A Brief Note On Germany's Health Care System

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150 Years of Healthcare: Germany’s Health Care System As nations across the globe begin to implement national healthcare systems to cover all citizens, many look to the oldest national healthcare system in the world for guidance. Developed in 1883 by Chancellor Otto von Bismark, Germany instituted the first social health system nearly 150 years ago (Armstrong, 147). Throughout its 150 years, the system has changed drastically due to modernization and privatization, increased costs within healthcare, and an overall change in the culture of healthcare. As the system has changed, so too has its funding and infrastructure of providers. Years of reform have also significantly impacted perceptions and expectations of consumers, as many Germans still are unhappy with their current system. In response to this dissatisfaction, reforms will continue in order to make the German national health care system one that not only serves all of its citizens, but also provides equitable and affordable care to all.
Although Otto von Bismark developed the first universal health care system in Germany during the late 1800’s, the country did not require citizens to have health insurance until 2009 (Green, 1). The German Parliament and Federal Ministry of Health offer federal governance of the healthcare system, while the German Federal Joint Committee (Gemeinsamer Bundesausschuss) monitors the quality of SHI services (Armstrong, 152). Germany’s health care system is now divided into two systems:
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