<P> Before the law went into effect, all the funds collected premiums directly from members . However, upon passage of the law, a new progressive national health insurance tax was levied through Bituah Leumi (Israel's social security agency) which then re-distributes the proceeds to the sickness funds based on their membership and its demographic makeup . This ensured that all citizens would now have health coverage . While membership in one of the funds now became compulsory for all, free choice was introduced into movement of members between funds (a change is allowed once every six months), effectively making the various sickness funds compete equally for members among the populace . Annually, a committee appointed by the ministry of health publishes a "basket" or uniform package of medical services and prescription formulary which all funds must provide as a minimum service to all their members . Achieving this level of equality ensured that all citizens are guaranteed to receive basic healthcare regardless of their fund affiliation which was one of the principal aims of the law . An appeals process was put in place to handle rejection of treatments and procedures by the funds and evaluating cases falling outside the "basket" of services or prescription formulary . </P> <P> While the law is generally considered a success and Israeli citizens enjoy a high standard of medical care comparatively, with more competition having been introduced into the field of health care in the country, and order having been brought into what was once a somewhat disorganized system, the law nevertheless does have its critics . First and foremost among the criticisms raised is that the "basket" may not provide enough coverage . To partly address this issue, the HMOs and insurance companies began offering additional "supplementary" insurance to cover certain additional services not included in the basket . However, since this insurance is optional (though usually very modestly priced, costing the equivalent of about US $10 to $20 a month), critics argue that it goes against the spirit of the new law which stressed equality among all citizens with respect to healthcare . Another criticism is that in order to provide universal coverage to all, the tax income base amount (the maximum amount of yearly earnings that are subject to the tax) was set rather high, causing many high - income taxpayers to see the amount they pay for their health premiums (now health tax) skyrocket . Finally, some complain about the constantly rising costs of copayments for certain services . </P> <P> Macau offers universally accessible single - payer system funded by taxes . Health care is provided by the Bureau for Health . </P> <P> Aasandha is the national healthcare insurance scheme of the Maldives which was developed to provide free medical assistance to all Maldivian Citizens . National Social Protection Agency Of Maldives. formed under the National Social Health Insurance Act on 27th August 2008 is mandated to administer the National Social Health Insurance Scheme and by an executive order under the same act mandated to conduct social protection programs identified by the government of Maldives . NSPA is also the responsible agency to regulate and conduct Social Protection programs under the Social Protection Act . </P>

Countries that don't have single payer health care