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Journal of Medicine and Philosophy 2008 33(3):280-293; doi:10.1093/jmp/jhn009
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© The Author 2008. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Europe and the United States: Contrast and Convergence

Daniel Callahan

The Hastings Center, Garrison, New York, USA

Address correspondence to: Daniel Callahan, International Program, The Hastings Center, 21 Malcolm Gordon Road, Garrison, NY 10510, USA. E-mail: callahand{at}thehastingscenter.org


  Abstract

Though the health care systems of the United States and the European countries are very different, they are being buffeted by similar problems: rising health care costs caused by aging populations, technology, and rising public demand and expectations. The primary difference is that the US system is heavily privatized, whereas the European systems are heavily government run or operated. But the latter systems are increasingly open to market ideas and practices while the US is steadily being pushed toward a stronger government role. This article offers some speculation about their gradual convergence in the years ahead.

Keywords: convergence, costs, health reform, technology


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