The United States is just now beginning its journey into a universal healthcare delivery system. On March 30, 2010, President Obama signed into law the “Health Care and Education Reconciliation Act of 2010” (H.R. 4872), which completed the work of the “Patient Protection and Affordable Care Act” (H.R. 3590) signed on March 23, 2010. The effects of this legislation are phased in over the course of this new decade, but the final product is far from certain. Implementation could be legislated away with one election cycle. This article examines three model healthcare delivery systems that the United States could look towards on its march to universal coverage: those of France, Germany, and the Netherlands.



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