Care Rail

← Medical · Causes of death · how systems treat it

Ischaemic heart disease

Cardiovascular · Master rank #1 · ~13.2% of deaths (Top 20 avg)

Short comparison of all 20 systems on one page. Click a country for the full treatment / prevention / lifestyle page.

Illustrative playbooks — composed from system archetype + cause pathway. Not clinical guidelines.
Australia#1 · 14.4%
Universal Medicare + private optional

Strong primary care gatekeeping with private hospital overflow. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Universal Medicare + private optional.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Netherlands#1 · 13.8%
Mandatory private insurance, regulated

Insurer-organized pathways; low uninsured rate. Acute MI networks + lifelong secondary prevention drugs. GP gatekeeping + insurer care pathways for CVD

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Singapore#1 · 13.0%
S+3Ms (subsidy + MediSave + MediShield + MediFund)

Public clusters for most serious care; private ISP for those who pay up. Acute MI networks + lifelong secondary prevention drugs. Public hospital clusters run high-volume cardiac centers

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
United Kingdom#1 · 14.1%
NHS tax-funded

GP gatekeeping, NICE pathways, waiting-list rationing for elective care. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via NHS tax-funded.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Sweden#1 · 13.6%
Decentralized tax-funded

Primary-care centered; strong public health infrastructure. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Decentralized tax-funded.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Norway#1 · 13.1%
Tax-funded national system

Wealthy Nordic model; GP lists + municipal prevention. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Tax-funded national system.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
New Zealand#1 · 15.0%
Tax-funded + private optional

Pharmac constrains drug spend; public hospitals for major care. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Tax-funded + private optional.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
France#1 · 10.9%
Statutory health insurance

Ambulatory specialist access; strong pharma/device availability. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Statutory health insurance.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Switzerland#1 · 11.8%
Mandatory private insurance

High spend, high access, canton variation. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Mandatory private insurance.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Denmark#1 · 13.0%
Tax-funded

Municipal prevention + regional hospitals. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Tax-funded.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Canada#1 · 15.7%
Single payer (provincial)

Single-payer core with wait times; limited private parallel. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Single payer (provincial).

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Spain#1 · 11.7%
SNS tax-funded

Strong primary care; Mediterranean public-health framing. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via SNS tax-funded.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Germany#1 · 15.8%
Statutory sickness funds

Ambulatory specialists + hospital sector; dense capacity. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Statutory sickness funds.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Israel#1 · 13.9%
Mandatory health funds

Fund-integrated care; strong tech/trauma capacity. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Mandatory health funds.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Finland#1 · 16.9%
Tax-funded / reforming

Public primary care + occupational health overlay. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via Tax-funded / reforming.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Italy#1 · 12.2%
SSN tax-funded

GP gatekeeping; north/south performance gaps. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via SSN tax-funded.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
United States#1 · 16.7%
Medicare/Medicaid + commercial

High-tech acute care; prior auth; huge price variation by payer. Acute MI networks + lifelong secondary prevention drugs. High PCI capacity but fragmented secondary prevention and prices

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
South Korea#2 · 9.7%
NHI single payer + private hospitals

Very high utilization; hospital-heavy; aggressive screening culture. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via NHI single payer + private hospitals.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Taiwan#2 · 10.5%
NHI single payer

High ambulatory volume; global budgets constrain growth. Acute MI networks + lifelong secondary prevention drugs. Cardiovascular pathway via NHI single payer.

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →
Japan#3 · 8.4%
Statutory insurance, fee schedule

High visit frequency, low unit prices, specialist access without US-style referral walls. Acute MI networks + lifelong secondary prevention drugs. Lower IHD burden historically; fee schedule keeps invasive cardiology cheaper per case

Treat Door-to-balloon / thrombolysis pathways; cardiac rehab referral
Prevent Statin and BP treatment at guideline thresholds in primary care
Lifestyle Diet pattern (less sodium, more plants), activity, weight
Full page →