another article from NEJM: Australian Health Care — The Challenge of Reform in a Fragmented System Jane Hall, Ph.D. N Engl J Med 2015; 373:493-497 August 6, 2015 The Australian health care system appears remarkably successful in delivering good health outcomes with reasonable cost control. Australians enjoy one of the longest life expectancies and a long healthy life expectancy, while costs as a proportion of the gross domestic product remain around the median among countries in the Organization for Economic Cooperation and Development (OECD; see table and case histories; to compare this country with others, see the interactive graphic).1 Universal, tax-financed comprehensive health insurance, Australian Medicare, has been largely stable for three decades. Yet this performance has been achieved through, or despite, the interplay of public and private financing, public and private service provision, and a division of responsibilities between the federal and state governments. The main political parties clash over the role of government and whether national health insurance in its current form should continue. More at http://www.nejm.org/doi/full/10.1056/NEJMp1410737?query=TOC It looks horrendously complicated. How can sick people be expected to negotiate a system like that? The US one looks bad enough to me, to have to figure out insurance issues as well as health issues.