Universal Health

1. Universal Health
Dr Tadhg Crowley

3. WHAT IS IT?
• Universal healthcare can be defined as, equal
care for every person based upon medical
need rather than financial means.

4. 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

5. Funding models
• Mixed models…
– Compulsory insurance
– Tax-based financing
– Social Health Insurance
– Private insurance
– Single payer
– Community-based Health Insurance

6. Irish Debate
• Faircare developed as a result of a health
commission chaired by Alan Dukes
• Adelaide hospital Society
• IMO..Position document

8. 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

9. issues
• Who Pays.How does it work. Expert group
• Which Model
• Competition law

10. Competition authority
• Role of insurers.ie vhi ..anti competive in
nature?
a) Procurer of services and provider of services
b) Limiting services to certain groups
c) Insurers and the balance of profit and service
.Future negotiations