In the first section of a three part series looking at health care reform, this segment analyzes a brief history of healthcare, a comparison of selected health care systems in the world, and the ethical and moral basis for health care systems in the respective countries. After analyzing the health care systems in England, France, and Germany, the ethical basis for health care in America will be established. It is important to analyze important paradigm shifts in healthcare as the latest is advent of employee sponsored healthcare. Without this advancement, it is very difficult for a majority of individuals to access healthcare because of its high, rising costs. Before getting into the ethical dimension of healthcare in America, the healthcare systems of the United Kingdom, France, and Germany will be analyzed in order to illustrate the driving force for healthcare in the respective countries. British citizens believe healthcare is a public service, French citizens believe in the concept of solidarité when thinking of healthcare reform, and German citizens believe healthcare is an inalienable right as it was given to them by Iron Chancellor. Furthermore, comparing health outcomes – life expectancy and infant mortality rates – and healthcare costs – as a percent of gross domestic product – will exemplify how these European countries have both better health outcomes and lower costs with universal healthcare. Finally, the ethical and moral basis for healthcare in the United Kingdom, France, and Germany will be used to analyze whether or not healthcare is considered a right in the United States
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