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es that unemployment will rise to 5.5% over 2009 and will affect some 8.75% of the workforce by 2010. That translates into 425,000 people out of work in 2009, and 675,000 in 2010.

Health care system and financing of health

A national health status report in 2003 concluded that the majority of the Dutch population enjoys good health status. Life expectancy at a birth has risen to 76 years for male and 80,7 years for female. The major causes of death are cardiovascular disease and cancer. Overall, Dutch mortality is quite low, which is partly caused by traffic accident. Perinatal mortality that indicates important health system indicator is also stagnating to the EU 15 average. However, some increasing risk factors has been a threat for the Dutch population such as, a higher percentage of children born from low economic status, increasing average age of mothers at birth of their children, an increasing percentage of twins and triplets birth and poor life habits like smoking during pregnancy. Health differences in urban-rural area, in high socioeconomic-low socioeconomic status are the challenge for Dutch health care system and have not decreased in the recent years.

The organizational structure of health care system in the Netherlands is rather unique because involving different ministries to steer and supervise the three compartments of the system. What I meant with three compartments is a three parallel compartment of Insurance coexist : first compartment is a national health insurance scheme for exceptional medical expenses, second compartment consist of different regulatory regimes, one for compulsory health insurance and another for private health insurance which mostly voluntary, third compartment is voluntary supplementary health insurance (Exter, et al. 2004).

The government appoints three different ministries to govern policies in the health system. The Ministry of Health, Welfare and Sport (Ministerie van Volksgezonheid, Welzijn en Sport, VWS) define policies that ensure the wellbeing of the population and to lead people lives healthy. One of the main objective of VWS is to guarantee access to health care facilities with high quality services. To run this, VWS established social health insurance schemes under the Exceptional Medical Expenses Act (AWBZ) and the Sickness Fund Act (ZFW). Ministry of Social Affairs and Employment (Ministerie van Sociale Zaken en Werkgelenheid, SZW) main tasks are to encourage employment, modern labor relations and an active social security policy. To foster this, SZW collaborates with VWS for health related social security scheme covering sickness benefits and disabled benefits. The Ministry of Finance shares responsibilities with VWS in supervising changes in standard insurance scheme, especially standard insurance contribution.

The Netherlands health care system faces territorial decentralization that is transfer of competencies from the central government to provincial and local governments particularly shown in the care facilities. By territorial decentralization, local government steers care facilities include shift in financing and planning of a care. Due to a scarcity of facilities, care must be rationed, here the local government play本论文由英语论文网提供整理，提供论文代写，英语论文代写，代写论文，代写英语论文，代写留学生论文，代写英文论文，留学生论文代写相关核心关键词搜索。