Insurance based healthcare versus tax funded systems

This report finds that there is no evidence that insurance-based healthcare systems outperform tax-funded systems. The analysis – spanning 22 high-income countries – concludes that switching the NHS to a European-style insurance system would not improve performance across measures of capacity, access, quality, efficiency, and equity. The report says that health system outcomes vary far more within funding models than between them. It finds that the causes of poor NHS performance are not structural but practical, and sets out four areas in which targeted investment would make the most difference for the NHS.