Bismarck Model Essay

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

Universal Health Care is defined as the belief that all citizens should have access to affordable, high-quality medical care (Anderson, 2013). Currently there are 46 million that do not have health coverage in the United states and this would drastically increase to 72 million if a health reform was not passed (The Economic Case for Health Care Reform, 2012)Why the United States is the last to adopt this government mandated insurance coverage, is possibly one of the most widely asked question around the nation. This, however; is all in the process of changing and will be completed by 2014 with the passing and implantation of Obama-care. There are three systems or levels of coverage under Universal Health Care; Single Payer, Two-Tier,

The United States’ health care system in comparison to the Germany health system seems to be fairly similar in many ways; however there are some major differences. One seems to be divided into public and private sectors and funded mostly by the public; Germany's, is considered better at times which tends to run differently. In the two healthcare systems, both systems are taking the time to spend quite a bit of the governmental revenue on health but still have two of the lower life expectancies. The United States faces severe challenges in access to health care, cost effectiveness, equity, and to a lesser extent in coordinating care. Meanwhile, the German system is confronted by problems in coordinating care and controlling costs.

Universal Healthcare sounds appealing, but it actually lowers the quality and quantity of healthcare services that are rendered to patients, thus downgrading the healthcare system as a whole.  Not having to pay, with everyone having coverage leads to longer wait times for medical service and many people overusing health care services. Implementation of Universal Healthcare in the United States would lead to a detrimental crippling of the nation’s health system. For those countries that have implemented Universal Healthcare or a system similar to it, all or most aspects of the coverage such as cost and care is generally provided by and tightly controlled by the government, a public-sector committee, or employer-based programs, with most of the funding essentially coming from tax revenues or budget cuts in other areas of spending. This paper will conclude with comparing the US healthcare system to others and how the US has one of the most advanced systems in the world.

Some health care costs may be paid by the patient and some health care costs may be covered by the universal health insurance program. There is perhaps no domain of economic activity that has generated more controversy in the United States than health care. In the advanced capitalist world, the United States is the only country within which the market plays a substantial role in the delivery of health care services; all other countries have one form or another of universal, publicly supported health care policies. In other intance if we differ from what is universal health from socialized heatlh. Some people refer to universal health care as socialized medicine. The term “socialized medicine” is primarily used for only in the United States by those who do not support the idea of universal health care(cite). Given the understanding that outside the US, is a different situation saying that the terms most used are universal health care or public health

Citizens in America obtain healthcare either through an employer, Medicare, or ,for the forty-five million, out-of-pocket. The number one in healthcare, Japan, uses the Bismarck model system- healthcare through insurance. America is almost the same, except the Bismarck insurance insures everyone without making a profit. Japan has more privately owned hospitals than America. This model can be funded several different ways for cost-control. The reason we have not changed our healthcare system is because of federal debt. Half of the health care costs are paid by the government. This debt will be America's downfall, but also the healthcare reform it so desperately

The administration of the United States is incompetent and is growing more useless, this is stated when a compare and contrast between the United States, who does not have universal healthcare, and Canada, who does have universal health care. Canada’s healthcare is not too far from the United States but it does vary with certain things. One of these key things is cost, and administration. (Woolhandler, Himmelstein. 1991) The cost of health care within the United States has enlarged, Canada’s spending has waned. Canada funds the hospitals and doctors with one payer (one lump sum) while The United States hospitals bills several different insurances (per-patient policy) who vary with policies, qualifications, and certification. Doing this causes a complex accounting scheme for acquiring payment and further charging insurance and patients. Another reason the administration of healthcare in the United States is incompetent is due to private insurance, because, the owner profits a percentage of premiums that is much larger that the federal government.

As some people were skeptical about the basis for the ranking, several studies were conducted, this time including “amenable mortality” in the criteria. France was first in the ranking. One good thing about France’s health care system is that everyone has health care. The country is also reported to rely on private and government insurance. Unlike the United States, France lets its citizens to have freedom in choosing hospitals, doctors, and care. Additionally, the health care system does not put much constrain on doctors with regards to making medical decisions. The same situation is evident on German health care system, where everyone has fully portable health insurance which comes with package of benefits. Like France, Germany lets its patients have freedom in choosing doctor and hospital during illness. A survey showed that patients and physicians in Germany are both satisfied with their health care system (Reinhardt, 1994, p.22).

The U.S. is an industrialized nation that continues to be behind on providing health care coverage to all citizens. However, the German health care system came up with a plan that ensured all citizens are provided with some form of health care coverage; nevertheless, the U.S. continues to dispute health care reform and how to provide coverage to all citizens. “Health spending per capita in the United States is much higher than in other countries – at least $2,535 dollars, or 51%, higher than Norway, the next largest per capita spender. Furthermore, the United States spends nearly double the average $3,923 for the 15 countries ("Health Care Cost," 2011, table 1)”.

The health care system in the United States is one of the greatest concerns facing Americans today and is an issue both moral and economic in nature. Some think the system should stay, for all intents and purposes, the same. They believe that the right to healthcare is a stepping stone toward socialism, and that it is the responsibility of the individual to obtain health care. These are usually the more ideologically conservative citizens and politicians who believe that medicine should remain a free enterprise, not to be constrained by government interference. Then there are those who believe that healthcare is a right, and the federal government has a responsibility to make sure it is available to all citizens, not just those who can afford

This paper presents a comparison of the health care systems in the United States and the Netherlands. The health care systems in the United States and the Netherlands are both a work in progress. This paper compares the many common strengths and weaknesses between these two countries health care systems using recent data and current trends. The government of the Netherlands has been working towards providing universal health coverage for their citizens since World War II. The government of the United States is divided on the necessity of providing universal health coverage for its citizens; however, it appears to be moving in this direction. The United States approximately 70 years behind the Netherlands on the health care front. Comparing the similarities and differences in the health care systems of the United States and the Netherlands gives a lot of insight into policy changes and reform that could benefit the United States. The continually improving health care system in the Netherlands may be the best model for the United States as it moves towards a Universal Health Care system.

Prince Otto von Bismarck and Prince Klemens von Metternich can be compared to the dual sides of a German Mark. A German Mark that has sported different faces when repeatedly tossed over the years. After 1871, the Prussian-friendly German historians hailed Bismarck as the national hero, who had united Germany while Metternich was deemed a failure. Then after the loss of the two world wars, the coin sides were flipped and Bismarck was seen as a bloodthirsty power monger while Metternich was hailed as the national hero. The things that lead to the diverse opinion of these two men were their characters, ideological backgrounds, goals and the means by which they reached their goals, their achievements and lastly, their failures. The question of

Otto von Bismarck was the prime minister of Germany during the time of German unification, formerly the prime minister of Prussia. Bismarck struck quite the nationalist chord in the German peoples, convincing the southern German states to join the the northern ones. He was known as a hardcore conservative, however he was a practitioner of realpolitik, and was able to approve policies that appealed to different ideologies for the sake of the country. Otto von Bismarck’s specific brand of conservatism was different than classic conservatism in that Bismarck attempted to appeal more to the working class, and he had a good few liberal policies. However, Bismarck also had traditionally conservative ideas, such as suppressing opposing views.

Germany’s and the United States’ healthcare systems compare and contrast in many ways. Germany has the third richest economy in the world and many categorize their healthcare system as socialized. Germany provides medical care to all of the citizens—young, poor, old, sick, and injured. Otto von Bismarck the Prussian chancellor in the 1880s in Germany invented the concept of healthcare systems, the notion that a government has to provide mechanisms so all its people can get medical care when they need it. In 1883, the Sickness Insurance Act was passed, representing the first social insurance program. Over the past 130 years the

Healthcare is a major topic that is constantly being brought up in the news. It is often discussed within categories such as economics, politics, and policy. The reason that is, is because of healthcare's crucial role integration as part of each of these things. With that said, the United States has received back and forth opinions on the healthcare services that it offers. Karl Polanyi defines embeddedness as a way in which economic activity is constrained societies set of institutions (Tuttle 2018). So this implies that there are two main elements that are 'embedded' into the American culture, individualism and capitalism. These two elements shape the way the healthcare system is set up. Capitalism