Representative Mark Larson, the original sponsor of the legislation, described Green Mountain Care`s provisions as “as close as possible to the single payer] at the state level.” [116] [117] Vermont abandoned the plan in 2014 and felt that the costs and tax increases were too high to be implemented. [118] Several referendums and bills have been proposed by states, but with the exception of Vermont, all have failed. [76] In December 2014, Vermont announced its health care plan with a single taxpayer. [77] South Korea once had a universal social security health system, with several costs, such as in countries such as Japan and Germany, with health societies supplying the entire population. Prior to 1977, the country had voluntary private health insurance, but reforms initiated in 1977 resulted in general coverage in 1989. [25] In 2000, a major health funding reform merged all medical companies with the National Health Insurance Service. This new service became in 2004 a health system with only one payer. [26] Contrary to the usual use of the term, some authors describe all public sector-managed systems as “deposit plans,” and others have all health systems designed to cover the entire population, such as coupon plans, known as “deposit plans,” although these uses generally do not meet the strict definitions of the term. [12] Many nations around the world have health insurance programs for depositors. These programs generally offer a form of universal health care that is implemented in different ways. In some cases, doctors are employed and hospitals are run by the government. B, for example in the UK or Spain.

[13] [14] Alternatively, the government can purchase health care from outside organizations, such as. B the approach taken in Canada. Health care in the UK is decentralised, meaning that England, Scotland, Wales and Northern Ireland all have a publicly funded private health care system, commonly referred to as the National Health Service (NHS). For public or public providers, this is also part of the “Beveridge” model of health systems, which are sometimes considered depositors and have relatively little private participation compared to other universal systems. The diversity of policies and priorities in each country has led to a multitude of differences between systems. [29] [30] Nevertheless, each country offers all permanent residents of the United Kingdom free public health care at the time of use and paid for by general taxation. Canada, a single-payer system, tends to have the longest wait times in this study and in others; the subject has become a growing concern for the legislator there. However, Commonwealth Fund data indicate that long wait times are not systemic for single-payer systems.