Question

Considering entrepreneurial, mandated insurance, and national health service models:

a. Which model do you think results in the greatest equity of access to health services? Why?
b. Which model is most likely to deliver the highest-quality care?
c. Which is the best model? Would this model work in the United States or your own country of origin (if not the US)? Why or why not?

Answer 1

a. In my views, a national health service model will provide greatest equity of access to health services. This is so because the national health service model is facilitated by the government and is funded through public taxation. The government ensures that universal coverage to all services of the healthcare is facilitated. Everyone is given the diagnosis and treatment that they need, irrespective of their social status, caste, creed, occupation, age, gender, etc.

b. An entrepreneurial model of healthcare will offer the highest quality of care. This is so because this model is privately owned and managed. There is high competition in this sector, hence each healthcare will try to offer the best quality services to maintain its customer base. People are required to buy their health plan by themselves, as desired by them. Hence there is high flexibility in this model as well. When people are paying high prices for healthcare, the providers ensure that they get the best services.

c. I feel both national health service model and entrepreneurial model are at extreme ends of healthcare delivery. Mandated insurance model has characteristics of both the models, is jointly owned by both public and private sector and hence its effectiveness and applicability will be more in developing nations like India and China.