Editor's note

As population demographics shift, there is a worldwide increase in diseases associated with old age and rising incomes, such as dementia, arthritis, diabetes and heart disease. At the same time, the cost of developing new drugs is skyrocketing. The Conversation wanted to know how different countries’ health services are coping with these pressures.

So, with our international partners, we commissioned a series of articles. Andrew Street analyses the challenges facing the UK’s National Health Service, creaking after endless reorganisations – and with the prospect of Brexit bearing down upon it.

The US, meanwhile, spends a greater proportion of its GDP on health care (an eye-watering 17%) than any other country covered in our series. Yet, as Simon Haeder points out, this doesn’t result in a better service. Indeed, the system is beset by controversy (consider the lengthy battles over “Obamacare”), soaring costs and growing health inequality. Nearly one in ten Americans has no health insurance at all.

A World Health Organisation comparison of 191 countries, put the French healthcare system in first place. But Laurent Chambaud says that more needs to be done on preventative measures – France has one of the highest rates of tobacco use among young people.

In Australia, meanwhile, one of the biggest problems – writes Stephen Duckett – is patients not seeing their GP when they’re ill. And outcomes for the indigenous population are lamentable.

For more on these and other issues facing the world’s health systems, click here. Further articles from other countries will follow.

Clint Witchalls

Health + Medicine Editor

Global health systems series

Britain's National Health Service: one model, four systems

Andrew Street, University of York

The UK has a gold-plated health service, but for how much longer?

How healthy is the Canadian health-care system?

Chris Simpson, Queen's University, Ontario; David M.C. Walker, Queen's University, Ontario; Don Drummond, Queen's University, Ontario; Duncan Sinclair, Queen's University, Ontario; Ruth Wilson, Queen's University, Ontario

Bold leadership is needed to adapt Canada's expensive and mediocre health-care system for an aging population struggling with chronic disease.

How healthy is the French health system?

Laurent Chambaud, École des hautes études en santé publique (EHESP) – USPC

The French health care system is rated as one of the best in the world, but it’s a shield that’s under increasing stress.

US health care system: A patchwork that no one likes

Simon Haeder, West Virginia University

Many Western, industrialized nations provide health insurance. The US has repeatedly balked at universal coverage. So what kind of system are we left with? A very unpopular one.

Health + Medicine

Cities

Business + Economy

  • How James Bond was a model employee

    Martin Parker, University of Leicester

    It is easy to forget that the James Bond franchise is firmly set in the world of work. Bond's evolution reflects changing attitudes to the workplace.

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