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Health care in the United Kingdom and Luxembourg

1. Financing of the system. . A. United Kingdom. NHS, with free access to health care for every resident in Britain8% of the population use private health care50% of public expenses used for health care. A. United Kingdom. Financing:82% general taxes12,2 % National Insurance contributions by wor

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Health care in the United Kingdom and Luxembourg

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    1. Health care in the United Kingdom and Luxembourg

    2. 1. Financing of the system

    3. A. United Kingdom NHS, with free access to health care for every resident in Britain 8% of the population use private health care 50% of public expenses used for health care

    4. A. United Kingdom Financing: 82% general taxes 12,2 % National Insurance contributions by workers 2-2,3% non-reimbursed services Remaining covered by donations

    7. B. Luxembourg compulsory health insurance in Luxembourg for every citizen who is professionally active spouse/ and children are automatically covered 99% of the population are covered

    8. B. Luxembourg Financing: 30% worker‘s contribution 30% employer‘s contribution 40% state‘s contribution

    9. Health spending related to GDP across OECD 2006

    10. Health spending per citizen across OECD 2006

    11. B. Luxembourg Management of health insurance collectively assumed by: 9 sickness funds Union of sickness funds chaired by representatives of the unions, the body of employers and the State Has to balance its budget

    12. Practical issue: In Luxembourg, employers deduct a certain percentage of their employee‘s salary to pay the health care contribution of the latter directly

    13. These percentages are: 8% for pension insurance 0,48-5,92% (depending on risk) for accident insurance (accidents at or travelling from/to work) 3,05% for health insurance 0,11% for occupational medecine

    14. 2. Health care providers

    15. A. United Kingdom doctors and other health professionals are employees of the NHS Registration with a GP Free access to primary care Referral to specialist and hospital care (gate-keeper system)

    16. A. United Kingdom Free of charge (with exceptions) National and regional planification

    17. B. Luxembourg Free access to any doctor and any speciality Compulsory provider compliance with fixed fee-for-service, annually negotioated by the social partners (union of sickness funds, doctors and other medical professionals)

    18. B. Luxembourg „conventionnement obligatoire“: doctors only needapproval of their diploma to able to work for the welfare system No planification possible, no legal means to limit the volume of medical activity

    19. B. Luxembourg Physicians are self-employed and work in private practices

    20. 3. Efficiency of the Luxembourg health system in regard to vaccination

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