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One of the ways to improve the financial sustainability of public healthcare services is to increase taxes, as health systems are subject to mounting financial strain, especially in advanced welfare states. Yet, there is very limited recent empirical evidence on people’s willingness to pay higher taxes for better healthcare and what factors influence it, especially in comparative perspective. To address this gap, the present article analyzes public opinion survey data from 27 countries across the world. The results indicate that overall support for the idea is not high, though there are considerable differences between countries. Counterintuitively, these differences are not related to how much countries currently spend on public or private healthcare, or the healthcare financing and risk-pooling mechanisms they use. At the individual level, people who express greater willingness to pay more are those with higher perceived social status and with tertiary education, and those who are more satisfied with how their national health system performs. The latter finding has an important practical implication: policymakers seeking to increase spending on public healthcare services first need to convince their electorate that the funds are currently being utilized effectively. Future studies can provide additional insights by investigating the effects of tax systems and ideological predispositions, as well as comparing the willingness to pay higher taxes for better healthcare with preferences for alternative arrangements, such as tax incentives for taking up private health insurance.

Determinants of the Willingness to Pay Higher Taxes for Better Public Healthcare Services: Cross-National Analysis