Cato Institute
Policy Analysis
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118. Mario Rodriguez, Richard Scheffler, and
Economics 14 (September 2005): 185­202.
Jonathan Agnew, "An Update on Spain's Health
102. Alberto Mingardi, "A Drug Price Path to
Care System: Is It Time for Managed Competi-
Avoid," Washington Post, November 12, 2006.
tion?" Health Policy 51 (2000): 109­31.
103. See, for example, "Italy Hit by Double
119. Columbo and Tapay, "Private Health Insurance
Strike," BBC News, February 9, 2004.
in the OECD Countries."
104. Reviglio, "Health Care and Its Financing in Italy."
120. Luis Rajmil et al., "The Quality of Care and
Influence of Double Health Care Coverage in
105. OECD, "OECD Health Data 2007: Statistics
Catalonia (Spain)," Archive of Disease in Childhood 83
and Indicators for 30 Countries."
(September 2000): 211­14.
106. Donatini et al., "Health Care Systems in
121. OECD, "OECD Health Data 2007: Statistics
Transition: Italy."
and Indicators for 30 Countries."
107. Mingardi, "A Drug Price Path to Avoid."
122. Duran, Lara, and van Waveren, "Spain:
Health Systems Review."
108. Ariel David, "Italian Police Units Inspect
Hospitals," Washington Post, January 8, 2007.
123. Rodriguez, Scheffler, and Agnew, "An Up-
date on Spain's Health Care System."
109. Vittorio Maio and Lamberto Manzoli, "The
Italian Health Care System: WHO Ranking versus
124. Duran, Lara, and van Waveren, "Spain:
Public Perception," PLoS Medicine 6 (June 2002):
Health Systems Review."
301­03.
125. Disney et al., Impatient for Change, pp. 151­60.
110. Disney et al., Impatient for Change, pp. 111­19.
126. Alastair Kilmarnock, "Spain: Commentary,"
111. Guillem Lopez-Casasnovas, Joan Coasta-Font,
in Impatient for Change: European Attitudes to Health-
and Ivan Planas, "Diversity and Regional Inequal-
care Reform, eds. Disney et al. (London: Stockholm
ities: Assessing the Outcomes of the Spanish
Network, 2004), p. 161.
System of Health Care Services," UPF Working
Paper no. 745, April 2004.
127. Disney et al., Impatient for Change, pp.
151­60.
112. Antonio Duran, Juan Lara, and Michelle van
Waveren, "Spain: Health System Review," Health
128. Tetsuo Fukawa, "Public Health Insurance in
Systems in Transition 8, no. 4 (Copenhagen: Euro-
Japan," World Bank Institute Working Paper no.
pean Observatory on Health Systems and Policies,
37201 (2002).
2006).
129. Ibid.
113. Ibid.
130. Kohei Komamura and Atsuhiro Yamada,
114. "Waiting to Be Seen: How the Health Service
"Who Bears the Burden of Social Insurance? Evi-
Varies across Spain," Expatica, June 26, 2007.
dence from Japanese Health and Long-Term Care
Insurance Data," Journal of Japanese and International
115. Emilio Cerda, Laura de Pablos, and Maria
Economics 18 (December 2004): 565­81.
Rodriguez, "Waiting Lists for Surgery," in Patient
Flow: Reducing Delay in Healthcare Delivery (Hoboken,
131. "Japanese Health Insurance Industry Faces
NJ: Springer, 2006).
Winnowing Out," Medical Insurance News, March
21, 2004.
116. Xavier Bosch, "Spain: The Old Frequently
132. Noriyuki Takayama, "Japan's Never-Ending
Live with Their Families," British Medical Journal
Social Security Reforms," International Social
324 (June 29, 2002): 1543.
Security Review 55 (2002): 11­22.
117. There is one exception. Central government
133. Ibid.
civil servants can opt out of the public system and
have the government pay for their private insur-
134. Adam Wagstaff, "Health Systems in East Asia:
ance. Roughly 91 percent of civil servants choose
What Can Developing Countries Learn from Japan
private insurance. Noah Clarke, "Government
and the Asian Tigers?" Health Care Economist, April
Health Care: A Universal Failure," Today's News,
18, 2007.
Goldwater Institute, May 10, 2007.
41