In search of the perfect health system provides the answers over the past six years mark britnell has worked in 60 countries covering eight tenths of the worlds gdp with hundreds of government public and private healthcare organisations. In search of the perfect health system provides the answers over the past six years mark britnell has worked in 60 countries covering eight tenths of the worlds gdp with hundreds of government public and private healthcare organisations. Winner of the first prize in the health and social care category at the bma medical book awards 2016 with chapters on 25 different countries this practical and succinct guide to the worlds major health systems explores what lessons can be drawn from each to improve health worldwide each chapter is an essay designed to give the reader essential knowledge of the history strengths . Fragmentation is a dominant feature of japans healthcare system with myriad insurers and providers and weak clinical collaboration there are around 3500 health insurers 6 divided into municipally run citizens health insurance schemes for the retired self employed and unemployed and employer employee schemes