American Perceptions of the British National Health Service: Five Myths

Potter, Christopher; Porter, Janet

doi:10.1215/03616878-14-2-341

Cited by 12 publications

(3 citation statements)

References 16 publications

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“…A good example of this process is the National Health Service (NHS) in England. When the NHS was established after World War 11, politicians were stunned by the "enormous hidden demand" for health care that emerged once services were provided free at the point of service (Potter & Porter, 1989). The same phenomenon occurred when the United States introduced Medicare and Medicaid 20 years later.…”

Section: Historical Patternsmentioning

confidence: 99%

Health Care Reform in the United States: Implications for Training and Practice in Marriage and Family Therapy

Crane

1995

J Marital Family Therapy

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Americans are spending 12-14% of their income on health care, and costs are rising about 11 -12%per year. These increases are fueled by many social problems and are not limited strictly to health matters. Many alternatives have been examined to limit the rapidly increasing costs. The long-term results of these eflorts are likely to be a reduction in health care benefits for many and the continued development of a two-tier system of health care. This article addresses the place of mental health care in general and marriage and family therapy in particular in the emerging system. Suggestions for training and practice for the new health care system are given.

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Section: Historical Patternsmentioning

confidence: 99%

Health Care Reform in the United States: Implications for Training and Practice in Marriage and Family Therapy

Crane

1995

J Marital Family Therapy

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“…In Britain, access to technologies is also tightly controlled, not only through the general practitioner who acts as the gatekeeper to the system, but also by designating specific technological functions to specific hospitals. The NHS provides two types of hospitals: secondary care hospitals where acute services or services for severe physical and psychiatric illnesses are provided, and tertiary care hospitals (or regional centers of expertise) providing specialty care requiring expensive technology or infrequently required procedures (Potter and Porter 1989). In general, National Health Service patients only obtain access to high-technology services through specific referral channels-GP to hospital consultant in secondary hospital, to hospital consultant in tertiary care center.…”

Section: Technological Acquisitionmentioning

confidence: 99%

Deciding on Access and Levels of Care: A Comparison of Canada, Britain, Germany, and the United States

Grogan

1992

Journal of Health Politics, Policy and Law

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Americans view universal coverage as a reality only if a minimum benefit package is explicitly defined, and discussions about expanding access take place under the slogan of minimum benefits. The policy environment is different in Canada, Britain, and Germany. There, health care costs are controlled and benefits provided under universal coverage plans. Yet the medical services provided in these countries result not from difficult decisions about rationing care at a "minimum" benefit level but from difficult political decisions about the structure of the health care system. Institutional factors rather than explicit policy influence the implicit health priorities in these countries. The United States, in contrast, develops policies that explicitly designate a minimum level of benefits.

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“…Despite the strong inclination for free-enterprise solutions, which is often at the heart of assertions that "we're different," the nation came close to developing a national medical care insurance program in the 1970s, and the sense of imperative for universal programs may be even greater at this time. Although every nation is ultimately embedded in unique historical, structural, and cultural circumstances, the assertion that the experience of other countries with national medical care programs has no relevance to the United States is not supportable and must be seen as functioning to protect vested interests in the status quo (Navarro 1988;Potter and Porter 1989).…”

Section: Role Of Established State-sponsored Medical Care Programsmentioning

confidence: 99%

The Development of National Medical Care Programs in the United Kingdom and Canada: Applicability to Current Conditions in the United States

Sakala¹

1990

Journal of Health Politics, Policy and Law

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After a hiatus in the early to mid-1980s, a growing number of policy leaders, policy organizations, and citizen groups are advocating programs that ensure basic medical care for all. Although a large literature examines the applicability to the U.S. of national medical care programs that have been established in other countries from the perspective of operations and effectiveness, little attention has been given to the applicability of the experience of other nations in securing these programs. This paper examines the development of national programs in the U.K. and Canada and addresses two questions. First, what factors were critical to the establishment of the British National Health Service and the Canadian hospital and physician insurance programs? Second, how applicable are those factors to current conditions in the U.S.? The paper reviews the roles played by dislocations in society, by established models of state-sponsored medical care programs, by political institutions and leaders, and by the major medical sectors. It shows that the U.S., while differing in many particulars, presents several parallels to the U.K. and Canada. The paper argues that the current environment in the U.S. offers the nation the opportunity to develop at state or local levels government-sponsored programs that guarantee basic medical benefits to all. A new and powerful coalition, moreover, may in the coming years advance the cause of broader, more substantive change at the national level.

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American Perceptions of the British National Health Service: Five Myths

Cited by 12 publications

References 16 publications

Health Care Reform in the United States: Implications for Training and Practice in Marriage and Family Therapy

Health Care Reform in the United States: Implications for Training and Practice in Marriage and Family Therapy

Deciding on Access and Levels of Care: A Comparison of Canada, Britain, Germany, and the United States

The Development of National Medical Care Programs in the United Kingdom and Canada: Applicability to Current Conditions in the United States

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