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USACARE: A National Health Insurance Strategy for the U.S.A..

USA CARE.A National Health Insurance Strategy for the U.S.A. combines what the author, Australian Dr. Peter Botsman, considers the best and most adaptable elements of the Canadian and Australian national health insurance systems and applies them to the United States.

It has been written as a "can-do" manual and policy discussion starter. By plunging into the basic issues of implementation it is hoped that American health reformers will learn more about the Australian and Canadian health systems than through a comparative analysis of national health insurance systems.

The Australian experience offers many lessons. Like Canada, it is a virtual laboratory of national health insurance for the United States. If Canada is the founder of national health insurance and long-time experimenter, Australia's experience is one of contemporary implementation "against the odds."

The Australian case shows how it can be done. Implementing national health insurance there was an extraordinary uphill political battle, with almost as many difficulties as in the United States. However, after implementing national health insurance in 1974 under the Whitlam government, scrapping it in 1975 under the Fraser government, and implementing it again in 1984 under the Hawke government, most Australians are now converts to national health insurance.

A recent 1991 poll indicated that 7 in 10 Australians favor the existing system. The future task is to build on the strong foundations of national health insurance that have finally been created.
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No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1992 Gale, Cengage Learning. All rights reserved.

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Publication:Health Care Financing Review
Article Type:Book Review
Date:Dec 22, 1992
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