Social health insurance: further options for Ireland

Abstract

This Report, Social Health Insurance: Further Options for Ireland, follows the landmark Report Social Health Insurance: Options for Ireland \npublished by The Adelaide Hospital Society in November 2006. \nThe financing of healthcare is the most fundamental mechanism of any healthcare system and, therefore, reform of the financial \narrangements is the key lever to use in affecting how any health system performs. This is now increasingly recognised in public debate \nconcerning the crisis-laden Irish healthcare system. Many now advocate a comprehensive compulsory social health insurance system \ncarefully designed to meet clear objectives of equal treatment for equal need and so ending the current unacceptable ‘two-tier’ \narrangements. \nThe concept and practice of Social Health Insurance (often loosely referred to as “Universal Health Insurance”) is a central issue in the \ncurrent major debate concerning the reform of the health system in the United States of America. Leading contenders for the Presidency \nare now advocating Universal Health Insurance based solutions. Of course, Social Health Insurance has underpinned the health systems \nof many European Union countries providing more effective and less costly healthcare than that which obtains in the USA.

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