Two-tier Health Care - United States

United States

The United States has a two-tier public-private health system but the majority of the population cannot gain access to the public provision tiers. Health care provided directly by the government is limited to military and veteran families and certain Native American tribes. Certain cities and towns also provide free care directly, but only to those who cannot afford to pay. Medicare, Medicaid, and the State Children's Health Insurance Program pay for health care obtained at private facilities, but only for the elderly, disabled, and children in poor families.

The debate over health care reform in the United States has included a proposal for a "public option" or "Medicare for All" - a government-run insurance program, available to all U.S. citizens, that would compete with private insurance plans. The stated goal of such a program would be to reduce costs through vigorous competition, while preserving choice of insurance coverage for patients. Opposition to this option has centered around concerns that the government program would have an unfair advantage (a removed profit goal and a budget limited only by taxation and Congress appropriations), and that it could thus result in the elimination of private health insurance through attrition.

Further information: Health care in the United States and Obamacare

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