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Bismarck vs. Beveridge: is there increasing convergence ...

Bismarck vs. Beveridge 21-22 November 2011 Bismarck vs. Beveridge: is there increasing convergence between health financing systems? Joseph Kutzin Coordinator, health Financing Policy, WHO 1st annual meeting of SBO network on health expenditure 21-22 November 2011 Paris, OECD Bismarck vs. Beveridge 21-22 November 2011 Outline health financing models and myths Public finance and health finance: some important policy interactions for sustaining good performance Summary messages Bismarck vs. Beveridge 21-22 November 2011 History, models and myths in health financing Bismarck vs. Beveridge 21-22 November 2011 Roots of government-mandated health insurance Bismarck and "Social health Insurance" (1883) Compulsory funding by employers and employees, administered by pre-existing "sickness funds" Similar laws in Japan (1922) and elsewhere in Europe A "right" associated with labor status Keep workers healthy to improve productivity Pre-empt labor unrest Was not aimed at "universal coverage" Bismarck vs.

health financing systems? Joseph Kutzin Coordinator, Health Financing Policy, WHO 1st annual meeting of SBO network on health expenditure 21-22 November 2011 ... in response to the crisis Sources of revenue for the Health Insurance Fund in Hungary (WHO based on HIF data) 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%

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