**Students are expected to select an industrialized country, other than the United States and the example given in the syllabus, identify and prepare a 1-page discussion document addressing key factors associated with the healthcare system in your country of choice. Both the report template and a sample discussion document are provided on pages 21 and 22 of the syllabus. TEMPLATE FOR DISCUSSION DOCUMENT HEALTH STATUS OF OTHER COUNTRIES Name of the country: Type of government: Type of healthcare system: Population: Primary ethnic groups: Access to Healthcare: Quality of Care: Cost of Care: Emerging Health Issues or Challenges: EXAMPLE HEALTH STATUS OF PORTUGAL Name of the country: Portugal Type of government: Parliamentary democracy Type of healthcare system: National Health System administered by the Ministry of Health, blended with some employment-based health coverage Population: 10,676,910 (2008 estimate) Per capita gross domestic product (GDP): $21,800 (2007 estimate) Principal ethnic groups: Mediterranean, Black African and European Access to Healthcare: Because the system is administered by the national government, all citizens have access to healthcare. The constitution stipulates that healthcare is to be provided to all citizens. There is a Patient Charter that provides certain rights to everyone – the right to be informed of one’s health status and to receive a second opinion; the right to refuse any procedure; the right to privacy of one’s personal health records; the patient’s responsibility for his/her health status, and to be forthcoming regarding health history. The national health system provides direct acute hospital care, general practice, and mother and child care services. Primary Care Centers represent a primary vehicle for dispensing health services. Patients must register with a general practitioner (GP) within their defined geographic area. Quality of Care: As of 2005, data indicate that Portugal has a higher life expectancy at birth (78.2 years) than the United States (77.8 in 2004), but lower than France and the United Kingdom (England). According to a recent study compared Portugal to other OECD countries in the area of ‘amenable mortality’. Amenable Mortality is death that can be averted through the presence and intervention of effective healthcare. Infant mortality has improved over the past two decades, resulting in overall improving health status. There has also been improvement in both the number of people on health care waiting lists, as well as in the length of time they must wait before receiving health services. Cost of Care: The national health system is financed out of general tax revenues, accounting for approximately 60% of total tax revenue. The national health system also receives revenue from hospital charges associated with private room charges, private insurance, fines, donations, equipment and space rentals, etc. Out-of-pocket health costs are particularly high (23 % i ...