Abstract

The Netherlands and the United States are high-income countries with different healthcare systems and distinct approaches to long-term care. Although the United States health care system is a leader in science and technology advancement, it remains far away in terms of the quality and infrastructure of organizations compared to other countries that are members of the Economic Cooperation and Development (OECD). Additionally, the United States spent more than any country on health care in 2021. The United States' expenditure on health care was three times more than other OECD countries and is expected to rise from 5.7% of GDP to 9.4% by 2051. However, the united States spend 1.0% of its GDP on Long-term care as of 2021, much less than other high-income OECD countries. Consequently, the United States has the lowest number of primary care physicians per capita, which highlights that the United States focuses on acute care over primary, preventive, and long-term care. Therefore, the author would like to compare the U.S LTC with the Netherlands LTC and its operation systems to gain insights into the strengths and limitations of both countries' LTCs and the necessity of changes that need to take place in the American LTC system 
Aim: This paper aims to understand the reasons for health inequalities and improve accessibility for older adults.
Purpose: Comparing the Long-Term care systems enables administrators, policymakers, and regulatory agencies to understand the opportunities for potential policy reforms and adapt best practices to improve the quality and accessibility, reducing the disparities.