Commonwealth Fund May 1, 2024
Aaron Carroll

TOPLINES

The answers to how to fix the American health care system might be found in the nuanced systems of other countries

All other high-income countries have adopted a universal health coverage system, and many middle- and low-income countries are also moving in this direction

The American health care system is broken. Life expectancy is dropping, maternal mortality is on the rise, disparities abound, and it costs way, way too much. But when we discuss fixing it, the debate is a pendulum swinging between two extremes: maintaining the status quo and adopting a single-payer system. But what if we’re asking the wrong questions? What if the answers lie not in the extremes but in the nuanced experiences of other countries?

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