query: Does the Netherlands have universal healthcare?
passage: Healthcare in the Netherlands
A 2008 article in the journal Health Affairs suggested that the Dutch health system, which combines mandatory universal coverage with competing private health plans, could serve as a model for reform in the US.[30][31] However, an assessment of the 2006 Dutch health insurance reforms published in Duke University's Journal of Health Politics, Policy and Law in 2008 raised concerns. The analysis found that market-based competition in healthcare may not have the advantages over more publicly based single payer models that were originally envisioned for the reforms:
passage: Health systems by country
The United States is alone among developed nations in not having a universal health care system; the 2010 Patient Protection and Affordable Care Act provides a nationwide health insurance exchange that came to fruition in 2014, but this is not universal in the way similar countries mean it. Healthcare in the U.S. does, however, have significant publicly funded components. Medicare covers the elderly and disabled with a historical work record, Medicaid is available for some, but not all of the poor, and the State Children's Health Insurance Program covers children of low-income families. The Veterans Health Administration directly provides health care to U.S. military veterans through a nationwide network of government hospitals; while active duty service members, retired service members and their dependents are eligible for benefits through TRICARE. Together, these tax-financed programs cover 27.8% of the population and make the government the largest health insurer in the nation. The U.S. also spends 17.9% GDP per year on healthcare, more than double the nearest developed nations expenditure.