Is the UK celebrating NHS’s 70th birthday?

Last weekend, the United Kingdom’s National Health Service (NHS) turned 70.  NHS is a protocolical single payer system.  Whereas Canada is a single payer system, provinces rather than the federal government makes most decisions and providers (i.e., hospitals and physicians) are private, for-profit businesses.  In the Netherlands, on the other hand, both providers and health…

Health care in Peru

Located in South America, Peru is almost twice the size of Texas and has 31 million people.  About one third of these live along the coast, largely in Lima.  About half of the population–largely Amerinidan population–live in the Andean highlands, with the rest spread on the eastern slopes of the Andes and the adjoining rainforest. …

Innovation in small markets

The introduction of new treatment technologies typically occurs where there is a large market.  A lot of innovations are developed to treat disease that affect a large number of people in the developed world because the financial returns are large.  It is less likely to observe innovation in the treatment of rare diseases or diseases…

Does more spending improve outcomes?

A number of studies have claimed that increased health expenditures may result in no better, or even worse outcomes.  For instance, a paper by Fisher et al. (2003) looking at patients with acute myocardial infarction, colorectal cancer, or hip fracture finds that “Quality of care in higher-spending regions was no better on most measures and…