Final answer:
The main differences between Beveridge and Bismarck systems are the role of government in healthcare, the funding mechanisms, and the access to care provided. Beveridge is state-funded and universal, while Bismarck uses insurance plans and employer-employee contributions.
Step-by-step explanation:
The differences between the Beveridge and Bismarck systems include:
- The role of government: The Beveridge model, named after Sir William Beveridge, involves government ownership and control of the healthcare system, whereas the Bismarck model employs a multi-payer system where healthcare providers and insurers are usually private entities.
- Funding mechanisms: The Beveridge model is typically funded by taxes collected by the government. In contrast, the Bismarck model is funded through sickness funds, which are financed by employer and employee contributions.
- Access to care: In the Beveridge system, access to healthcare services is generally provided to all citizens and financed by the state, while the Bismarck system offers access through insurance plans, which can lead to variability in coverage.
While patient choice and competition exists in both systems, they manifest differently. In a Beveridge system, because the government controls healthcare, provider options can be limited, whereas the Bismarck system permits a wide range of insurers, but with risk selection that can affect individual rates and coverage options.