Can universal health care work? | CNBC International

Transcript

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whether it’s the never-ending to pay on
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funding for the UK’s National Health
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Service or repeated attempts to repeal
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Obamacare health care remains the most
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divisive issue in politics
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every country across the globe has a
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different system to access health care
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for many developing countries they
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operate the out-of-pocket model where
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health care is paid for at point abuse
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with no centralized funding system and
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the opposite end of the scale is
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government-run universal health care
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used by the UK’s National Health Service
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since 1948 this leaflet is coming
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through your letterbox
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one day soon financed through taxes and
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compulsory national insurance
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contributions it’s guided by the
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principle that health care is free to
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all at the point of delivery it’s this
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single-payer health care system which is
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the fundamental idea of Senator Bernie
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Sanders
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new bill Medicare for all the function
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of a rational healthcare system is to
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provide quality care to all in a
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cost-effective way
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a tax funded health insurance plan but
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with privately operated hospitals
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providing coverage to three hundred and
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twenty three million Americans how the
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tax funding would work is still not
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clear however support for the bill is
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growing amongst Democrats but with the
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recent failure of Vermont’s ambitious
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single-payer health care plan and the
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threat of too many administrative job
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losses
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Sanders plan is unlikely to pass in
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Congress
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according to Sanders the bills
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opposition is the pharmaceutical
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industry the insurance companies Wall
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Street and the Republican Party the
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current profit-driven health care system
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fits him with conservative ideals of
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small government and has resulted in the
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country becoming the leader in new
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treatments and technologies for
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conditions such as cancer but the many
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obstacles and high costs of these
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treatments means that roughly 13 million
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uninsured Americans won’t be able to
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access them and the u.s. is still
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spending more on health care than any
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other country in the world but is
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universal health care the answer
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President Truman thought so he said that
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every American should have the right to
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adequate medical care and to adequate
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protection from the economic threat of
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sickness he has against federal action
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in the field of hell
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a single-payer system such as the UK’s
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NHS does just that was also costing less
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than half of what health care costs in
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the US so if it’s cheaper and everyone
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gets coverage why do many conservatives
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argue against it because the NHS is
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under serious strain a recent report by
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the OECD found that the current quality
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of care within the NHS is uneven and
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continues to struggle to keep pace with
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many other countries many analysts
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believe it needs more funding a policy
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that will involve raising taxes
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something most governments would like to
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avoid so is there a way of ensuring
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universal coverage without compromising
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on quality of care at an affordable
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price the answer may be a hybrid multi
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pair health care system used by a number
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of countries including France which the
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World Health Organization ranked as the
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number one health care system in the
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world back in 2000 more recent research
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amongst oacd countries found that France
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has the fewest number of deaths that
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could have been avoided by better health
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care the country uses a private
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nonprofit social insurance model sounds
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complicated here’s how it works the
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entire French population has their
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health insurance automatically deducted
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from their pay for people on low or no
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income their health care is subsidized
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through taxes meaning everyone is
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covered but there’s a catch unless you
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have a long-term condition the system
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only covers 70% of your medical costs
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this means you pay a small fee when you
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have a consultation but much of the
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country has additional private insurance
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to cover this amount many analysts argue
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this small fee results in high standards
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of care it reduces waiting times and
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means patients have the freedom to
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choose where they receive their care
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services it also costs eleven percent of
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the country’s GDP and has more beds and
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doctors per thousand people as well as
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longer life expectancies than both the
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US and the UK the system does have its
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critics some French employers believe
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the funding of health care is a tax on
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jobs
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so why aren’t the US and the UK adopting
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similar models one reason may be that
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satisfaction levels in the US and UK
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healthcare systems still remain above
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60% and therefore any attempt to change
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them would be a political gamble but
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those levels are down from 2014 may
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continue to decline with many American
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citizens still uninsured and NHS waiting
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times the worse for a decade public
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opinion may force changes by finding the
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best way to deliver high-quality health
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care for everyone won’t be easy all
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pain-free hi everyone Tom here thanks
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very much for watching if you like we
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saw check out more of our videos and
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don’t forget to subscribe
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[Music]

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