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Editor's note
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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.
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Clint Witchalls
Health + Medicine Editor
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Global health systems series
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Andrew Street, University of York
The UK has a gold-plated health service, but for how much longer?
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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.
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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.
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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.
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Health + Medicine
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Shirin Ashraf, University of Glasgow; Connor Bamford, University of Glasgow
Cousin of the Ebola virus, Marburg has the potential to cause devastation.
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Rebecca Landy, Queen Mary University of London
Smear tests are no fun for women, and the HPV vaccine and better screening will offer better protection from cancer and fewer trips to the women.
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Business + Economy
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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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Environment + Energy
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Simon Wilde, University of Bath
Announcing green finance packages is one way of deflecting criticism for fossil fuel investments.
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Politics + Society
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Richard Whitman, University of Kent
Now citizens have a louder voice than ever, the UK badly needs to decide on its role in the world.
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Tony Craig, Staffordshire University
With the border between Northern Ireland and the Republic a sticking point, negotiators could pick up some tips from how it was done last time.
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Natasha McKeever, University of Leeds
We can't solve this problem until we acknowledge some deep-rooted beliefs about male and female roles in sex and relationships.
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Kaitlynn Mendes, University of Leicester; Jessica Ringrose, UCL
It's not a witch hunt, it's not a joke and it really does matter.
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Paul Rogers, University of Bradford
What lies ahead for IS after Mosul, Raqqa and tens of thousands of casualties?
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Diya Gupta, King's College London
Letters home reveal what is was like to be an Indian soldier in World War II.
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Arts + Culture
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Miles Russell, Bournemouth University
A forensic dig into early British history means we can finally understand the heroes and stories that created a composite king.
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Science + Technology
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Catherine Douglas, Newcastle University
It's no surprise sheep can recognise people – their intelligence is often overlooked.
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Eva M Krockow, University of Leicester; Andrew M Colman, University of Leicester; Briony Pulford, University of Leicester
The very existence of kindness and altruism seems to contradict Darwin’s theory of evolution. So how could kind behaviour have evolved?
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Dave McGarvie, The Open University; John A Stevenson, British Geological Survey; Peter Nicholls, The Open University
The saga of Öræfajökull suggests we should take small earthquakes in the region seriously.
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Featured events
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Protein Studios, 31 New Inn Yard, London, London, City of, EC2A 3EY, United Kingdom — University of Sheffield
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University of Stirling, Stirling, Stirling, FK9 4LA, United Kingdom — University of Stirling
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51 Gordon Square, London, London, City of, WC1H 0PN, United Kingdom — UCL
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Logie Lecture Theatre, University of Stirling, Stirling, Stirling, FK9 4LA, United Kingdom — University of Stirling
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