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Healthcare in Kiravia: Difference between revisions
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''Local plague doctor → Mostly church and manorial institutions → Previous + growing number of independent/semi-public institutional hospitals → Kirosocialism, full state takeover → Reprivatisation. Some states have not fully reprivatised. Federal “Transitional Medicaid” is still in effect for unemployed and low-income people in certain states that aren’t handling the economic transition well. It is federally financed but administered by the states and gets cut more and more annually.'' | ''Local plague doctor → Mostly church and manorial institutions → Previous + growing number of independent/semi-public institutional hospitals → Kirosocialism, full state takeover → Reprivatisation. Some states have not fully reprivatised. Federal “Transitional Medicaid” is still in effect for unemployed and low-income people in certain states that aren’t handling the economic transition well. It is federally financed but administered by the states and gets cut more and more annually.'' | ||
Public financing of healthcare developed separately in the kirosocialist Kiravian Union and the Federalist rump state centred on [[Æonara]]. The [[ | Public financing of healthcare developed separately in the kirosocialist Kiravian Union and the Federalist rump state centred on [[Æonara]]. The [[Sydona Islands]] (which embraced the Kiravian Union but maintained a significant degree of autonomy in economic planning) were the first part of Kiravia to fully socialise the health system, with all health services provided by the People's Health Service, a government agency, and funded out of the general budget. In mainland Great Kirav and other territories under Kirosocialist rule, a single-payer finance model was adopted and hospitals were brought under state control (though in many cases not fully nationalised), but many *de facto* independent practitioners continued to operate, particularly outside of the cities, as nominal public contractors. | ||
In the Rump Republic, a Bismarckian healthcare regime was implemented in [YEAR]. | In the Rump Republic, a Bismarckian healthcare regime was implemented in [YEAR]. | ||
==Financing== | ==Financing== | ||
The public contribution to healthcare finance varies by federal subject, but generally speaking, different state and territorial governments will pay for different percentages of different classes of medical procedures/services. As an example, for an income-sufficient household in Hiterna, the state will cover 60% of the fee for primary care services, 35-55% of the fee for specialist services, and 25% of the fee for behavioural health services. The exact percentage covered for a particular service may vary according to the particulars of state policy and the nature of the service. Additional programmes may cover certain percentages of different allied health services and prescription drug costs, but few provide any form of public dental coverage. Most developed states have programmes to cover higher percentages of health costs for their low-income citizens, and may cover 100% of primary care services delivered at county health clinics for eligible patients. Some states have implemented universal catastrophic care schemes. Populous, highly developed coastal states tend to cover more health costs, while more sparsely populated, less-developed, and inland/island states and territories tend to cover less.<sup>[''this may not actually be true'']</sup> Some states, such as Fariva and | The public contribution to healthcare finance varies by federal subject, but generally speaking, different state and territorial governments will pay for different percentages of different classes of medical procedures/services. As an example, for an income-sufficient household in Hiterna, the state will cover 60% of the fee for primary care services, 35-55% of the fee for specialist services, and 25% of the fee for behavioural health services. The exact percentage covered for a particular service may vary according to the particulars of state policy and the nature of the service. Additional programmes may cover certain percentages of different allied health services and prescription drug costs, but few provide any form of public dental coverage. Most developed states have programmes to cover higher percentages of health costs for their low-income citizens, and may cover 100% of primary care services delivered at county health clinics for eligible patients. Some states have implemented universal catastrophic care schemes. Populous, highly developed coastal states tend to cover more health costs, while more sparsely populated, less-developed, and inland/island states and territories tend to cover less.<sup>[''this may not actually be true'']</sup> Some states, such as Fariva and Sydona, are moving towards statewide public health insurance to cover ~100% of costs for working households. | ||
The remainder of healthcare funding comes from private sources, including xyzlódrisāv (“health mutuals”), union- and employer-backed commercial health policies, individual supplemental insurance, and patients themselves. Xyzlódrisāv are non-profit mutual funds, the management of which is elected by and accountable to policyholders. | The remainder of healthcare funding comes from private sources, including xyzlódrisāv (“health mutuals”), union- and employer-backed commercial health policies, individual supplemental insurance, and patients themselves. Xyzlódrisāv are non-profit mutual funds, the management of which is elected by and accountable to policyholders. | ||