Germany vs. United States
A Comparison of Healthcare Systems
Deborah Glen
Grand Canyon University
Healthcare Systems and Transcultural Healthcare
January 8, 2011
Comparing Healthcare Systems between Germany and the United States
The chart included here compares healthcare systems between Germany and the United States. Though many miles apart geographically, there are many similarities between the two nations. Many people and institutions, both government and non-government, form Germany’s healthcare system, termed Socialized Health Insurance by our text (Shi & Singh, 2010). Almost everyone is eligible. 88% subscribe to mandatory health insurance, 9% private insurance, 0.7% public insurance …show more content…
Employment based, Government funded, and Private Pay Health Insurance is the most common type of coverage. Workman’s Compensation is Government funded with a portion of the funds coming from employers. Also, separately funded, is the Military Medical Care system, caring for active, discharged, retired, and families of military men and women. Approximately 60% of the American people are covered by employment based insurance, 25% are covered by Government Insurance and 16.8% are uninsured (Shi & Singh 2010). There is no central governing body to delegate fees, costs, distribution, accessibility or quality nationwide, and the system continues to focus on acute care rather than preventive or personal responsibility for health. Defensive practices are the norm due to high risks of litigation and access to care is often controlled by ability to pay or insurance …show more content…
is primarily a managed care system, with the government, private payers and employers as the financial backing to the Managed Care Organization (MCO), responsible for acquiring caregivers and creating the contracts through which the caregivers are paid. Here, too, there are problems noted with quality assurance, coordination of patient care and follow-up, preventive and defensive medicine, as well as accessibility due to geographic location, inequality of resources, lack of education, and lack of healthcare providers/professionals. As we move forward in the 21st Century, I feel the United States must focus more on access and cost containment. Middle-aged and low-to-middle income families and individuals, are having difficulty choosing between healthcare and groceries, or worse yet, rent. Although fighting many of the same battles, Germany, at least, can say that almost all the people living in their borders are insured and assured of comprehensive health care now, and in the immediate future.
|Comparison of Healthcare Between United States and Germany |
| | United States | Germany |
|Financing |Private, Government, Taxes, Premiums, |Government, Private, % of wages, income