Atlantic June 21, 2019
Olga Khazan

An expert on the National Health Service says the reason America doesn’t have universal coverage might be a difference in mind-set.

On the U.K.’s National Health Service, every person is covered completely. There are no bills, deductibles, or co-pays. In fact, there are no insurance policies to speak of. The system is paid for by taxes, and the government controls the prices of drugs and the salaries of the doctors.

“It’s like an unwritten constitution. There’s nothing to renew. It’s all there and it’s free,” said Jennifer Dixon, the chief executive of the U.K.’s Health Foundation, at Aspen Ideas: Health, which is co-hosted by the Aspen Institute and The Atlantic.

There are some downsides to the NHS, Dixon noted. There’s...

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