Because of this "exceptional " and the problems of the American health insurance system , the past two decades more people demanded reform that has become a hot topic and objectives of the Government 's previous U.S. presidential campaign . American political and cultural reasons , the majority of ordinary people are looking forward to the U.S. national health insurance system seems still very far away. In order to suppress the increasingly unaffordable health care costs rise and some shortcomings of the existing system , the existing health insurance in the United States still had to try a lot of institutional reform . One of the fastest growing and progressive parties to Medicare -approved health insurance approach is the so-called managed care .

Managed health care although these advantages , but its development process is not smooth , has been , especially in the medical community criticized from all sides , or even a boycott. But in the end through constant practice and perfect for people accepted and recognized , the United States has become the dominant form of health insurance . By 1999 , only 8 percent of U.S. employers are still using the traditional way of Medicare reimbursement formula . National social health insurance , and most commercial insurance also have adopted the managed care or similar technology , to 50 % of revenue in 1999 from a managed care physician (Insurance ) . Managed care ( Insurance ) compared with traditional health insurance , general insurance premiums can be reduced by 10-20% .

A few examples : an American woman because of coverage in the country , had to go to neighboring Canada posing as a Canadian acquaintance of his wife , got free treatment in Canada ( of course, this in itself is illegal ) ; an American strong man in the UK during the tour , a sprained shoulder , hospitalizations in the United Kingdom , hospitalization fee waiver , only spent $ 10 to open thirty tablets ( the same medicine in China in the hospital , I do not know whether to buy $ 10 ) ; French pregnant women period can not only enjoy the extra paid holiday, care workers can get free professional help ; British patients in public hospitals even have a special window forward to see the doctor issuing return toll , and this window is also the only hospital with money dealing place. Many Americans in the United States because of coverage , but made a special trip to emigrate to these countries .

National implementation of universal free medical care , you can find a few intriguing pattern: the patients do not have any money to the hospital , the doctors do not say medical costs, throughout the hospital and no special fee window. Doctors believe that ethics and patient medicine , doctors are only trying to patients promising disease, both lines of its duty, efficiency and quality of health care are high, there is no medical representatives to pay commercial bribes to doctors, no hospitals gathered together to defraud Medicare enrollee health care costs , no drug prices artificially high , the phenomenon of coverage will not be poor ; patient to see a doctor at no cost, low income does not mean that the doctor because of the high reputation of a good reward for those countries paid doctors .