Germany's Healthcare System

Germany’s healthcare system is split into two types of coverage which is public and private health insurance. Health insurance companies are not able to deny people coverage due to pre-existing illnesses or to discontinue their treatment because of high costs. The public health care insurance is provided by statute to individuals who are not eligible for private insurance which is people who are salary and make under $50,000 annually. As people age and become ill, they are able to opt out of their insurance and turn to the government’s option. As the economy continues to fluctuate, the population of Germany relies more heavily on the legislative insurance which consists of 85-90% of the population.

The healthcare systems of Switzerland and the United States are quite similar in some aspects and vastly different in others. In Switzerland, the healthcare is universal and available to all. It is provided by private individual insurance companies and subsidized by the government when needed. Basic health insurance is required to be purchased within 3 months of residency or after birth and is an individual’s choice as to what carrier they choose. Of course, there are exceptions to this mandate but they are very few.("Healthcare in Switzerland," “n.d.”, para. 1) Because of this requirement, 99.5% of the population in Switzerland has

The economics of healthcare is not at all simple. What you put in is certainly not necessarily indicative of what you get out, as shown by the striking discrepancy between what we pay and what we get out of our healthcare system. This is demonstrated further by comparing our system to those of France and Italy, who come in first and second, respectively, in WHO’s international ranking of healthcare systems (“World Health Organization’s Ranking of the World’s Health Systems”). Counter to what many Americans may believe, a number of European nations do not have completely socialized medicine.

The fifth country that was visited was Switzerland. Switzerland spends 11.6% of its GDP on healthcare. Citizens pay $750 a month for premiums. If you are too poor to pay for your premiums, the government will pay. Citizens pay 10% of the cost of services for a co-pay. Switzerland also used the “social insurance” model. 95% of the population already had voluntary insurance when they country switched systems. All citizens are required to have coverage. Switzerland shows that in a high capitalist nation with powerful insurance and pharmaceutical industries, universal coverage is possible. Insurance companies are not allowed to make a profit off of basic care and are not able to select only young and healthy applicants. The government sets the prices on drugs, but the insurers and providers negotiate on all other prices. Switzerland has the second most expensive system behind the U.S. The Swiss do not have gatekeepers, some insurance plans may require them or may give a discount for using them.

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).

There are many individuals’ that think the German health care system is one of the best in the world. Back in 1883 a man by the name of Otto von Bismarck, created Germany’s health care system; a universal health care system which is the oldest in Europe ("Otto von Bismarck," 2012). When the German health care system was created, it was mandatory for a select few mainly, low-income workers and specific government employees. Gradually the system was expanded to cover the entire German population. Under the German universal health care system 85 % of their population has

Germany has a market based health system. They have universal health care that covers medical, dental, mental health and even homeopathy. Insurance companies cannot make a profit from insured customers. Therefore, the price for insurance is negotiated between the government and the Insurance provider. Like any other healthcare system there are

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.

When it comes to death, Germans own the highest rate of dying. They are required by law to purchase a coffin even if their loved one's are cremated. Over fifty percent of the German population is cremated to avoid burial services. Those who chose to be buried are only allowed to “rest” in cemeteries for ten to thirty years due to space limitations. Healthcare in Germany is only a bit different from American Healthcare. German Residents are required to belong to a sickness fund, and insurance companies are required to accept them. The residents pay half of the sickness fund costs, and employers pay the other half. There is also a limitation on out of pocket expenses, so it’s almost impossible for Germans to be in debt from any medical bills.

As technology becomes more expensive, the market increasingly offers too little choice. A consumer-driven healthcare system would encourage basic plans with low premiums for low income employees, mandate individual coverage, and allow states the flexibility to reallocate funds for vouchers. Similar to Switzerland’s consumer-driven health care system, individuals would have the ability to purchase their own health insurance. Switzerland’s consumer-driven health care system achieves universal insurance and high quality of care at significantly lower costs than the employer-based US system and without the constraint resources that can characterize government-controlled systems (Herzlinger, 2004).

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

Comparing health care systems of the United States and Germany. Assessing the areas of health care for adults’ elderly and retired, coverage for prescriptions, referrals for testing and specialties including pre-existing conditions, and financial effects and of course the children.

This article is under the topic of “Health production and demand for healthcare”. The article uses German healthcare reform of 1997 as an evidence. The main question is to examine if the German healthcare reform, in particular, increased co-payments, is a success to mitigate the excess use and waste of prescription drugs by reducing the number of doctor visits.

Waiting lists for treatments are rare. Medical facilities are equipped with the latest technology and the statutory health insurance scheme provides nearly full cover for most medical treatments and medicines. Almost everybody in Germany has access to this system, irrespective of income or social status.

The only part of Germany’s Bismarck model that I disagree with is that high income earners have to pay more for the price of insurance. There seems to be a bit of discrimination between upper and lower class based on this rule. Just because a family is rich doesn’t mean that they don’t need insurance coverage. In my opinion, insurance should be the same price no matter what your class may be. Also, the German model should not assume that the rich can afford health insurance. I think that everyone should be required to have the opportunity to be given insurance.