How Portugal's Affordable Healthcare System Outshines the U.S. Model

A Glimpse into Portugal's Healthcare

LISBON — Navigating through one of Lisbon’s largest public hospitals, Hospital de São José, feels like a journey through time. The waiting areas are filled with plastic chairs set against a backdrop of centuries-old Azulejo tiles, and the hospital itself occupies a building originally constructed by Jesuits in 1579.

This unique blend of history and functionality reflects Portugal’s healthcare system, which prioritizes primary care and public health over expensive new facilities and treatments. This approach has proven effective, with Portugal boasting a life expectancy nearly four years longer than the U.S., while spending only 20% of what the U.S. allocates per person on health care.

According to the Global Security Index, Portugal ranks third out of 195 countries for access to affordable healthcare, far superior to the U.S., which stands at 183rd. Every resident in Portugal is entitled to free or low-cost healthcare, ensuring that even the impoverished receive medical attention.

A System Under Pressure

Despite its strengths, Portugal faces challenges, including a shortage of primary care physicians leading to lengthy wait times for care. Over 1 million residents, many immigrants, currently lack an assigned doctor. However, health experts note that Portugal's system effectively utilizes data and electronic health records to monitor health needs and outcomes in real-time.

The family health units, established throughout the country, form the backbone of this system, fostering community ties and enabling healthcare teams to address both medical and social needs through innovative practices like social prescribing.

The U.S. Health Dilemma

In stark contrast, the U.S. spends about $4.5 trillion annually on healthcare, yet struggles with poor health outcomes, ranking 50th in health metrics when compared internationally. Experts highlight that while the U.S. offers some of the most advanced medical treatments, it fails to provide equitable access to care.

Lessons for America

Health professionals and researchers suggest that the U.S. could benefit from adopting elements of Portugal's healthcare model, focusing on preventive care and community-based services. The emphasis on affordability and accessibility in Portugal demonstrates that a well-structured public health system can yield better health outcomes at a fraction of the cost.

Conclusion

Portugal's journey from a struggling healthcare system to one of the best in Europe is a testament to the effectiveness of prioritizing primary care. The ongoing efforts to modernize and adapt to new health challenges, particularly an aging population, continue to inspire hope for an even more robust system in the future.