Markdown
Health Insurance Systems - Markdown
Health insurance systems are social institutions designed to reduce citizens' medical expenses and ensure access to healthcare services. They are classified into four major types: the Beveridge Model (national health service), Bismarck Model (social health insurance), National Health Insurance Model, and Out-of-Pocket Model. Each country designs its system according to its national circumstances. Japan adopts the Bismarck Model, achieving universal health coverage through a three-tier structure of employee health insurance, national health insurance, and late-stage elderly medical care system.
health insurance
social security
healthcare system
universal health coverage
medical insurance
social insurance
healthcare costs
| code | slug | name | description | coverageRate | examples | fundingSource | originCountry |
| --- | --- | --- | --- | --- | --- | --- | --- |
| 01 | beveridge-model | Beveridge Model (National Health Service) | A healthcare model where the government provides and operates healthcare through tax revenue. | 99-100% | ["UK","Spain","Sweden","Norway","New Zealand","Cuba","Hong Kong"] | General taxation | United Kingdom |
| 02 | bismarck-model | Bismarck Model (Social Health Insurance) | A social insurance model where employers and employees share insurance premium contributions. | 85-99% | ["Germany","Japan","France","Netherlands","Belgium","Switzerland"] | Employer and employee contributions (payroll deductions) | Germany |
| 03 | national-health-insurance-model | National Health Insurance Model | A hybrid model where the government acts as the insurer while private providers deliver services. | 99-100% | ["Canada","Taiwan","South Korea","Australia"] | Government insurance program (taxes or premiums) | Canada |
| 04 | out-of-pocket-model | Out-of-Pocket Model (Market-Based) | A model without an organized system where individuals pay for healthcare directly. | Variable (often <50%) | ["Rural Africa","Rural India","Rural China","Cambodia","Burkina Faso"] | Individual direct payment | N/A (Developing countries) |
| 05 | japan-employee-insurance | Japan: Employee Health Insurance (Occupational) | Japanese health insurance for employees of companies and organizations and their families. | 約60%(日本国内) | ["協会けんぽ","健康保険組合","共済組合","船員保険"] | Equal employer-employee contributions | Japan |
| 06 | japan-national-health-insurance | Japan: National Health Insurance (Regional) | Japan's regional health insurance for self-employed, farmers, and non-regular workers. | 約27%(日本国内) | ["市町村国保","国民健康保険組合"] | Household premiums (with national, prefectural, and municipal subsidies) | Japan |
| 07 | japan-late-stage-elderly | Japan: Late-Stage Elderly Healthcare System | Japanese healthcare system for individuals aged 75 and older. | 約16%(75歳以上の全員) | ["後期高齢者医療広域連合"] | Premiums (with support contributions and public funding) | Japan |
| 08 | uk-nhs | UK: NHS (National Health Service) | The world's largest publicly funded healthcare service established in 1948. | 99-100% | ["NHS England","NHS Scotland","NHS Wales","HSC Northern Ireland"] | General taxation and National Insurance contributions | United Kingdom |
| 09 | germany-gkv-pkv | Germany: GKV and PKV Dual System | Germany's healthcare system with coexisting statutory and private health insurance. | 99-100% | ["AOK","TK","Barmer","DAK-Gesundheit (GKV)","Allianz","AXA (PKV)"] | GKV: payroll deductions (employer-employee split) / PKV: individual premiums | Germany |
| 10 | us-mixed-system | USA: Mixed Healthcare System | A complex system with private insurance as the mainstay and government programs for specific populations. | 約92%(未加入者約8%) | ["Medicare","Medicaid","CHIP","VA","Employer-sponsored insurance","ACA Marketplace"] | Private premiums, government tax revenue, individual payments | United States |
| 11 | singapore-medisave | Singapore: Medisave System | A unique healthcare financing system centered on personal savings accounts. | 100%(Medishield Lifeは強制) | ["Medisave","Medishield Life","Medifund","Integrated Shield Plans"] | Personal savings (CPF), insurance premiums, government funds | Singapore |
| 12 | france-universal | France: Universal Health Coverage | France's social insurance system renowned for world's highest healthcare access. | 99-100% | ["CPAM","CMU-C","mutuelle"] | Social insurance contributions (payroll), general taxation | France |
| 13 | canada-medicare | Canada: Medicare System | A single-payer public health insurance system operated by provincial governments. | 99-100% | ["OHIP (Ontario)","MSP (British Columbia)","RAMQ (Quebec)","AHCIP (Alberta)"] | Provincial taxes and federal transfers | Canada |
| 14 | taiwan-nhi | Taiwan: National Health Insurance (NHI) | An efficient single-insurer healthcare system introduced in 1995. | 99%以上 | ["National Health Insurance Administration (NHIA)"] | Premiums (employer-employee split for workers), government subsidies, tobacco taxes | Taiwan |
| 15 | south-korea-nhis | South Korea: National Health Insurance | A system introduced in 1977 that achieved universal coverage by 1989. | 99-100% | ["National Health Insurance Service (NHIS)","Health Insurance Review and Assessment Service (HIRA)"] | Premiums (employer-employee split for workers), government subsidies | South Korea |
| 16 | australia-medicare | Australia: Medicare | A public health insurance scheme introduced in 1984. | 99-100% | ["Medicare","Medicare Levy Surcharge","Private Health Insurance Rebate"] | General taxation (Medicare levy) | Australia |
| 17 | netherlands-mandatory | Netherlands: Mandatory Private Insurance | A mandatory private insurance system introduced in 2006. | 99-100% | ["Zorgverzekeringswet (Zvw)","Zorginstituut Nederland"] | Individual premiums, income-related premiums, government subsidies | Netherlands |
| 18 | switzerland-mandatory | Switzerland: Mandatory Health Insurance | A mandatory private insurance system introduced in 1996. | 99-100% | ["KVG/LAMal","Swiss Federal Office of Public Health (FOPH)"] | Individual premiums, cantonal subsidies | Switzerland |
| 19 | sweden-regional | Sweden: Regional Public System | A tax-funded public healthcare system operated by regional governments. | 99-100% | ["Region Stockholm","Region Skane","Vastra Gotalandsregionen"] | County and municipal taxes, national subsidies | Sweden |
| 20 | private-supplementary | Private Health Insurance (Supplementary) | Private health insurance that supplements public health insurance. | 各国・各制度により異なる | ["Cancer insurance","Advanced medical care riders","Private hospital rooms","International health insurance"] | Individual premiums | Various countries |