In some countries with universal coverage, private insurance often excludes many health conditions that are expensive and the state health care system can provide. For example, in the United Kingdom, one of the largest private health care providers is BUPA , which has a long list of general exclusions even in its highest coverage policy,  most of which are routinely provided by the National Health Service . In the United States, dialysis treatment for end stage renal failure is generally paid for by government, not by the insurance industry. Those with privatized Medicare ( Medicare Advantage ) are the exception and must get their dialysis paid through their insurance company, but those with end stage renal failure generally cannot buy Medicare Advantage plans. 
World Health Organization 2008 guidelines to reduce TB transmission:
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ObamaCare’s failures should be all the proof Washington needs that the time has come for a new direction—one that empowers the American consumer, expands choices, and reduces the role of the federal government in healthcare. It’s time to set a new precedent in Washington by sending a new president to Washington. I believe I have the experience and vision necessary to improve our healthcare system and make this the next American century.