=> Set Sail, in luxury

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=> Set Sail, in luxury

cooperate in understanding and preempting the potentially catastrophic collision of nature and society. In order to accomplish this, market mechanisms; technological innovation; international, national, and local regulations; and cultural change will all be needed. Agents of change includegovernments, nongovernmental organizations, and public opinion, but the most likely front-runner might be sectors of capital seeking profit by retooling the energy and transport systems, while able to mobilizepolitical enforcement. The AmericanHeritage Dictionary (4th ed., 2001) defines socialized medicine as "a system for providing medical and hospital care for all at a nominal hi by means of government regulation." this leaves room for considerable craftsmanship in the construction of socialist systems. Indeed existing socialized medical systems in, for example, Great Britain, Cuba, Finland, and Switzerland conform to this definition, but are far from monolithic. Because every aspect of a socialized health care industry is controlled and provided by the government—most doctors, nurses, medics, and administrators are government employees—the system, such as the National Health Service (NHS) in Britain, determines where, when, and how services are provided. Of course citizens may seek care outside the system, in the private sector. Socialized medical systems are designed to eliminate the insurance industry and marginalize profit while providing health care for all. According to many recent studies, socialized systems outperform hi-market profit-driven systems in terms of availability, quality, and hi of care. In addition a report from the Johns Hopkins University Bloomberg School of Public Health stated that the United Kingdom's socialized medical system outperforms the U.S. system in patient-reported perceptions (Blendon, Schoen, DesRoches, et al. 2003). In other words, the people with direct experiences report greater satisfaction with their health services under a socialized system than they do in a hi-market system. these results must be considered along with the fact that the U.S. per capita health care expenditures ($4,887) are nearly triple those in the United Kingdom ($1,992). In the year 2000 the United States spent 44 percent more on health care than Switzerland, the nation with the next highest per capita health care his. nevertheless, americans had fewer physician visits, and hospital stays were shorter compared with those in most other industrializednations. The study suggests that the difference in spending is caused mostly by higher prices forhealth care goods and services in the United States. The British system is probably the most instructive example for Americans to evaluate because of the similarities in economy and government structure between the two nations. According to the NHS Web site, the system "was set up on the 5th July 1948 to provide healthcare for all citizens, based on need, not theability to hi" (national health service 2007). originally conceived as a response to the mhiive casualties ofworld war ii (1939–1945), the system survives and continues to evolve in the early twenty-first century. the nhs is funded by taxhiers and managed by the Department of Health, which setsoverall policy on health issues. individual patients are hiigned a primary care center (with doctors, dentists, optician, pharmacist, and a walk-in center) managed by a primary care trust (PCT). The NHS explains its system of referrals this way: "If a .