Instruct: Given a question, retrieve documents that answer the question.
Query: Does the Netherlands have universal healthcare?
A 2008 article in the journal "Health Affairs" suggested that the Dutch health system, which combines mandatory universal coverage with competing private health plans, could serve as a model for reform in the US. However,
an assessment of the 2006 Dutch health insurance reforms published in Duke University's "Journal of Health Politics, Policy and Law" in 2008 raised concerns. The analysis found that market-based competition in healthcare may not have the advantages over more publicly based single payer models that were originally envisioned for the reforms:
Dutch people (Dutch: ) or the Dutch are a Germanic ethnic group native to the Netherlands. They share a common culture and speak the Dutch language. Dutch people and their descendants are found in migrant communities worldwide, notably in Aruba, Suriname, Guyana, Curaçao, Argentina, Brazil, Canada, Australia, South Africa, New Zealand, and the United States. The Low Countries were situated around the border of France and the Holy Roman Empire, forming a part of their respective peripheries, and the various territories of which they consisted had become virtually autonomous by the 13th century. Under the Habsburgs, the Netherlands were organised into a single administrative unit, and in the 16th and 17th centuries the Northern Netherlands gained independence from Spain as the Dutch Republic. The high degree of urbanization characteristic of Dutch society was attained at a relatively early date. During the Republic the first series of large-scale Dutch migrations outside of Europe took place.
In Europe, Dutch is the majority language in the Netherlands (96%) and Belgium (59%) as well as a minority language in Germany and northern France's French Flanders, where it is in the ultimate stage of language death. Though Belgium as a whole is multilingual, the two regions into which the country is divided (Flanders, francophone Wallonia, bilingual Brussels and small "facility" zones) are largely monolingual. The Netherlands and Belgium produce the vast majority of music, films, books and other media written or spoken in Dutch. Dutch is a monocentric language, with all speakers using the same standard form (authorized by the Dutch Language Union) based on a Dutch orthography employing the Latin alphabet when writing. In stark contrast to its written uniformity, Dutch lacks a prestige dialect and has a large dialectal continuum consisting of 28 main dialects, which can themselves be further divided into at least 600 distinguishable varieties.
The Netherlands is the 66th most populated country in the world, and as of March 21, 2016, it has a population of 17,000,000.
The education of pharmacists in the Netherlands requires a minimum of six years of university study. EU-harmonisation has led to division into three bachelor and three master years. A bachelor title is, however, not used at all professionally. The Dutch consider the educational level of their current (M.Sc.) degree in pharmacy to be comparable to the Pharm.D. title in use in the United States. Before the harmonization a four-year Master of Science was superseded by two more years of university education preparing for pharmacy practice. To become a hospital pharmacist, a four-year residency program has to be completed after that.
Amsterdam (, ; ) is the capital city and most populous municipality of the Netherlands. Its status as the capital is mandated by the Constitution of the Netherlands, although it is not the seat of the government, which is The Hague. Amsterdam has a population of 851,373 within the city proper, 1,351,587 in the urban area and 2,410,960 in the metropolitan area. The city is located in the province of North Holland in the west of the country but is not its capital, which is Haarlem. The metropolitan area comprises much of the northern part of the Randstad, one of the larger conurbations in Europe, with a population of approximately 8 million.
Utrecht University (UU; , formerly "Rijksuniversiteit Utrecht") is a university in Utrecht, the Netherlands. Established 26 March 1636, it is one of the oldest universities in the Netherlands. In 2016, it had an enrolment of 29,425 students, and employed 5,568 faculty and staff. In 2011, 485 PhD degrees were awarded and 7,773 scientific articles were published. The 2013 budget of the university was €765 million.
Dutch is currently an official language of the Netherlands, Belgium, Suriname, Aruba, Sint Maarten, Curaçao, the European Union and the Union of South American Nations (due to Suriname being a member). In South Africa, Afrikaans is spoken, a daughter language of Dutch, which itself was an official language of South Africa until 1983. The Dutch, Flemish and Surinamese governments coordinate their language activities in the "Nederlandse Taalunie" (Dutch Language Union), an institution also responsible for governing the Dutch Standard language, for example in matters of orthography.
The first move towards a national health insurance system was launched in Germany in 1883, with the Sickness Insurance Law. Industrial employers were mandated to provide injury and illness insurance for their low-wage workers, and the system was funded and administered by employees and employers through "sick funds", which were drawn from deductions in workers' wages and from employers' contributions. Other countries soon began to follow suit. In the United Kingdom, the National Insurance Act 1911 provided coverage for primary care (but not specialist or hospital care) for wage earners, covering about one third of the population. The Russian Empire established a similar system in 1912, and other industrialized countries began following suit. By the 1930s, similar systems existed in virtually all of Western and Central Europe. Japan introduced an employee health insurance law in 1927, expanding further upon it in 1935 and 1940. Following the Russian Revolution of 1917, the Soviet Union established a fully public and centralized health care system in 1920. However, it was not a truly universal system at that point, as rural residents were not covered.
The Netherlands was the most important trade partner of Singapore in the European Union in 2015. In 2015 it was reported that more than 1,000 Dutch companies have set up offices in Singapore, and nearly 100 Singaporean companies conduct their European operations through offices in the Netherlands. In 2009, the Netherlands was the second largest investor in Singapore, with investments totalling more than 50 billion Singapore dollars. Singaporean investments in the Netherlands totalled 3.1 billion Singapore dollars.
Dutch is a West Germanic language spoken by around 23 million people as a first language and 5 million people as a second language, constituting the majority of people in the Netherlands (where it is the sole official language) and Belgium (as one of three official languages). It is the third most widely spoken Germanic language, after its close relatives English and German.
Amsterdam is the capital of the Netherlands according to the Constitution of the Netherlands, although the States General and the Executive Branch have been situated in The Hague since 1588, along with the Supreme Court and the Council of State. Since the 1983 revision of the Constitution of the Netherlands, Article 32 mentions that "the King shall be sworn in and inaugurated as soon as possible in the capital city, Amsterdam". It is the only reference in the document stating that Amsterdam is the capital.
In the Netherlands in 1996, a total of some 93,000 workers were employed in the machinery industry, with approximately 2,500 companies present. In 1000 of these companies there were working 20 or more employees. In the Netherlands, according to the Chamber of Commerce in this subsector of the industry in 2011 some 15,000 companies were active. Some of the largest companies in the Netherlands are Lely (company), Philips and Stork B.V..
In 1999, during his abortive 2000 Reform Party presidential campaign, Trump told TV interviewer Larry King, "I believe in universal health care." In his 2000 book, "The America We Deserve", Trump reiterated his call for universal health care and focused on a Canadian-style single-payer health care system as a means to achieve it. Though he characterized the Canadian health-care system as "catastrophic in certain ways" in October 2016 during the second presidential debate, the Trump campaign website wrote in June 2015 about his support for "a system that would mirror Canada's government-run healthcare service" under the title "What does Donald Trump believe? Where the candidate stands on 10 issues". In 2015, Trump also expressed admiration for the Scottish health-care system, which is single payer.
According to Canada's constitution, the provinces have responsibility for health care, education and welfare. However, the federal Canada Health Act sets standards for all the provinces. The Canada Health Act requires coverage for all medically necessary care provided in hospitals or by physicians; this explicitly includes diagnostic, treatment and preventive services. Coverage is universal for qualifying Canadian residents, regardless of income level.
The official language of the Netherlands is Dutch, spoken by almost all people in the Netherlands. Dutch is also spoken and official in Aruba, Brussels, Curaçao, Flanders, Sint Maarten and Suriname. It is a West Germanic, Low Franconian language that originated in the Early Middle Ages (c. 470) and was standardized in the 16th century. West Frisian is also a recognized language and it is used by the government in the province of Friesland. Several dialects of Low Saxon ("Nedersaksisch" in Dutch) are spoken in much of the north and east and are recognized by the Netherlands as regional languages according to the European Charter for Regional or Minority Languages. Another Dutch dialect granted the status of regional language is Limburgish, which is spoken in the south-eastern province of Limburg. However, both Dutch Low Saxon and Limburgish spread across the Dutch-German border and belong to a common Dutch-Low German dialect continuum.
Some of the most basic fundamental laws in the Dutch constitutional system are not explicitly expressed in the written Constitution. These include the rule that the Dutch monarch cannot dissolve the House of Representatives more than once because of a conflict over a single political issue and that the Senate shall never block legislation for mere party politics, so that coalition governments (all Dutch governments since the 19th century) do not need a majority in the Senate.
Today, this system is more or less intact. All citizens and legal foreign residents of France are covered by one of these mandatory programs, which continue to be funded by worker participation. However, since 1945, a number of major changes have been introduced. Firstly, the different health care funds (there are five: General, Independent, Agricultural, Student, Public Servants) now all reimburse at the same rate. Secondly, since 2000, the government now provides health care to those who are not covered by a mandatory regime (those who have never worked and who are not students, meaning the very rich or the very poor). This regime, unlike the worker-financed ones, is financed via general taxation and reimburses at a higher rate than the profession-based system for those who cannot afford to make up the difference. Finally, to counter the rise in health care costs, the government has installed two plans, (in 2004 and 2006), which require insured people to declare a referring doctor in order to be fully reimbursed for specialist visits, and which installed a mandatory co-pay of €1 for a doctor visit, €0.50 for each box of medicine prescribed, and a fee of €16–18 per day for hospital stays and for expensive procedures.
Canada (with the exception of the province of Quebec) is one of the few countries with a universal healthcare system that does not include coverage of prescription medication (other such countries are Russia and some of the former USSR republics even though Russia is considering a switch to full coverage of many prescription medications in the near future). Residents of Quebec who are covered by the province's public prescription drug plan pay an annual premium of $0 to $660 when they file their Quebec income tax return. Pharmaceutical medications are covered by public funds in some provinces for the elderly or indigent, or through employment-based private insurance or paid for out-of-pocket. Most drug prices are negotiated with suppliers by each provincial government to control costs but more recently, the Council of the Federation announced an initiative for select provinces to work together to create a larger buying block for more leverage to control costs of pharmaceutical drugs. More than 60 percent of prescription medications are paid for privately in Canada. Family physicians (often known as general practitioners or GPs in Canada) are chosen by individuals. If a patient wishes to see a specialist or is counselled to see a specialist by their GP, a referral is made by a GP in the local community. Preventive care and early detection are considered critical and yearly checkups are recommended for everyone.
Dutch is an official language of Aruba, Belgium, Curaçao, the Netherlands, Sint Maarten, and Suriname. The Netherlands also colonised Indonesia, but Dutch was scrapped as an official language after Indonesian independence and today it is only used by older or traditionally educated people. Dutch was until 1925 an official language in South Africa but evolved in and was replaced by Afrikaans, a partially mutually intelligible daughter language of Dutch.
A university city since 1575, Leiden has been one of Europe's most prominent scientific centres for more than four centuries. Leiden is a typical university city, university buildings are scattered throughout the city and the many students from all over the world give the city a bustling, vivid and international atmosphere. Many important scientific discoveries have been made here, giving rise to Leiden’s motto: ‘City of Discoveries’. The city houses Leiden University, the oldest university of the Netherlands, and Leiden University Medical Center. Leiden University is one of Europe’s top universities, with thirteen Nobel Prize winners. It is a member of the League of European Research Universities and positioned highly in all international academic rankings. It is twinned with Oxford, the location of the United Kingdom's oldest university. Leiden University and Leiden University of Applied Sciences (Leidse Hogeschool) together have around 35,000 students. Modern scientific medical research and teaching started in the early 18th century in Leiden with Boerhaave.
Ever since a major reform of the health care system in 2006, the Dutch system received more points in the Index each year. According to the HCP (Health Consumer Powerhouse), the Netherlands has 'a chaos system', meaning patients have a great degree of freedom from where to buy their health insurance, to where they get their healthcare service. The difference between the Netherlands and other countries is that the chaos is managed. Healthcare decisions are being made in a dialogue between the patients and healthcare professionals.
Most hospitals in the Netherlands are privately run, non-profit foundations, whereas most healthcare insurers are for-profit companies. There are some 90 hospital organisations in the Netherlands, with some of them running multiple actual physical hospitals, usually as a result of mergers of previously independent hospitals.
Healthcare in the Netherlands is financed by a dual system that came into effect in January 2006. Long-term treatments, especially those that involve semi-permanent hospitalization, and also disability costs such as wheelchairs, are covered by a state-controlled mandatory insurance. This is laid down in the Wet langdurige zorg ("General Law on Longterm Healthcare") which first came into effect in 1968 under the name of Algemene Wet Bijzondere Ziektekosten (AWBZ). In 2009 this insurance covered 27% of all health care expenses.
Ever since a major reform of the health care system in 2006, the Dutch system received more points in the Index each year. According to the Health Consumer Powerhouse, the Netherlands has 'a chaos system', meaning patients have a great degree of freedom from where to buy their health insurance, to where they get their healthcare service. But the difference between the Netherlands and other countries is that the chaos is managed. Healthcare decisions are being made in a dialogue between the patients and healthcare professionals.