791:This section 789: 785: 780: 779: 771: 767: 764: 758: 748: 746: 741: 734: 724: 722: 717: 715: 711: 705: 695: 691: 689: 684: 680: 676: 670: 660: 658: 653: 648: 645: 641: 637: 632: 627: 625: 621: 617: 613: 609: 605: 594: 591: 583: 573: 569: 565: 559: 558: 554: 549:This section 547: 543: 538: 537: 528: 516: 514: 508: 499: 498: 494: 484: 482: 477: 476:Massachusetts 473: 463: 461: 457: 453: 449: 446:costing more 445: 441: 440:United States 437: 433: 421: 416: 414: 409: 407: 402: 401: 399: 398: 395: 384: 374: 373: 366: 363: 361: 358: 356: 353: 351: 348: 347: 341: 340: 333: 330: 328: 325: 321: 318: 317: 316: 313: 311: 308: 306: 303: 301: 298: 296: 293: 292: 286: 285: 278: 275: 273: 270: 268: 265: 263: 260: 258: 255: 254: 248: 247: 238: 235: 232: 229: 228: 224: 223: 219: 216: 213: 210: 207: 204: 201: 198: 197: 193: 192: 188: 185: 182: 179: 176: 173: 172: 168: 167: 163: 160: 157: 154: 151: 148: 145: 142: 141: 138: 135: 134: 130: 129: 123: 122: 117: 114: 112: 109: 108: 107: 106: 103: 101:United States 96: 95: 91: 87: 86: 82: 75:United States 69: 66: 63: 60: 57: 55: 52: 48: 47:public sector 44: 40: 39: 38: 36: 32: 19: 3716: 3704: 3692: 3661:Radium Girls 3656:Typhoid Mary 3343:Microbiology 3213: 3205: 3089:Epidemiology 2987:Organization 2938:Oral hygiene 2928:Hand washing 2906:Healthy diet 2836:Right to sit 2729:Labor rights 2689: 2466:Telemedicine 2399:Telemedicine 2394:Nanomedicine 2230:Nursing home 2147: 2011: 2005: 1996: 1966: 1921: 1917: 1907: 1896:. 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Retrieved 1457:the original 1442: 1144: 1142: 1139: 1135: 1123: 1122: 1114: 1113: 1106:Organization 1105: 1104: 1096: 1095: 1088: 1087: 1081: 1074: 1071: 1068: 1057: 1054: 1051: 1040: 1037: 1034: 1023: 1020: 1017: 1006: 1003: 992: 989: 978: 975: 964: 959: 952: 947: 941: 935: 922: 917: 911: 905: 899: 893: 879: 877: 872: 855: 850: 847: 843: 828: 822:January 2009 819: 804:Please help 792: 768: 760: 736: 718: 707: 692: 672: 652:Gordon Brown 649: 636:Labour Party 628: 624:vaccinations 601: 586: 580:January 2009 577: 562:Please help 550: 525:January 2012 522: 511: 469: 429: 315:Single-payer 214:(2007, 2009) 30: 29: 3718:WikiProject 3458:and history 3338:Engineering 3051:Vaccination 2923:Food safety 2525:New Zealand 2280:End-of-life 2162:Professions 2092:Health care 1169:Health care 1072:Efficiency 990:Efficiency 974:Efficiency 923:Efficiency: 444:health care 295:Free market 240:(H.R. 4872) 233:(H.R. 3590) 220:(H.R. 3600) 183:(H.R. 3200) 177:(H.R. 3962) 126:Legislation 43:health care 3734:Categories 3471:Caribbean 3348:Processing 3282:Quarantine 3204:Student's 3004:Sanitation 2638:History of 2492:By country 2356:Technology 2295:Palliative 2123:Philosophy 2113:Guidelines 1898:2016-09-25 1784:2007-12-27 1499:2023-03-06 1463:2009-08-02 1434:References 1115:Regulation 640:New Labour 460:East Timor 448:per person 355:Capitation 169:Superseded 3651:John Snow 3578:Education 3568:Full list 3456:education 3380:ISO 22000 3333:Chemistry 3246:Epidemics 3199:ROC curve 3009:Emergency 2789:Radiation 2769:Pollution 2753:Ministers 2650:Euthenics 2520:Australia 2341:Education 2336:Diagnosis 2189:Dentistry 2133:Providers 2108:Equipment 2103:Economics 1940:1471-2458 1806:Word Bank 1748:cite book 1260:Insurance 1089:Financing 1052:Coverage 1018:Coverage 960:Framework 793:does not 774:Elsewhere 551:does not 332:Universal 272:Rationing 189:(S. 1796) 131:Preceding 3694:Category 3393:sciences 3328:Additive 2999:Safe sex 2970:Medicine 2884:Theories 2655:Genomics 2633:Eugenics 2623:Deviance 2603:Auxology 2547:Category 2225:Hospital 2208:Settings 2179:Pharmacy 2169:Medicine 2118:Industry 1958:16529653 1658:Archived 1604:37568768 1596:21319727 1588:45140217 1549:18187698 1205:Medicine 1190:Hospital 1152:See also 1124:Behavior 1055:Quality 1021:Quality 979:Quality 763:Medicare 631:Thatcher 327:Two-tier 194:Proposed 90:a series 3706:Commons 3619:History 3516:Canada 3491:Europe 2975:Nursing 2955:Hygiene 2918:Hygiene 2643:Liberal 2596:General 2389:mHealth 2300:Primary 2285:Hospice 2275:Chronic 2174:Nursing 2143:Ranking 2031:at the 1949:1459137 1622:Reuters 1540:2190266 1213:Nursing 1097:Payment 1069:Choice 1067:Equity 1058:Safety 1050:Access 1038:Access 1024:Safety 1016:Access 993:Equity 976:Access 936:Access: 814:removed 799:sources 663:Germany 572:removed 557:sources 438:in the 289:Systems 251:Reforms 111:History 3506:India 3481:China 3353:Safety 3034:Worker 2515:Canada 2220:Clinic 2153:System 2148:Reform 2138:Public 2128:Policy 1956:  1946:  1938:  1924:: 62. 1847:. 2008 1668:  1641:  1602:  1594:  1586:  1547:  1537:  1319:Reform 1186:Clinic 751:Taiwan 727:Russia 642:, the 472:Hawaii 202:(2017) 164:(2005) 158:(2003) 152:(1996) 146:(1986) 144:EMTALA 116:Debate 3531:U.S. 3375:HACCP 3324:Food 3216:-test 3208:-test 2794:Light 2779:Water 2310:Total 2270:Acute 2054:from 2045:from 1802:(PDF) 1778:(PDF) 1771:(PDF) 1600:S2CID 1584:JSTOR 740:Putin 470:Both 162:PSQIA 150:HIPAA 3307:WASH 3263:List 3251:List 2784:Soil 2421:and 2305:Self 2263:Care 1954:PMID 1936:ISSN 1853:2014 1813:2014 1754:link 1666:ISBN 1639:ISBN 1592:PMID 1545:PMID 797:any 795:cite 555:any 553:cite 474:and 2774:Air 1944:PMC 1926:doi 1845:PBS 1576:doi 1535:PMC 1527:doi 1523:336 878:In 808:by 566:by 452:GDP 3736:: 2241:, 1975:^ 1952:. 1942:. 1934:. 1920:. 1916:. 1891:. 1843:. 1804:. 1750:}} 1746:{{ 1620:. 1598:. 1590:. 1582:. 1572:41 1570:. 1566:. 1543:. 1533:. 1521:. 1517:. 1492:. 1451:. 1293:/ 1289:/ 1280:/ 1271:/ 1258:/ 1242:/ 1238:/ 1229:/ 1220:/ 1211:/ 1207:/ 1188:/ 1184:/ 1175:/ 1171:/ 860:. 626:. 92:on 3570:) 3566:( 3214:Z 3206:t 2755:) 2751:( 2581:e 2574:t 2567:v 2245:) 2237:( 2084:e 2077:t 2070:v 1960:. 1928:: 1922:6 1901:. 1855:. 1829:. 1815:. 1787:. 1756:) 1672:) 1624:. 1606:. 1578:: 1551:. 1529:: 1502:. 1466:. 1262:/ 835:) 829:( 824:) 820:( 816:. 802:. 593:) 587:( 582:) 578:( 574:. 560:. 527:) 523:( 517:. 419:e 412:t 405:v 20:)

Index

Healthcare reform
health care delivery
health care
public sector
private sector
insurance companies
Healthcare reform in the United States
a series
Healthcare reform in the
United States

History
Debate
Social Security Amendments of 1965
EMTALA
HIPAA
Medicare Modernization Act
PSQIA
Affordable Health Care for America
America's Affordable Health Choices
Baucus Health Bill
American Health Care Act
Medicare for All Act
Healthy Americans Act
Health Security Act
Affordable Care Act
Health Care and Education Reconciliation Act
Obama administration proposals
Public opinion
Reform advocacy groups
Rationing
Insurance coverage

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