Oireachtas Joint and Select Committees

Tuesday, 23 May 2017

Joint Oireachtas Committee on Health

Engagement with Mr. Vytenis Andriukaitis, European Commissioner for Health and Food Safety

12:00 pm

Dr. Vytenis Andriukaitis:

Today we have mostly mixed models, which are all very much interconnected. At the moment, there are five big classic models: the Bismarck model; the Beveridge model; the Mediterranean model; the Scandinavian model; and the central and eastern European financial model. Some combine a state insurance composition with budgetary instruments. Such mixed models are more successful.

Sometimes one hears about many social problems, with some social groups who cannot be insured. In some areas, one must guarantee stable financial flow. If there is no sustainability, there is no chance to monitor services. I would draw the committee's attention to the Lithuanian model, which is an example of a successful mixed model and which was assessed by the World Health Organization/Europe. The Finnish model is a very important step forward and it combines compositions from the insurance side and the budgetary side. For a smaller country, it is much better to have a mixture and to see how to achieve better results. This is because one can never be sure about the coverage of insurance or about the need to have the possibility of providing public financial flow in areas to guarantee sustainability.

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