Healthcare in Cartadania
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Healthcare in Cartadania and the Cartadanian health care system is, by law, one of universal health care. Funded through a combination of robust government national health insurance and a mixed public-private framework, Cartadania's healthcare system is designed to provide universal coverage. It ranks among the world's best healthcare systems, typicall placing around second place on the World Health Organization's global assessments, just after Burgundie. Financially, the federal government allocates 6.71% of its GDP to healthcare and human services, with an annual budget surpassing $1.9 trillion, accounting for approximately 21% of the federal budget. This significant investment ensures that nearly 75% of healthcare expenditures are covered by government-funded agencies. Healthcare in Cartadania extends to all, including those grappling with chronic conditions, such as cancer, AIDS, or cystic fibrosis, who receive their care free of charge. Strong dedication to healthcare, reflected in high life expectancies and a low stillbirth rate, places Cartadania among the world's leaders in healthcare provision and outcomes.
On average, life expectancy at birth reaches a lengthy 81.87 years for men and 86.51 years for women, ranking among the highest worldwide. However, this remarkable longevity is paired with a consistently low fertility rate, standing at 1.71 children per woman in 2030, remaining below the replacement rate of 2.1 since 1973. In this context, women in Cartadania tend to embrace motherhood at a later age, with the mean age at first live birth recorded as 28.2 in 2030. Moreover, Cartadania's healthcare system excels in maternal care, as evidenced by its lowest stillbirth rate among occidental countries, a testament to its dedication to safeguarding the health of both mothers and infants.
General physicians, primarily in private practice, derive their income from public insurance funds. Notably, these insurance funds are under government oversight, responsible for managing financial and operational aspects, including setting income-based premium levels and determining reimbursement rates for healthcare services. Within this framework, Cartadania boasts a diverse healthcare infrastructure comprising public hospitals, non-profit independent hospitals with affiliations to the public system, and privately-run for-profit hospitals, all working in tandem to ensure comprehensive healthcare coverage.
History
18th century
19th century
20th century
Present
Healthcare system
Quality
Hospital system
There is roughly an even split between public hospitals, non-profit independent hospitals (which are linked to the public system), while private for-profit hospitals tend to be fewer. In the nation's western Urban agglomeration, the dominant non-profit hospital group is the Ivy Health System, which is the parent organization to the country's top two hospitals–Ivy West Sierra Memorial Hospital and Ivy Alahuela Medical Center.
Some states also have very high performing hospital systems, such as Lombardia. In terms of public hospitals, Lombardia has the best hospital system in Cartadania. Lombardia itself contributes an additional amount of funding to the health fund in the state. Lombardia extends base coverages for healthcare for all residents, with even more extensions for pediatric healthcare, making it one of the best states to live in regarding coverages. And in accordance with the Lombard Health Millennium Initiative (LOHMI), no person in the commonwealth lives more than 45 minutes from a health facility that can treat the most common ailments. Higher profile cases may be further away as the state's level 1 trauma centers tend to be concentrated around population centers. Each state has its own requirements for health facilities, but trends to be similar in more populous states, while small states typically have hospitals clustered around their capital and/or largest city.
Emergency medicine
Emergency medical services in Cartadania are provided by a mix of organizations under public health control. The central organizations that provide these services are known as a SAMU, which stands for Serviço de Assistência Médica Urgente (Urgent Medical Aid Service). Local SAMU organisations operate the control rooms that answer emergency calls and dispatch medical responders. They also operate the SMUR (Serviço Móvel de Emergência e Reanimação – Mobile Emergency and Resuscitation Service), which refers to the ambulances and response vehicles that provide advanced medical care. Other ambulances and response vehicles are provided by the fire services and private ambulance services.
The primary emergency telephone number for emergency medical service in is 911, part of the N11 number set, and emergency medical service is always free of charge. First aid is provided by all the public hospitals: for urgent cases it is completely free of charge for everyone (even for an undocumented non-citizen), while a copay (about $35) is sometimes asked for non-urgent cases.