Healthcare in the Netherlands
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:
United States
Health-care coverage in the United States is a combination of public and private efforts and is not universal. In 2017, 12.2% of the population did not carry health insurance. The subject of uninsured and underinsured Americans is a major political issue. In 2006, Massachusetts became the first state to mandate universal health insurance. Federal legislation passed in early 2010 would ostensibly create a near-universal health insurance system around the country by 2014, though the bill and its ultimate effect are issues of controversy.