BMJ October 10, 2019
Julie Rovner, Chief Washington correspondent

In the US, most people get healthcare through either private or government insurance, says Julie Rovner. When countries around the world are committing to universal health coverage, US politicians are as busy arguing about the balance between public and private approaches as they are debating the question of whether everyone should have access to healthcare

The US is once again deep in a debate over the future of its health insurance system—a debate that has waxed and waned for the better part of a century. This is ironic because the US doesn’t actually have what one could call a health insurance “system.” Rather, it has a hodgepodge of programmes—public and private—that cover most, but far from all, of...

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