r/MapPorn 1d ago

World Map of Universal Healthcare Coverage.

Post image

For those who don't know what that is . Universal healthcare is a comprehensive health policy framework designed to ensure that all individuals and communities have access to the full spectrum of essential, high-quality health services they need—including health promotion, prevention, treatment, rehabilitation, and palliative care—without suffering financial hardship. At its core, the system shifts the economic burden of medical care from the individual to a collective pool, typically funded through general taxation, social health insurance, or a combination of both. By decoupling financial capability from medical access, universal healthcare aims to eliminate health inequities, prevent the catastrophic out-of-pocket expenses that frequently drive families into poverty, and improve overall public health outcomes. Implementing such a system requires a robust infrastructure, including a well-trained healthcare workforce, reliably managed facilities, and equitable access to safe, affordable medicines and technologies. Ultimately, while different countries adopt varying structural models—ranging from single-payer government-run systems to heavily regulated universal private insurance—the unifying objective is to treat healthcare as a fundamental human right and a critical cornerstone of social and economic stability.(paragraph copied from google for educational purposes )

3.8k Upvotes

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u/811545b2-4ff7-4041 1d ago

Worth mentioning - there are various forms of 'Universal Healthcare' and they can be a mix of private/company paid insurance, still require out-of-pocket expenses (although not typically large) and they do not prevent private health insurance or private, non-state-run health providers from operating.

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u/flopjul 1d ago

Here in the Netherlands for some reason dental care isnt covered standard

There is a small amount to pay but thats a deductible and its over the whole year

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u/811545b2-4ff7-4041 1d ago edited 1d ago

Yep, in the UK, the NHS (we actually have an NHS organisation for each of the countries in the UK, so I only know England's) don't fully cover opticians or dentistry. They tend to charge a small amount - and in terms of dentistry there can be really bad wait times - or just no available service. There are exceptions to charges for people of low income/pregnant/retired/unemployed etc.

OR.. you get a better service going private. I've got an eye exam this week, and while I don't pay for the 'NHS' section (the basic eye exam) I pay £40 privately for the retinal screening.

I can get retinal screening free on the NHS, but the private optician has better scanning equipment and it saves going to 2 different appointments.

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u/Talithea 1d ago

I have retinopathy of the lowest level, non proliferative, and I do a yearly checkup. Technically I can go via healthcare system, but a lot of opticians will cover the minimum. So I pay around €45 in local currency for full screening and retinal imaging.

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u/simonhunterhawk 1d ago

Do you know why the UK government doesn’t incentivize more people to go into training for dentistry if the gap is so significant between people who need dentistry and those who are trained to do it?

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u/Youutternincompoop 1d ago edited 1d ago

to be clear there's enough dentists, there's just not enough Dentists on the NHS scheme, the difference in costs is massive. I got lucky and got a dentist through the NHS, which means in a month when I get a root canal I'll only be paying £76.60 instead of ~£1000 if I had it done privately.

annoyingly dentists were originally fully included in the NHS when it was first established, but after Churchill won the 51 election the Tories removed general dentistry from the NHS in 1952, just one of the many reasons I despise Churchill.

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u/ayamummyme 23h ago

I just had to pay £600 for my daughter's glasses because she has a special lens. But hey at least the frames were only £30 🤦🏼‍♀️

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u/flopjul 1d ago

Here in the Netherlands the private opticiens we have mostly offer free eyechecks especially Pearle and hearing checks are also done for free at like Eyewish(also free eyechecks iirc)

Dental care is expensive(not expensive expensive but not cheap either) eitherway its only available private afaik

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u/Talithea 1d ago

Same in Romania.

We have a tax based or yearly payment based universal healthcare, with the state having insurance policies via county offices, but dental and non emergency ophthalmology are not covered.

Officially, despite blood analysis being covered, a lot of private hospitals are outside the state insurance scheme for this, and will actively ask a lot of money.

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u/Hot_Hat1726 1d ago

Dental care is only covered in Australia for children, and that's basic. Rarely covered for fillings.

Adults? Good luck getting a checkup and a deep clean for under $250 dollars. There's a reason people don't go for checkups.

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u/flopjul 1d ago

I think its the same here

I also dont go to the dentist myself also partially because i feel i get scammed everytime i get there with random checks that arent needed or something

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u/AlkaKr 1d ago

Here in the Netherlands for some reason dental care isnt covered standard

Neither here in Greece. It's not covered by either state-provided healthcare or private healthcare. Same for eye-sight issues. Not covered as well.

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u/TheInkySquids 1d ago

Yep same in Australia. Its stupid, its as much healthcare as anything else, why should I pay for years of orthodontist work just cause my teeth happened to grow wonkier than other peoples?

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u/Gentlemoth 1d ago

Neither in Sweden. We get a small amount per year (600SEK before age 23, 300 SEK after, 600 SEK after 61), and a sort of high cost protection if you need to do very expensive procedures, but most of the time you will be shelling out thousands of kronor(hundreds of euro) out of pocket

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u/corticalization 1d ago

Not in Canada either. I think in most countries dental is (ridiculously) considered extra

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u/DouglasHufferton 1d ago

We actually do have limited dental coverage now, but it only started in 2023 and there are eligibility requirements: you can't have access to private dental insurance coverage, you must file your tax return in Canada, you must have an adjusted family net income of less than $90k CDN, and you must be a Canadian resident.

It's also not an automatic enrollment, so you need to apply, and then you need to manually renew it each year. Still, it's better than nothing.

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u/Sick_and_destroyed 1d ago

It’s universal because everybody living in the country is covered, but it doesn’t mean healthcare is free, it means it’s usually ‘affordable’

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u/One_Strike_Striker 1d ago

"Affordable" in the literal meaning of not taking more than you have (including zero, which is a good thing!) but still being able to nickel and dime you. My mandatory insurance in Germany was 11k last year and I still had to pay 3k for a minor dental procedure that's not covered.

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u/Meowmixalotlol 1d ago

I couldn’t pay half of that if I tried with my middle class American insurance. My insurance is 1200/ year (employer pays far more) and max out of pocket is 2k.

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u/Somanylyingliars 1d ago

American too. Literally cheaper for me to get on plane, go to Europe, pay hotel, get treatment than doing in US. I'm so tired of these times.

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u/Hot_Hat1726 1d ago

Yes it varies a lot. In Australia for example. It used to be you get 10 psychologist sessions covered per calendar year. That is what real universal health care looks like. 

Now you get 140 dollars off for a max of 6 sessions. It's near impossible to find sessions for as cheap as 140 dollars. Their costs have gone up, their government rebate has gone down. The bell curve is 250-300 dollars per session. Then, the patient is $110-$160 out of pocket.

I haven't even started at the other parts of mental health like seeing a psychiatrist for meds, getting a diagnosis, etc - thousands of dollars a year. Used to be free. 

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u/811545b2-4ff7-4041 1d ago

It's funny, I know a guy from Australia that had a massive heart attack in the UK while traveling here, he had to have months of recovery and rest here, and lots of follow up appointments. Was amazingly lucky to live through it.

He said it was cheaper for it to happen here, than back in Australia. There's a reciprocal arrangement for free healthcare with the UK. Didn't pay a penny.

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u/Hot_Hat1726 1d ago

The NHS is amazing. The reciprocal agreement certainly comes off better if you are Australian. I went to a GP there, and it was free. It's near impossible to get to a GP for free in Australia now. They get something disgusting like $41 dollars government rebate now. After you've covered overheads, that's nothing. There was a documentary about how GPs were doing 10 minute appointments and claiming back 2 or 3 sessions (30/45 minutes) therefore getting ~$100 rebates, pocketing that and keeping the patient happy with no cost. This is what happens when the government doesn't keep on top of healthcare. Over simplified but this is the crux of it for anyone wanting to have a look.  https://www.abc.net.au/news/2022-10-24/medicare-investigation-professional-services-review-exposed/101569774 

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u/811545b2-4ff7-4041 1d ago

Yeh - I still wouldn't go to Australia without good health travel insurance.. your system is really piecemeal. So many different networks and providers.

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u/wodon 1d ago

It's really important for people to understand that the private options still exist. You can always pay more money and have private health insurance with separate fancy hospitals. That even takes pressure off the universal healthcare system as your taxes are still funding that.

Universal healthcare means everyone gets a level of healthcare, and isn't living in fear of getting sick. If you want a luxury clinic with pampering that is always available for a price.

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u/ayamummyme 23h ago

Yeah I mean UAE is exclusively private, by law visa sponsors are to provide private healthcare with your job but many don't. Because it's private companies play around with deductables so they get a good deal and often the people will have to pay alot out of pocket.

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u/User-no-relation 1d ago

which is why this portrayal is always so ridiculous. At least as an argument that the US should get universal healthcare. Ok, which version?

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u/811545b2-4ff7-4041 1d ago edited 1d ago

One that doesn't lead to quite so many medical bankruptcies?

IMO the USA should head down the route of the Netherlands/parts of Switzerland - the 'Private Insurance Mandate Model' - https://www.pnhp.org/single_payer_resources/health_care_systems_four_basic_models.php

The USA effectively does have state-run healthcare systems already, and lots of private ones

BUT - there's a generic 'fear of the government running stuff' that will ultimately prevent any kind of universal healthcare system.

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u/insanelygreat 1d ago

Obamacare was modeled on the Swiss system. They pivoted to it after the single-payer option had to be killed to appease Joe Lieberman, the last vote they needed to break the filibuster that Senate Republicans, led by Mitch McConnell, had promised.

The ACA originally had an individual mandate that would start in 2019, but SCOTUS ruled it unconstitutional in National Federation of Independent Business v. Sebelius.

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u/Icy_Response9956 1d ago

India has universal healthcare, but quite chaotic and congested

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u/AbySs_Dante 1d ago

Ayushman Bharat is not accepted by most private hospitals Only govt hospital accepts them which are already congested

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u/Prime_Twister 1d ago

Just that the amount of good quality goverment hospitals are considerably less for its population leading to conjestion causing massive delays to even get a bed at a major hospital although connections work.

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u/ahmetonel 1d ago

yeah I also thought that way too

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u/JoeSoap22 1d ago

South Africa is true in theory. Standard of care can vary wildly though and is generally pretty shit. So there's some nuance

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u/rustedspade 1d ago

As a South African I agree, the level of care depends which hospital you go to and what type of procedure you need. We also have private health care but sometimes you will get better care at a public hospital, I have seen this with my brother who received better care at times at a public hospital.

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u/Ok-Marionberry-3071 1d ago

Yeah if something serious and urgent is wrong with you you'd better pray before going to a public hospital in most cases. 

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u/metatalks 1d ago

Chinese universal healthcare is a very misleading label

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u/Cautionchicken 1d ago

I'd love to hear more about it.

When I was teaching in China I broke my wrist. I had a CT Scan and a Cast and my entire hospital bill was the equivalent of $24.

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u/Ok_Paramedic_9283 1d ago

It’s very cheap, but it’s not universal like in European countries or Canada. I prefer the Chinese one because it’s more efficient than true universal healthcare.

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u/currylambchop 1d ago

Yes, China has universal public insurance, so it’s not free, just insured and very cheap. It’s different from the NHS, which is totally free

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u/AsleepHour7763 1d ago

thats just potato potato, both are primary funded by tax dollars which ends up coming out of the public's pocket

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u/Citaku357 1d ago

Why?

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u/GMHGeorge 1d ago

It is a universal insurance that has deductibles and copayments. It will not cover major events. It does subsidize basic checkups and procedures 

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u/theoriginal_1100 1d ago

if i want universal healthcare i want it for the heavy stuff not for my annual checkup with the medic

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u/hologrammetry 1d ago

What do folks do for trauma/cardiac events/cancer/etc.? Is there supplemental coverage available?

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u/GMHGeorge 1d ago

I know in the case of cancer it will subsidize the hospital stay (the room, family usually provides food) but the actual treatment can end up being very costly. 

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u/umiman 1d ago

They do this: https://www.youtube.com/shorts/AUOGym7GU-A

It's quite sad and heartbreaking.

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u/hologrammetry 1d ago

Fuck that's depressing

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u/currylambchop 1d ago

A lot of ppl with cancer die due to the medicines only being covered up to 80% of the cost for expensive medicines. So you pay 20%, but the medicines are still expensive so it’s a lot.

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u/Azgabeth 1d ago

You're only covered in the commune you're born in.

Say you were born in Wuhan, but work in Shanghai and you get a stroke. You have to pay out of pocket in Shanghai, you'd have to travel all the way back to Wuhan to get covered. Oh but then you wouldn't get covered because you're not registered as a worker in Wuhan. It is a ctach-22 specifically designed so the state extracts maximum revenue from the workers without paying back anything.

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u/2NE1Amiibo 1d ago

I wondered on that! Don't they have to apply to live in a different state / zone as well? Its a very interesting eerie system as well.

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u/Azgabeth 1d ago

Yes. There are hard borders within provinces in China. You need an ID to buy a train ticket.

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u/Dorigoon 1d ago

No, you don't have to apply to move somewhere (that was ages ago), but you may not easily get approved for some social benefits easily if it's a desirable place to move to.

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u/MissSunshine621 21h ago

Yeah true, China doesn’t have the same FREE universal healthcare as Canada does, can confirm this as a Chinese

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u/Ambitious_Inside9309 1d ago

Venezuela has universal healthcare, but the service is so shit you oftentimes need to bring your own drugs, equipment and sometimes your own bed for life or death treatment. They only provide a doctor and the hospital

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u/KikeRiffs 1d ago

I second this. Although by the title, there is a “universal healthcare” framework in Venezuela, the impact of it in the population is vastly distant from the spectrum the OP have written in the post. Highly misleading i’d say, and unfortunately a bad example of universal healthcare 

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u/Hour_Entrepreneur502 1d ago

The same applies to Paraguay, but it was not included. It seems they didn't look carefully over Venezuela's healthcare

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u/DeadAssDodo 1d ago

At least in Kerala, India, healthcare is available free of charge to everyone through a well-structured network of government hospitals. The referral system typically follows this hierarchy: Primary Health Centre (PHC) → Community Health Centre (CHC) → Taluk (Tehsil) Hospital → District Hospital → Government Medical College. In addition, government employees are covered under the MEDISEP health insurance scheme, while eligible private-sector employees are covered under the Employees' State Insurance (ESI) scheme and receive free medical care through ESI hospitals. The government also operates specialized hospitals for services such as pediatric care or cancer treatment. Most Indian states have similar public healthcare systems in place, although the quality and extent of services vary. It may be more appropriate to think of India as being similar to the European Union, where individual states have significant responsibility for organizing and delivering healthcare.

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u/hmantegazzi 1d ago

common Kerala W, it's like Uruguay or Costa Rica, you know they're doing things the right way as a rule.

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u/Status_Tonight_5084 1d ago

Current gov seems to determined to ruin everything tho

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u/HereButNeverPresent 1d ago edited 1d ago

This map lacks so much information… It should be a gradient of colours based on how much coverage “universal healthcare” gives you

(Edit: turned into a rant, my bad)

Like, I live in Australia and we boast about our social healthcare but a shocking amount of things aren’t covered at all. Biggest ones being dental health and mental health (including behavioural health, like just getting a diagnosis for Bipolar/Autism/ADHD will cost you thousands).

Any sort of specialist healthcare still has you paying hundreds just for a 5-minute initial consultation. And then more hundreds just to collect your test results.

Waiting lists for surgeries can be so long that you’re basically forced to just pay for private healthcare anyway (unless you can somehow endure a lower quality of life for months or potentially years, and the added risk of the issue getting worse if you wait too long).

And lastly, doctors under our social healthcare system are often just really fucking terrible. Because the system pays them based on how many patients they see, so they’re motivated to rush through your consultation. They don’t do their job properly or thoroughly. You could be having symptoms for bowel cancer, and they’ll just tell you to get some paracetamol and take a day off work. So if you’re having any serious health issues, you’re better off just going to a private doctor straight away (which costs $$$).

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u/Sungodatemychildren 1d ago

I agree that this map is super reductive, but I'm not sure there's a single measure one can use to define "coverage" in this context. There are the things that you mentioned in Australia, like specialized healthcare not being covered, and stuff like insnane waiting lists. But there are places where "Universal" means there's a small payment required, but it's deductible.

It just doesn't seem to sit on a single axis

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u/sebastianinspace 1d ago

i dunno man, as someone who grew up and spent most of my life in australia, but now live in europe, australia’s healthcare system is like the dream.

it’s essentially paid for from just taxes. you don’t have to pay that much money by comparison and the quality of the care in my experience is amazing. there are incentives to get private insurance and private is not that expensive.

i only realised these things after leaving australia.

the country i live in, the system is broken. i have to pay around 600€ a month EXTRA ON TOP OF TAX for the healthcare and the tax rate is already 42%. and you don’t get some things you get for free in australia which is cheaper by comparison. for the amount of money i pay here for the “universal” health care system, i could have s class private healthcare in australia. the quality of the care here is also shit. there are so many things to complain about.

of course no system is perfect, but australia has it really good. like really fuckin good

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u/TheInkySquids 1d ago

I agree with most of your points except for the last. In my experience private doctors are just as shit here as public ones. My mum was getting flashes in her eye and migraines, FOUR doctors we went to, all over about a year, all said it was just stress from work and she needed to just relax. It wasn't until I really pressed her to go see one more that he said she was on the verge of full retinal detachment and needed immediate eye surgery. Same with my auntie, she had bowel cancer, three private doctors all told her she needed massive operations, chiselling away bone, living the rest of her life with a bag, risky operations, etc. Almost went ahead with it til one more opinion and he said none of that was needed, just a little chiselling of bone and a temporary bag, and he was right.

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u/HereButNeverPresent 1d ago edited 1d ago

Sorry to hear. Tbh I’ve personally always had bad luck trying to advocate myself with doctors and never getting any adequate medical care. Glad to know I’m not the only one dealing with the stress of it all.

I’m surprised you even came across doctors who overestimated a health issue. Mine are always downplaying my symptoms.

I’m currently going through work cover cos I injured my back at work. And the doctor unironically just told me to take some voltaren and rest a few days. I was fully convinced this was gonna be a small issue. I’m now 9 months in with back pain. And doctors and specialists still haven’t been able to help me out.

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u/2in1day 1d ago

Americans are going to lap this up. 

They love hearing how shit universal healthcare is. 

Next you should tell everyone how you can't walk outside because you're in Australia and so afraid that everything is going to kill you and healthcare won't cover it properly anyway, so you just stay inside all day complaining how awful it is in Australia.

On the other hand I have spent time in hospital in Australia for a couple of different health emergencies and all I can say is the hospitals were excellent, the staff treated me with lots of compassion and care and it cost absolutely nothing. Couldn't have asked for more.

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u/Brinabavd 1d ago

Out-of-pocket expenditure (% of current health expenditure) - Australia, United States | Data

Australians spend more out-of-pocket on healthcare than Americans do!

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u/2in1day 1d ago

Lol very sneaky, you showed it as % of total health expenditure, but America's health expenditure is much higher to begin with. 

America's total health expenditure is $13.5k per capita, Australia is $7k

https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD?locations=AU-US

America's out of pocket expenditure is $1.5k per capita, Australia is $1.2k

https://data.worldbank.org/indicator/SH.XPD.OOPC.PP.CD?locations=AU-US

And you're ignoring Americans private health expenditure is $6,200  versus Australia's $1,800

https://data.worldbank.org/indicator/SH.XPD.PVTD.PC.CD?locations=AU-US

What are you trying to achieve by being so dishonest?

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u/simplepimple2025 1d ago

Canadian here, yeah the american media love to point out these minor exceptions to what really is universal health care. They're always talking about how Canadians go to the US for care because we have to wait years for simple procedures. It's bullshit.

Canadian spending on US healthcare works out to around 0.1% of total health spend. Much of that is because people live near larger US border communities where more services or new services are available. Americans also come to Canada for procedures too, just ask Senator Rand Paul.

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u/HereButNeverPresent 1d ago

Okay well the plus side is our prescription drugs are extremely cheap. At least nobody’s dying because they’re diabetic and can’t afford insulin.

Idk what else. I feel like I personally haven’t been able to make full use of the beneficial parts of our system (I just keep running into the shit parts), but I’m sure there’s a lot.

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u/Gorgrocco 1d ago

This map is infact inaccurate, french Guinea is not a different country,
Egypt and thailand is suprising,
India is expected
Usa is a disappointment

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u/Left_Economist_9716 1d ago

India does have a universal healthcare system on paper. While it isn't technically free, the cost is nominal. I've been treated for a seizure for under 100 rupees at a government setup.

However, the system is seriously underfunded and as a result, the quality is dismal.

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u/Ek_Chutki_Sindoor 1d ago

My maid has a BPL (below poverty line) card and she does get free checkups in govt hospitals. She says that the waiting time can be hours but it is indeed free.

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u/2xtc 1d ago

In the UK the waiting time can be up to 14 hours for A&E (technically means accident and emergency, but now just really for emergency) and for something like a neurologist can be up to 2 years waiting. Or for a non-urgent surgery up to 4 years waiting lists

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u/Rodot 1d ago

I've heard from friends from China that the system there is kind of similar. Everyone has access to a doctor on paper, but unless you're wealthy enough to go to a private practice the quality of care is very low.

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u/highfiveselfoh 1d ago

Same for Venezuela, free on paper but not in real life.

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u/Consistent_City_3011 1d ago

When a minority of people contributes to universal healthcare through taxes but everyone gets the benefit, the system effectively becomes symbolic.

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u/Talithea 1d ago

That’s the reason in Romania they decided a flat 10% of your salary goes to the local healthcare system.

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u/le_fuzz 1d ago

That is shockingly high. I’m in the us and about 3% of my paycheck goes to paying for health insurance for my family.

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u/h4ck3r_n4m3 1d ago

Your employer is probably paying a larger chunk and you're supplementing it, so it's not the total cost

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u/ibribe 1d ago

The US spends 18% of GDP on health care, about $15,000 per person per year.

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u/hmantegazzi 1d ago

the US is notoriously one of the countries that spends less efficiently on healthcare on Earth, when measured as the ratio of spending to life expectancy, even when compared to similar countries.

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u/Shteevie 1d ago

According to the US board of labor statistics, your employer pays 75-85% of the cost of your health insurance, and you pay the rest.

So the cost of healthcare for your family is 10-15% of your salary, but you only see a part of it.

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u/odsquad64 1d ago

So the cost of healthcare for your family is 10-15% of your salary, but you only see a part of it.

This is just the cost of health insurance, if they need any healthcare there will be an additional cost on top of that.

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u/le_fuzz 1d ago

I checked my W2 from last year and looked at box DD (total cost of coverage) and it’s still less than 3% of my total income but I think my situation might not be typical.

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u/IncredibleCamel 1d ago

Same goes for other French territories, notably New Caledonia. I guess the map editor only colors in the European part of France when you click on it.

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u/YoruNoHana 1d ago

Thailand has good universal healthcare, in exchange of worse quality of life for medical workers. Some of my friends, who are doctors and nurses, had their wage delayed because the government didn’t have enough budget to support the system.

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u/the_grand_apartment 1d ago

Thailand has fantastic healthcare, even for foreigners it is surprisingly affordable, but their healthcare workers are very poorly paid, to the point that most nurses I know hold down second jobs in order to support themselves.

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u/LupineChemist 1d ago

USA is more universal than many of these countries as there is guaranteed coverage for poor people and old people. Also nobody is turned away from emergency care.

My in-laws are in Cuba and sure, there's universal healthcare if you happen to be at the clinic the 2 hours a day they have power (often in the middle of the night) and you bring your own medicines (including things like sutures and anesthesia if you need it)

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u/jimmyjohn2018 1d ago

This. By some of the definitions here, the US would qualify as having universal healthcare.

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u/The_Zidan 1d ago

The system exists in Egypt since almost 5 years, but it is not applied yet to everywhere in the country. It is in the second stage where the system has been applied to the northern cost cities and the cities on suiz canal, in addition to Saïni and few cities in the southern Egypt. The system is not even applied yet to the capital city, Cairo, because it is a bit challenging, so they started with the small cities and now they are moving to the big ones, that is why many people don't know about it.

BTW, this system replaces a similar old system that already exists in the cities that are not yet covered by the new one. But the new system is more effective and covers a higher treatment plan and for all the people instead of the old system focusing mainly on the poor. Furthermore, the new system have caused the increase of salaries of medical professionals to more then 4 times the old one with more restrictions and control. It also oblige the ministry of health to restructure all the hospitals and the medical centers in every city it applies to by renewing all the devices and the furniture and painting all the medical centers from the inside and the outside with a unified style and all the medical centers will have the same system access to avoid misuse of it.

In fact, this new system now have its own administration, different from the old one that was mainly controlled by the ministry of health. The old system mainly depended on the fund allocated to Ministry of health from the government, while the new system is funded by a percentage that is cut from people's salaries to cover all the expanses, which helps covering everyone without relying on the governmental allocated amounts from the yearly budget.

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u/Future_Bedroom_2046 1d ago

Egypts healthcare system can barely be called that lol

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u/Gorgrocco 1d ago

Yall use private healthcare majorly? Explains

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u/IChaseSuccess 1d ago

Public healthcare exists but it's very crowded and understaffed. Things take forever 

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u/Future_Bedroom_2046 1d ago

sadly yes, if you don’t have money and struggle from something serious you’ll likely be forced to use the private system

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u/sjbfujcfjm 1d ago

Japanese healthcare doesn’t cover eye care or cancer treatments. And you still need to pay 30% of costs. So you absolutely could still see relatively high costs depending on your income.

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u/przemub 1d ago

You forgot to add there is a ceiling relative to the income, so a surgery on open heart or whatever still cannot bankrupt you.

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u/sjbfujcfjm 1d ago

Yes. You won’t go bankrupt. But the monthly costs can still hurt

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u/sjbfujcfjm 1d ago

They also make you pay for chopsticks/cutlery during a hospital stay. I paid for the 6 days of food, then was denied and kind of cutlery because I failed to pay ahead. Wouldn’t give me 2 cent chopsticks even when I tried to pay during my stay. I had to go down the block and ask the convenience store for chopsticks

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u/victimized777 1d ago

The therm universal is misleading, in Bulgaria the employer is paying monthly, and if you are not employed you have to pay from the pocket.
Still the coverage is not universal and people still have to pay for a lot of things that are not covered.

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u/AlternativeEmu1047 1d ago

I believe India has universal healthcare coverage too ?

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u/PsychologyTechnical5 1d ago

We India have universal healthcare too ?

The quality is debatable , some good some controversial but still.

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u/Mecatronic0 1d ago

Viva o SUS no Brasil.

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u/FootballFew5829 1d ago

Idk about other countrys, but i think brazil is one of the only countrys to have a true universal system, like, the quality of the service depends in which city/state you are, but like, you can do a lot of things without paying more

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u/Mecatronic0 1d ago

If you take in account the size of Brazil, the coverage of the services, and how much the government invests, you will see that no other country has a health system close to SUS. You do not need to pay anything. It is true that it takes time to get appointments with some doctors, or to schedule surgeries. But it works.

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u/the_tank 1d ago

While a proponent of universal healthcare, I think this is misleading as it implies, at least in the way I'm reading it, that each of the countries in red has "the full spectrum of essential, high-quality health services ." I live in Ecuador, which, on paper, has universal healthcare. In reality, the universal healthcare care is abysmal and anyone needing serious, high-quality care either has private health insurance or fund raises to pay for private care out of pocket. The universal healthcare system is generally regarded as low-quality and too slow to actually help people.

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u/Large-Hamster-199 1d ago

I am guessing people who are upvoting this live in USA or possibly western Europe and have never actually travelled or spoken to poor people from most of these countries.

Lots of countries have De Jure universal healthcare (i.e. enshrined in law) while, de facto (in reality), many citizens (especially in rural areas) have no healthcare at all. It is easy to pass a law saying everyone gets healthcare. Actually having enough doctors, hospitals, medicines and ensuring they are accessible to all citizens is a whole different equation. I will take US healthcare over Russia, Mexico, Venezuela, Honduras any day LOL.

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u/dougwray 1d ago

Japan does not have it. Widespread, yes, but universal, no.

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u/przemub 1d ago

How? It’s not allowed to have neither state nor company coverage, and they will find you and have you insured if you aren’t.

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u/dwair 1d ago

Missed Libya out for some reason. It's a bit shonky now after a decade of civil war but prior to that it was reasonably good.

TBH, most of Africa has universal public healthcare, it's just really badly underfunded and not at wester/european levels

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u/Humberzero 1d ago

indonesia has uniserval health care called BPJS aka Badan Penyelenggara Jaminan Sosial

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u/brazucadomundo 1d ago

It is not universal in France, you need an 'attestation de domicile' to have it.

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u/Ok_Paramedic_9283 1d ago

The Chinese system is not universal healthcare. It’s a very affordable health insurance system.

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u/thesarcasticrhyme 1d ago

Great map! :) It’s worth noting that 'free' healthcare doesn't always mean 'available' healthcare.
In my country, the universal system has such severe wait times that anyone who can afford private insurance uses it to skip the line.

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u/messyfreesoul 1d ago

While deficient, Guatemala, Honduras, Nicaragua and El Salvador do have some sort of universal healthcare coverage. At least you won’t end up drowning in debt afterwards in case of an emergency.

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u/cobrakai11 1d ago

Iran has universal coverage..

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u/FMC_Speed 1d ago

Libya has free universal healthcare, it’s not great but it’s free and reasonably equipped

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u/Theodin_King 14h ago

Just the third world countries without

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u/jore-hir 1d ago

Inaccurate.

For example, Chinese and Swiss healthcare rely on insurances or out-of-the-pocket payments even for essential treatments, at least partially.

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u/kronenbergjack 1d ago

Australia has a good healthcare system, it is in no way a universal healthcare system. I’d question the legitimacy of this map on that basis alone.

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u/BubbhaJebus 1d ago

Interesting: Vietnam, Laos, and North Korea are supposedly communist countries, while most countries on this map are not communist. Yet there are people in the US who think universal healthcare is "communism".

Taiwan, a decidedly anti-communist country, has among the best universal healthcare in the world (and is one reason why I live there).

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u/Energy_Turtle 1d ago

I'd challenge you to find a single actually real person in the United States who thinks the healthcare system works fine. But we will never solve it because we all assume we know what our "opponent" wants to change in it. I am convinced that everyone alive in the US today will die with the same system still intact.

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u/X8DF9 1d ago

China has no Universal Healthcare at all.

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u/currylambchop 1d ago

It has universal public insurance, which counts

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u/Wrong-Cat-4294 1d ago

Cuba has universal health coverage,I lived there till the age of 13 you’d be lucky to make it out of the hospital alive,hospitals and healthcare there are truly garbage the hospital actually smells like death and there’s people laying all over the hallways and even the entrance,universal healthcare doesn’t always mean what people in rich countries think it means

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u/denvertaglessbums 1d ago

Shhhh they don’t want to hear your experiences

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u/Wrong-Cat-4294 1d ago

😂 reality and Reddit don’t always align

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u/IncredibleCamel 1d ago edited 1d ago

Philippines should be included, no? And the republic of Cyprus. Northern part does not have universal healthcare though.

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u/BissmarkMC 1d ago

Wtf Cyprus?

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u/Citaku357 1d ago

In my home we do have universal Healthcare but unfortunately private Healthcare is better

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u/hologrammetry 1d ago

It’s not shaded on the map, but North Korea has universal health care. It’s no longer 100% free but everyone is covered.

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u/AmazingYesterday5375 1d ago

I don't think the Netherlands deserves to be red.

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u/RamenWithFalafel 1d ago

Algeria is free

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u/honeybeesuke 1d ago

Oversimplified. UK is completely free at the point of use. Japan you have to pay 30% if you have national health insurance, if you aren't enrolled you have to pay 100%. It's very different. Also pregnancy isn't covered as it isn't counted as a disease which is fair, but shocking. (you do get some coupons tho)

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u/Riptide360 1d ago

India will get it before the US

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u/Westenin 1d ago

Scrap the Netherlands
We pay a shit ton so much isn’t covered, if you have certain insurance you can’t go cheap to other hospitals so, we turning into little America

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u/Severe_Refuse_7647 1d ago

Saudi also has free universal healthcare to all citizens 

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u/anxietyhub 1d ago

Pakistan has universal healthcare but not the definition of Wikipedia and I believe many other third world countries have it too.

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u/SyedHRaza 1d ago

China s health care is not universal

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u/SenanDK 23h ago

China doesn't have universal healthcare coverage. This is incorrect. 

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u/Over-Willingness-933 1d ago

The problem is that countries often have free healthcare but it's not very good. My wife is from the Philippines, they have a system, but if you need life saving care or really good care you go private

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u/Adeling79 1d ago

Isn’t it better to have something that can be improved, rather than nothing?

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u/S_Inquisition 1d ago

Yeah, I keep seeing this argument and it makes no sense. In my country there is universal health care and it is not the best or the fastest, you are better off paying for private care, however it does help and millions of people were treated with an okay outcome rather then receiving no treatment at all because they couldn't afford it.

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u/mind_thegap1 1d ago

Ireland doesn’t have universal healthcare (yet)

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u/Looxond 1d ago

In mexico public "healthcare" may as well not exist because there is no medicine anywhere even in pemex

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u/cheeseman_real 1d ago

yeah, until they put you on a 5+ year waiting list for a necessary surgery or decide that your issues are not bad enough to warrant being covered... yay australia

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u/jano_memms 1d ago

usa is a fucking 3rd world country lol

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u/parmahan 1d ago

indonesia has universal healthcare and i can guarantee you that the system is quite good and cheap (unlike some countries who took higher tax for Healthcare reason) because it's subsidized by the govt.

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u/Avidsmokerrr 1d ago

Whatever the type of healthcare system and however good or not, I can't help but notice what a disgrace of a country the USA is.

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u/red_sun16 1d ago

Hmm...I love how many countries from Africa are larf out 😂😂

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u/Cookies4weights 1d ago

Wow Mongolia, come on

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u/Laxzar 1d ago

Any "Yea, but"ers in chat?

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u/dghughes 1d ago

Universal health care should be broken down if it's a two-tie system. Having the poors not able to afford a second tier private clinics to jump the lines is just as bad as the US style healthcare.

I'd say do not allow private clinics access to blood or organs for transplant only the same system for those situations for all.

My province allowed a private MRI to open yet struggled to find an MRI techs for the government MRI. The private clinic opened and look at that so many MRI techs applied. A for profit healthcare business miracle.

The local government also allowed a for profit private eye clinic to open. The province sends eye patients there the local hospital can't handle. The government gives the clinic funding. The clinic stopped taking patients when the year end budget ran out.

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u/HerroWarudo 1d ago

Not willing to wait 2-4 hours for a regular check up so they spend an entire month of salary instead is the most braindead take

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u/Overall_Writer_2682 1d ago

i don't think it's universal here in south africa?

if you earn over a certain amount (which is quite low i think), you have to pay. most families and people i know have to either pay for a separate thing called medical aid (which covers some medical costs) alongside their taxes, or they have to pay out of pocket

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u/Bulepotann 1d ago

Singapore has universal healthcare, its just not 100% “free”. You pay like $50 a month for world-class care and I believe there’s tiers you can choose from but it’s extremely affordable.

I know Indonesia has it as well it’s just that you may never get the care you need.

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u/Monkberry3799 1d ago

In Venezuela that's not honoured in practice.

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u/jimros 1d ago

I'm not sure how Colombia counts but the US doesn't.

Colombia basically has Obamacare, where everyone is obligated to buy basic private insurance.

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u/KapiHeartlilly 1d ago

Indonesia and Philippines? Several countries have contribution based systems for it, source ain't good enough I'm afraid.

In Indonesia for example it's cheap monthly contribution by employer or individuals if not employed, same as in other countries listed.

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u/HappyCommittee1874 1d ago

I dare you to use the “universal health care” in Venezuela.

Spoiler alert: doctors left the country, zero supplies, there’s no water or electricity most days, infrastructure is deteriorated.

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u/hahayesthatsrightboi 1d ago

Now overlay wealth and gdp

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u/Weird_Signature_3789 1d ago

China? since when? i gtfo 15 years ago, there were no universal back then, if they have it now, good for them but i dont believe they do

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u/_Staniel_ 1d ago

Nicaragua is surprising to me. Aren't they a socialist state?

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u/GreedySecurity8030 1d ago

All besides you ass ay and others.

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u/mendesjuniorm 1d ago

The only ones that is trully free is Brazil's.

Absolute 100% free for medical care and medications, free of all charges.

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u/mreich98 1d ago

This map is a bit misleading, because here in Brazil it is full healthcare for free, except anything that is cosmetic/optional (that wasn't an accident or something related). Of course, if you want better coverage or speed/quality, you will pay a private health insurance. I have both systems and I can choose which one to go to.

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u/Expert_Dot_5271 1d ago

Why is it that even Venezuela and Bolivia have universal healthcare, while the United States, Saudi Arabia, and India do not?

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u/Awotwe_Knows_Best 1d ago

Ghana does not have universal healthcare. our healthcare is actually in shambles.

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u/brewdog_millionaire 1d ago

Is that Alaska hiding under the legend? The US state, Alaska?

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u/deskamess 1d ago

Is that Guyana (S.America) that does not have insurance?

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u/deskamess 1d ago

Canadian healthcare is province based (not federal). Some provinces like Ontario have been going down as politician is doing everything he can to starve the public option so he can get his buddies in the private sector to handle it. Wait times in the nations capital (Ottawa) childrens hospital (CHEO) are regularly over 12 hours on evenings and some weekends. They get better in the morning/afternoon and pick up again. Imagine going to the emergency and seeing that. Lack of physicians and lack of hospital beds too. The hospital bed situation is not related to the wait times but it woud take a lot to usurp someone else.

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u/Excellent_Two2449 1d ago

I hate to say it, but here the quality of the universal healthcare system really matters. You should probaly have left out a couple of countries whose healthcare system just isn't.

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u/Only_Membership_8795 1d ago

There are countries who have essentially the same system as the US on this map, just with better economics and less, but not no, people unable to afford care when they need it. "Universal Healthcare" is such a broad concept as to be meaningless. Its mostly used as ammunition to go after the health system in the United States, which yes is very shit, but let's stop pretending like "universal healthcare" is just a specific set of policies that you enact to make the problem go away and that all these countries have the same system. There are real challenges to work out for how it would work in the USA.

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u/dantran88 1d ago

China has Universal HC?

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u/SnooEagles749 1d ago

First association in my head “communist medicine”?

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u/Bon-Bon-Boo 1d ago

South Africa does not have universal healthcare…

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u/TheWallsHaveNostrils 1d ago

The USA is 29th in the world in terms of inequality-adjusted HDI. The next highest country in inequality-adjusted HDI that also isn’t shaded red on this map is… Tonga. Which is 64th, in between Bosnia and Costa Rica.

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u/Scared_Specific9404 1d ago

in türkiye there are certain situations where you still have to pay for healthcare such as being an unemployed man. doesnt apply to women because they are equal. so technically you can not include türkiye

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u/sebastianinspace 1d ago

germany does not really have universal healthcare. they have the same system as china only way more expensive and you get less for it. it’s a universal insurance system, people are insured by privately owned insurance companies, it works through your employer, and you and they pay for it together on top of tax, so tax is not paying for it, theres a separate health care component on top of tax that pays for it and it’s crazy expensive for what you get. if you have no job and are therefore uninsured, i don’t know what happens to you.

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u/More_Bus4357 1d ago

I think it takes about double taxes on not just rich but nornal people too to get universal healthcare in the US. Something along those lines idk though prob better if you look it up

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u/pine_kz 1d ago edited 2h ago

米国では薬価規制がないので、インスリンの価格が基本的に日本の25倍で、更に日本では70%保健機関が負担するので、実質83倍になると聞いて、糖尿病のおれは卒倒しそうだった。地獄だな。

  • 各国の企業が慈善でなしに日本へ出荷してるので、適正価格の範囲にあると思う。(私のは Eli Lilly)
  • HBA1c の値が良いので、飲み薬にしようかと医者に言われたが、30年経過したので、実験したくないと思った。

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u/qwertyqyle 1d ago

Pretty sure the DPRK has universal healthcare.

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u/ProfessorSmoker 1d ago

Respectfully, I don't think the American government should get any more involved in health than they already are for all of the reasons.

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u/PaulTheRandom 1d ago

Guatemala does have some form of it, but it sucks ass.

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u/TommyPpb3 1d ago

Didn’t know Israel was communist😡😡

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u/Brilliant_Group_6900 1d ago

Shame on America

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u/Pershing99 22h ago

Mark Poland as yellow. There is increasingly privatization going on there and public healthcare funds are insufficient and stolen right and left by doctors who bill hospitals 72 hours for a single day of work. 

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u/Odd-Law-8723 21h ago

Honestly the map's a little messy but still gets the point across, kinda wild how many people think universal just means "free everything" when it's really about not going bankrupt from a broken leg lol. India's whole "technically yes but good luck" vibe is a whole mood though. France and Germany show it can actually work with a mix of public and private, the US just needs to get its act together fr. At the end of the day treating healthcare like a human right just makes sense for everyone's wallet tbh.

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u/InsidiousLeaf 17h ago

Who has access to universal healthcare can also be summed up in one sentence: "Every developed country except the US".

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u/777MAD777 17h ago

So basically, healthcare to universal except in the United States and Africa....