Government-guaranteed health care for all citizens of a country, often called universal health care, is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at broadly extending access to health care and setting minimum standards. Most implement universal health care through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis. The logistics of such health care systems vary by country. Some programs are paid for entirely out of tax revenues. In others, tax revenues are used either to fund insurance for the very poor or for those needing long-term chronic care. In some cases such as the United Kingdom, government involvement also includes directly managing the health care system, but many countries use mixed public-private systems to deliver universal health care. Alternatively, much of the provision of care can be contracted from the private sector, as in the case of Canada and France. In some instances, such as in Italy and Spain, both these realities may exist at the same time. The government may provide universal health insurance in the form of a social insurance plan that is affordable by all citizens, such as in the case of Germany and Taiwan, although private insurance may provide supplemental coverage to the public health plan. In twenty-five European countries, universal health care entails a government-regulated network of private insurance companies.
Africa
Algeria
Algeria operates a public and universal healthcare system. A network of hospitals, clinics, and dispensaries provide treatment to the population, with the social security system funding health services, although many people must still cover part of their costs due to the rates paid by the social security system remaining unchanged since 1987. The poor are generally entitled to taxpayer funded health services, while the wealthy pay for treatment according to a sliding scale.
Botswana
Botswana established a free universal healthcare system that operates a system of public medical centers, with 98% of health facilities in the country run by the government. All citizens are entitled to be treated in taxpayer funded facilities, though a nominal fee of ~70 BWP (~US$6.60) is typically charged for public health services except for sexual reproductive health services and antiretroviral therapy services, which are free.
Burkina Faso
Burkina Faso provides universal healthcare to citizens through a system called Universal Health Insurance (AMU)—administered by two bodies, one for civilians and the other for the armed forces.
Mauritius
The government of Mauritius operates a system of medical facilities that provide treatment to citizens, free of charge.
Rwanda
Rwanda operates a system of universal health insurance through the Ministry of Health called Mutuelle de Santé (Mutual Health), a system of community-based insurance where people pay premiums based on their income level into local health insurance funds, with the wealthiest paying the highest premiums and required to cover a small percentage of their medical expenses, while those at the lowest income levels are exempt from paying premiums and can still utilize the services of their local health fund. In 2012, this system insured all but 4% of the population.
Seychelles
The government of Seychelles operates a system of medical facilities that provide treatment to citizens, free of charge.
Tunisia
Tunisia operates a public healthcare system under the National Health Insurance Fund (Caisse Nationale d'Assurance Maladie). All Tunisian citizens and residents can receive treatment in state-run hospitals and clinics for a very low co-pay, while people with the lowest income are able to apply for an exemption from co-pays.
Asia
Azerbaijan
Medical insurance is mandatory in Azerbaijan. All Azerbaijan citizens are covered under the country's newly introduced universal healthcare policy and are entitled to free medical care. Under the national health insurance system, coverage includes primary, inpatient and outpatient services, emergency care, vaccinations and lab services, among other benefits.
Bhutan
The Royal Government of Bhutan maintains a policy of free and universal access to primary health care. As hospital facilities in the country are limited, patients with diseases that cannot be treated in Bhutan, such as cancer, are normally referred to hospitals in India for treatment. Such referral treatment is also carried out at the cost of the Royal Government.
China
As of 2017, more than 97% of people in China are covered by one of three categories of public health insurance. From most generous to least generous, they are the:
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