id author title date pages extension mime words sentences flesch summary cache txt cord-263261-xhem8l39 Tulchinsky, Theodore H. Bismarck and the Long Road to Universal Health Coverage 2018-03-30 .txt text/plain 16276 756 44 Each nation will develop its own unique approach to national health systems, but there are models used by a number of countries based on principles of national responsibility for health, social solidarity for providing funding, and for effective ways of providing care with comprehensiveness, efficiency, quality, and cost containment. Health reform is necessarily a continuing process as all countries must adapt to face challenges of cost constraints, inequalities in access to care, aging populations, emergence of new disease conditions and advancing technology including the growing capacity of medicine, public health and health promotion. Despite rapid increases in health care expenditures during the 1970s and 1980s, despite improved health promotion activities and rapidly developing medical technology, the health status of the American population G Preventive programs strong tradition; screening for cancer; smoking reduction; food fortification, school lunch programs; nutrition support for poor pregnant women and children (WIC); G Hospitals obliged to provide emergency care to all regardless of insurance status, citizenship, legal status or ability to pay has improved less rapidly than that in other western countries and universal coverage has not been achieved. ./cache/cord-263261-xhem8l39.txt ./txt/cord-263261-xhem8l39.txt