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A legal perspective on tax-based versus insurance-based healthcare systems: comparing England and the Netherlands

In: The Law and Policy of Healthcare Financing

Author

Listed:
  • Jos Boertjens
  • Mary Guy

Abstract

In this chapter the authors compare the health care systems of England and the Netherlands with respect to contracting, accountability frameworks and the duty to provide care and access to health care. The objectives of contracting are different in these two countries. While in the Netherlands contracting is envisaged to promote efficiency and quality, contracting in England appears to set a minimum requirement. Under the Dutch system, the insurer must fulfill its duty to provide care. In England it is difficult to hold any party accountable for ensuring that patients receive necessary care. Various types of co-payments and out-of-pocket charges occur in both England and the Netherlands. In both countries personal care budgets exist to put patients in charge of their own budgets.

Suggested Citation

  • Jos Boertjens & Mary Guy, 2019. "A legal perspective on tax-based versus insurance-based healthcare systems: comparing England and the Netherlands," Chapters, in: Wolf Sauter & Jos Boertjens & Johan van Manen & Misja Mikkers (ed.), The Law and Policy of Healthcare Financing, chapter 3, pages 62-82, Edward Elgar Publishing.
    • Handle: RePEc:elg:eechap:18153_3
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