The contrasting policies of the UK and USA on healthcare have been a topic of key debate. For example, the following issues question the degree of accessibility for all UK and USA residents,
* Is the ability to pay or the necessity of treatment the fundamental factor for governments when deciding healthcare policies?
* Has inequality risen due to the implemented systems of health care?
* Is the coverage of health care reasonably equivalent across locations, regions, ethnic groups, age groups and gender groups?
Millions of people in both countries are unable to purchase costly private health insurance. The USA’s healthcare policy has some side effects that impact heavily on the lower classes. Due to the absence of a single payer healthcare system that would simultaneously regulate costs and reduce the deficit, the state government are faced with few options due to the present state of the economy. Through unaffordable insurance premiums, the US government are inadvertently recouping the very equity that was introduced as the means to eradicate the poor from poverty. Furthermore, coverage of insurance is absent for about 17% of the population coexisting with the upper class healthcare spending despite the Patient Protection and Affordable Care Act (PPACA), which aims to make healthcare available. Thus the US healthcare system acts as an additional cornerstone in the growing topic of American inequality.
An alternative issue, prevalent in the UK is of quality and quantity conflicts between different districts in the country. This is due to socio-economic divisions – inevitably urban areas will receive greater quality. This results from indicators such as waiting time scrutinized much more but also the function of the greater, outside, private health care, competition. A sub-factor of this issue is that once funds reach the hospital, the head GP is the agent for allocating resources.