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               Julien Viard
           Alessandra Moratti
              Isobel Wilson
             Angela Villegas
            Tanguy Ducouret
1) Britain preventive medicine
• Positive (for the US):
   – System covers everybody
   – Never have to pay a medical bill
   – Financed from the general taxation
   – No medical bankruptcy
   – Physicians are encouraged to keep people healthy
     (bonus)
   – World leader in preventive medicine
• Negative (why it should not work in the US):
   –   Long waiting list for patients
   –   Hospitals compete to survive and not to make profits
   –   Too much government for the US
   –   Brits are much more taxed
Britain Healthcare statistics vs USA
• Expenditure on health % GDP: 8.4%/ 16%

• Expenditure on health per capita: $2,992/ $7,290

• Expenditure from private sector: 12.9%/ 52.8%

• Infant mortality per 1,000 births: 4.8/ 6.7

• Life expectancy at birth: 79.1 years/ 78.1 years
2) Japan: No Gatekeepers
•   Positive (for the US):
     – Spend half as much as the US on healthcare per capita
     – Longest life expectancy all over the world
     – Everybody has to sign up for a health insurance policy at work or through
        community (for jobless)
     – Japan’s system is largely private (80% of hospitals)
     – All citizens are covered and it is very cheap (fairness)
     – Price regulation by the government to keep prices low
     – Same prices everywhere in the country
     – High tech system of healthcare
     – Patients can see any specialists they want
     – Competition between doctors, clinics and hospitals is fierce
•   Negative (why it should not work in the US):
     – Doctors can’t get rich: undervalued and underpaid
     – Too much control by the government for prices regulation (“Big Brother”)
     – Insurance companies are not allowed to make profits
     – 50% of hospital are in financial deficits
     – Japanese system spend too little
Japanese healthcare statistics vs USA
• Expenditure on health % GDP: 7.1% / 16%

• Expenditure on health per capita: $2,373/
  $7,290

• Life expectancy: 82.25 years/ 78.1 years

• Infant mortality per 1,000 births: 5/ 6.7
Germany: a market-based system
• Positive (for the US):
  – 90 % of the population covered by the system
  – German pay premium based on their income
  – Population is highly satisfied
  – Sickness funds (1,100) compete among
    themselves but are not allowed to make profits
  – Sickness funds negotiate with drug companies and
    medical providers to keep prices low
  – Excellent quality and efficiency of the system
• Negative (why it should not work in the US)
  – Rich pay for the poor and the ill are covered by
    the healthy
German healthcare statistics vs USA
• Expenditure on health % GDP: 10.4% / 16%

• Expenditure on health per capita: $3,588/
  $7,290

• Life expectancy: 80.07 years/ 78.1 years

• Infant mortality per 1,000 births: 3.54/ 6.7
Taiwan: a new system
• Positive (for the US):
   – A mix of all the best ideas for healthcare of all around
     the world
   – Equal access to healthcare
   – Free choice of doctors
   – No waiting time
   – Encourage lots of competition among medical
     providers
   – Smart card
• Negative (why it should not work in the US)
   – Government spend too little and is borrowing from
     banks to pay the providers (solution: increase the part
     of healthcare in the GDP)
Taiwanese healthcare statistics vs USA
• Expenditure on health % GDP: 5.8% / 16%

• Expenditure on health per capita: $752/
  $7,290

• Life expectancy: 78.32 years/ 78.1 years

• Infant mortality per 1,000 births: 5.18/ 6.7
Switzerland: a familiar system
• Positive (for the US):
  – It is possible to fix the healthcare system
  – Low administrative costs
  – Keep cheap universal coverage


• Negative (why it should not work in the US)
  – How much people are willing to pay the premium?
  – Switzerland average cost of the
    premium:$750/month
Switzerland healthcare statistics vs
                USA
• Expenditure on health % GDP: 11.8% / 16%

• Expenditure on health per capita: $4,500/
  $7,290

• Life expectancy: 81.07 years/ 78.1 years

• Infant mortality per 1,000 births: 4.08/ 6.7
Sick around the world

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Sick around the world

  • 1. Group: FOXTROP Retailing Julien Viard Alessandra Moratti Isobel Wilson Angela Villegas Tanguy Ducouret
  • 3. • Positive (for the US): – System covers everybody – Never have to pay a medical bill – Financed from the general taxation – No medical bankruptcy – Physicians are encouraged to keep people healthy (bonus) – World leader in preventive medicine • Negative (why it should not work in the US): – Long waiting list for patients – Hospitals compete to survive and not to make profits – Too much government for the US – Brits are much more taxed
  • 4. Britain Healthcare statistics vs USA • Expenditure on health % GDP: 8.4%/ 16% • Expenditure on health per capita: $2,992/ $7,290 • Expenditure from private sector: 12.9%/ 52.8% • Infant mortality per 1,000 births: 4.8/ 6.7 • Life expectancy at birth: 79.1 years/ 78.1 years
  • 5. 2) Japan: No Gatekeepers
  • 6. Positive (for the US): – Spend half as much as the US on healthcare per capita – Longest life expectancy all over the world – Everybody has to sign up for a health insurance policy at work or through community (for jobless) – Japan’s system is largely private (80% of hospitals) – All citizens are covered and it is very cheap (fairness) – Price regulation by the government to keep prices low – Same prices everywhere in the country – High tech system of healthcare – Patients can see any specialists they want – Competition between doctors, clinics and hospitals is fierce • Negative (why it should not work in the US): – Doctors can’t get rich: undervalued and underpaid – Too much control by the government for prices regulation (“Big Brother”) – Insurance companies are not allowed to make profits – 50% of hospital are in financial deficits – Japanese system spend too little
  • 7. Japanese healthcare statistics vs USA • Expenditure on health % GDP: 7.1% / 16% • Expenditure on health per capita: $2,373/ $7,290 • Life expectancy: 82.25 years/ 78.1 years • Infant mortality per 1,000 births: 5/ 6.7
  • 9. • Positive (for the US): – 90 % of the population covered by the system – German pay premium based on their income – Population is highly satisfied – Sickness funds (1,100) compete among themselves but are not allowed to make profits – Sickness funds negotiate with drug companies and medical providers to keep prices low – Excellent quality and efficiency of the system • Negative (why it should not work in the US) – Rich pay for the poor and the ill are covered by the healthy
  • 10. German healthcare statistics vs USA • Expenditure on health % GDP: 10.4% / 16% • Expenditure on health per capita: $3,588/ $7,290 • Life expectancy: 80.07 years/ 78.1 years • Infant mortality per 1,000 births: 3.54/ 6.7
  • 11. Taiwan: a new system
  • 12. • Positive (for the US): – A mix of all the best ideas for healthcare of all around the world – Equal access to healthcare – Free choice of doctors – No waiting time – Encourage lots of competition among medical providers – Smart card • Negative (why it should not work in the US) – Government spend too little and is borrowing from banks to pay the providers (solution: increase the part of healthcare in the GDP)
  • 13. Taiwanese healthcare statistics vs USA • Expenditure on health % GDP: 5.8% / 16% • Expenditure on health per capita: $752/ $7,290 • Life expectancy: 78.32 years/ 78.1 years • Infant mortality per 1,000 births: 5.18/ 6.7
  • 15. • Positive (for the US): – It is possible to fix the healthcare system – Low administrative costs – Keep cheap universal coverage • Negative (why it should not work in the US) – How much people are willing to pay the premium? – Switzerland average cost of the premium:$750/month
  • 16. Switzerland healthcare statistics vs USA • Expenditure on health % GDP: 11.8% / 16% • Expenditure on health per capita: $4,500/ $7,290 • Life expectancy: 81.07 years/ 78.1 years • Infant mortality per 1,000 births: 4.08/ 6.7