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Dr Tadhg Crowley
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Universal Health

Universal Health

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  • 1. Universal Health Dr Tadhg Crowley
  • 2. WHAT IS IT?• Universal healthcare can be defined as, equal care for every person based upon medical need rather than financial means.
  • 3. Aespects• Universal health care is not a one-size-fits-all concept; nor does it imply coverage for all people for everything.• Universal health care can be determined by three critical dimensions: who is covered, what services are covered, and how much of the cost is covered
  • 4. Funding models• Mixed models… – Compulsory insurance – Tax-based financing – Social Health Insurance – Private insurance – Single payer – Community-based Health Insurance
  • 5. Irish Debate• Faircare developed as a result of a health commission chaired by Alan Dukes• Adelaide hospital Society• IMO..Position document
  • 6. Perfect system• Universality - Access to adequate healthcare for all• Services that are free at the point of access• Equity of access• Solidarity• Transparency• Quality of care and value for money• Choice and mobility• Clinical autonomy• Efficiency• Affordability• Sustainability
  • 7. issues• Who Pays.How does it work. Expert group• Which Model• Competition law
  • 8. Competition authority• Role of vhi ..anti competive in nature?a) Procurer of services and provider of servicesb) Limiting services to certain groupsc) Insurers and the balance of profit and service.Future negotiations