Uwe Reinhardt responds on Malaysia's single payer proposal

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Capitalist Taiwan (the Republic of China) has had such a single-payer scheme since 1995. Malaysia may well be inspired by that system.

Oddly enough, the Communist Peoples Republic of China on the mainland has a basically capitalist health system with millions of uninsured, among them all children. Employed persons in urban settings are covered by a form of social insurance system, but not their children. There's virtually no insurance coverage in rural areas. Finally, there's not much of a safety net. Hospitals are not set up to give charity care. There's no one to shift costs to.

Happy holidays,

Uwe Reinhardt