The politics of health care depend largely on which country one is in. Current concerns in England , for instance, revolve around the use of private finance initiatives to build hospitals which it is argued costs taxpayers more in the long run. In Germany and France , concerns are more based on the rising cost of drugs to the governments. In Brazil, an important political issue is the breach of intellectual property rights, or patents, for the domestic manufacture of antiretroviral drugs used in the treatment of HIV/AIDS.
The South African government, whose population sets the record for HIV infections, came under pressure for its refusal to admit there is any connection with AIDS because of the cost it would have involved. In the United States 12% to 16% of the citizens do not have health insurance. State boards and the Department of Health regulate inpatient care to reduce the national health care deficit. To tackle the problems of the perpetually increasing number of uninsured, and costs associated with the US health care system, President Barack Obama says he favors the creation of a universal health care system. However, New York Times opinion columnist Paul Krugman said that Obama's plan would not actually provide universal coverage,and Factcheck.org alleges that Obama's predicted savings were exaggerated. In contrast, the state of Oregon and the city of San Francisco are both examples of governments that adopted universal healthcare systems for strictly fiscal reasons.
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