Hypertension Is The Leading Risk Factor For Cardiovascular Disease In Germany

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

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

Apart from healthcare issue, the country has adopted the fast-moving life style, which has pushed most of our citizens to succumb to obesity as a result of fast foods. In fact, a recent report by the UN has ranked the United States as the most obese country in the world. Parramore (2012) outlines that, “Obesity is currently being considered as a national crisis in the United States and that it contributes 100,000 to 400,000 deaths per year. Statistics at the CDC and Prevention in 2010 indicate that 35.7% of the American adult is obese.” Many input trends exist in the American society, “First and foremost, people are highly used to fried foods, sugary drinks, and processed meats among others. There is also the sedentary lifestyle that has been adopted by many,” (Huffington Post, 2013). In fact, most of us love relaxing without exercise and too much television watching. These are some of the factors that contribute to obesity. The result is health complications problems such as diabetes, stroke, and heart disease just to mention but a few. These affect the longevity of life.

Life expectancy has increased over the last century. With this greater survival rate, there needs to be an increase in the rate of spending for Medicare. Despite what one does to improve their health behavior, the need for medical care cultivates as one ages. This need will continue to increase significantly as medicine continues to modernize.

Health care is growing and demand on our health care system is rising. According to the Administration on Aging of the U.S. Department of Health and Human Services, people 65+ represented roughly 13% of the population in 2011, but are expected to be 21% of the population by 2040. The aging population, as well as increasing technological advances, and improved access to health care reinforce why reimbursement optimization is now essential to cost control and maintaining the quality of our health care system.

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 nutrition transition and the increasing westernization, urbanization and mechanization occurring in most countries around the world is associated with changes in the diet towards one of high fat, high energy-dense foods and a sedentary lifestyle (Popkin, 2001). This shift is also associated with the current rapid changes in childhood and adult obesity. Even in many low income countries, obesity is now rapidly increasing, and often coexists in the same population with chronic under nutrition.

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

Germany’s health care system pays for not only healthcare basics but also dental, optical, mental health. They will also pay for alternative therapies like homeopathy, to go to a spa, and more. The healthcare system is highly accepted by the German population. Pregnant women pay nothing for their care, while most Germans have a co-pay of $15 dollars once every 3 months for their doctor visits (Saul, 2014).

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.

The United States as compared to Bismarck Model and other universal health care systems is lacking control and so fragmented especially to other nations. Bismarck Model or as stated in the text book “the insurance model” is known as the oldest health care model (Kovner & Knickman, 2011). Although, every employer and employee (payroll deductions) contributes according to income (Kovner & Knickman, 2011). Bismarck varies in the “basic coverage” from one country to another (Kovner & Knickman, 2011). Found in Germany, France, Belgium, Netherlands, Switzerland, Latin America, and Japan (Kovner & Knickman, 2011). This is not quite like the United States, where the funds go to the government (Kovner & Knickman, 2011).

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.

Countries that have universal health plans, like Japan and Germany, have better life expectancy rates, spend less on health care, and have more than double the number of its citizens insured (Stephens & Ledlow, 2010). While the debate over