Publicly funded health care in the context of "Healthcare in Canada"

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⭐ Core Definition: Publicly funded health care

Publicly funded healthcare is a form of health care financing, designed to meet the cost of all or most healthcare needs from a publicly managed fund. Usually this is under some form of democratic accountability, the right of access to which are set down in rules applying to the whole population contributing to the fund or receiving benefits from it.

The fund may be a not-for-profit trust that pays out for healthcare according to common rules established by the members or by some other democratic form. In some countries, the fund is controlled directly by the government or by an agency of the government for the benefit of the entire population. That distinguishes it from other forms of private medical insurance, the rights of access to which are subject to contractual obligations between an insured person (or their sponsor) and an insurance company, which seeks to make a profit by managing the flow of funds between funders and providers of health care services.

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In this Dossier

Publicly funded health care in the context of Government budget

A government budget is a projection of the government's revenues and expenditure for a particular period, often referred to as a financial or fiscal year, which may or may not correspond with the calendar year. Government revenues mostly include taxes (e.g. inheritance tax, income tax, corporation tax, import taxes) while expenditures consist of government spending (e.g. healthcare, education, defense, infrastructure, social benefits). A government budget is prepared by the Central government or other political entity. In most parliamentary systems, the budget is presented to the legislature and often requires approval of the legislature. The government implements economic policy through this budget and realizes its program priorities. Once the budget is approved, the use of funds from individual chapters is in the hands of government ministries and other institutions. Revenues of the state budget consist mainly of taxes, customs duties, fees, and other revenues. State budget expenditures cover the activities of the state, which are either given by law or the constitution. The budget in itself does not appropriate funds for government programs, hence the need for additional legislative measures.

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Publicly funded health care in the context of Public sector

The public sector, also called the state sector, is the part of the economy composed of both public services and public enterprises. Public sectors include the public goods and governmental services such as the military, law enforcement, public infrastructure, public transit, public education, along with public health care and those working for the government itself, such as elected officials. The public sector might provide services that a non-payer cannot be excluded from (such as street lighting), services which benefit all of society rather than just the individual who uses the service. Public enterprises, or state-owned enterprises, are self-financing commercial enterprises that are under public ownership which provide various private goods and services for sale and usually operate on a commercial basis.

Organizations that are not part of the public sector are either part of the private sector or voluntary sector. The private sector is composed of the economic sectors that are intended to earn a profit for the owners of the enterprise. The voluntary, civic, or social sector concerns a diverse array of non-profit organizations emphasizing civil society. In the United Kingdom, the term "wider public sector" is often used, referring to public sector organizations outside central government.

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Publicly funded health care in the context of Healthcare in Singapore

Healthcare in Singapore is under the purview of the Ministry of Health of the Government of Singapore. It mainly consists of a government-run publicly funded universal healthcare system as well as a significant private healthcare sector. Financing of healthcare costs is done through a mixture of direct government subsidies, compulsory comprehensive savings, national healthcare insurance, and cost-sharing.

The Singaporean public health insurance system is based on programs run by the Central Provident Fund, primarily Medisave, a mandatory medical savings account scheme. All working citizens and permanent residents are obligated to set aside a portion of their income into Medisave accounts, which they can draw upon to pay their own medical bills and those of their immediate family. The Central Provident Fund also manages the MediShield and MediFund insurance schemes, which cover people with insufficient savings or those who have depleted their savings. In addition, the government provides subsidies for the medical expenses of citizens and permanent residents who receive treatment in public hospitals.

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Publicly funded health care in the context of National Health Service

The National Health Service (NHS) is the collective term for the four separate publicly funded healthcare systems of the United Kingdom: the National Health Service (England), NHS Scotland, NHS Wales, and Health and Social Care (Northern Ireland) which was created separately and is often referred to locally as "the NHS". The original systems were established in 1948 (NHS Wales/GIG Cymru was founded in 1969) as part of major social reforms following the Second World War, and officially launched at Park Hospital in Davyhulme, near Manchester, England (now known as Trafford General Hospital). The founding principles were that services should be comprehensive, universal and free at the point of delivery. Each system provides a comprehensive range of health services, provided without charge for residents of the United Kingdom apart from dental treatment and optical care, though NHS patients in England who are not exempt have to pay prescription charges.

Taken together, the four systems in 2015–16 employed around 1.6 million people with a combined budget of £136.7 billion. In 2024, the total health sector workforce across the United Kingdom was 1,499,368.

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Publicly funded health care in the context of Experimental cancer treatment

Experimental cancer treatments are mainstream medical therapies intended to treat cancer by improving on, supplementing or replacing conventional methods (surgery, chemotherapy, radiation, and immunotherapy). However, researchers are still trying to determine whether these treatments are safe and effective treatments. Experimental cancer treatments are normally available only to people who participate in formal research programs, which are called clinical trials. Occasionally, a seriously ill person may be able to access an experimental drug through an expanded access program. Some of the treatments have regulatory approval for treating other conditions. Health insurance and publicly funded health care programs normally refuse to pay for experimental cancer treatments.

The entries listed below vary between theoretical therapies to unproven controversial therapies. Many of these treatments are alleged to help against only specific forms of cancer. It is not a list of treatments widely available at hospitals.

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Publicly funded health care in the context of Region Stockholm

Region Stockholm (Swedish: Region Stockholm) is the regional public body responsible for healthcare, public transport, and regional planning within Stockholm County, Sweden. Established on 1 January 2019, it replaced the former Stockholm County Council (Stockholms läns landsting) as part of a nationwide reform.

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Publicly funded health care in the context of National Health Service (England)

The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from taxation and National Insurance contributions, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal UK residents, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).

A founding principle of the NHS was providing free healthcare at the point of use. The 1942 cross-party Beveridge Report established the principles of the NHS which was implemented by the government, whilst under Labour control in 1948 and the NHS was officially launched at Park Hospital in Davyhulme, near Manchester, England (now known as Trafford General Hospital). Labour's Minister for Health Aneurin Bevan is popularly considered the NHS's founder, despite never formally being referred to as such. In practice, "free at the point of use" normally means that anyone legitimately registered with the system (i.e. in possession of an NHS number), that is a UK resident in clinical need of treatment, can access medical care, without payment. The exceptions include NHS services such as eye tests, dental care, prescriptions and aspects of long-term care. These charges are usually lower than equivalent services offered privately and many are free to vulnerable or low-income patients.

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Publicly funded health care in the context of Health and Social Care (Northern Ireland)

Health and Social Care (HSC; Irish: Sláinte agus Cúram Sóisialta) is the publicly funded healthcare system in Northern Ireland. Although having been created separately to the National Health Service (NHS), it is nonetheless considered a part of the overall national health service in the United Kingdom, with locals mainly referring to it as the NHS for namesake purposes. The Northern Ireland Executive through its Department of Health is responsible for its funding, while the Public Health Agency is the executive agency responsible for the provision of public health and social care services across Northern Ireland. It is free of charge to all citizens of Northern Ireland and the rest of the United Kingdom.

For services such as A&E, patients simply walk in, state their name and date of birth, are given treatment and then leave. Patients are unaware of costs incurred by them using the service. It is sometimes called the "NHS", as in England, Scotland and Wales, but differs from the NHS in England and Wales in that it provides not only health care but social care too (social services are provided by local councils in England and Wales).

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