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The Ethics of Universal Health Insurance$
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Alex Rajczi

Print publication date: 2019

Print ISBN-13: 9780190946838

Published to Oxford Scholarship Online: June 2019

DOI: 10.1093/oso/9780190946838.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021

Information about Health Care Systems

Information about Health Care Systems

(p.6) Chapter One Information about Health Care Systems
The Ethics of Universal Health Insurance

Alex Rajczi

Oxford University Press

One cannot discuss the ethics of health policy without understanding how health systems work, so this chapter provides background on the American health system before and after the Affordable Care Act. It also describes two universal health insurance systems the U.S. could adopt. In Canada’s single-payer system, the government serves as the basic insurer for the entire population. In the regulated-market systems of Switzerland and the Netherlands, citizens must purchase health insurance through private companies, and the government’s main jobs are providing subsidies to less wealthy individuals and ensuring that insurance companies deal fairly with citizens. The chapter concludes by examining the core ideas behind consumer-driven health care, a set of specific policies that conservatives often add to their health care proposals.

Keywords:   health policy, Affordable Care Act, single-payer, Canada, Netherlands, Switzerland, health insurance, consumer-driven, universal health insurance, regulated market

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