European countries spending gargantuan amounts on healthcare

Healthcare expenditure is a critical aspect of a country's budget, reflecting its commitment to providing quality medical care to its citizens.
According to recent data from the European Health Information Gateway, Switzerland stands out as the largest spender on healthcare in Europe, allocating an impressive 12% of its GDP to healthcare. Germany, France, Austria, and the UK follow closely, with 11.8%, 11.6%, 11%, and 10.9% of their GDP dedicated to healthcare, respectively.
Switzerland's federal and decentralised system
Switzerland's healthcare system operates under a unique federal and decentralized framework. Each canton manages its healthcare services, while the Federal Office of Public Health (FOPH) oversees mandatory health insurance. Funding comes from a combination of enrollee premiums, cantonal taxes, and social contributions, with subsidies available for low-income residents. Patients enjoy significant freedom of choice, but also face deductibles and co-payments.
Germany's dual insurance model
Germany's healthcare system follows a dual insurance model, with 86% of residents covered by statutory health insurance (SHI) and the remaining 14% opting for private insurance. The system is decentralised, resulting in low out-of-pocket costs for patients.
France's universal coverage
France maintains universal coverage through its social health insurance system, supplemented by private insurance to cover cost-sharing. Healthcare planning and reimbursement are centrally managed, ensuring comprehensive care for all citizens with 11.6% of its GDP.
Austria's public-private mix
Austria provides public healthcare with private options, following a decentralised governance model. This approach ensures low co-payments while allowing patients to opt for premium services.
The UK's national health service (NHS)
The UK's NHS, although scrapped recently, is publicly funded and centrally managed, with Integrated Care Boards (ICBs) overseeing regional service delivery. This comprehensive system provides universal access to healthcare services.