- The U.S. must decide whether or not to make this commitment
The Bismarck Model
(and what T.R. Reid thinks of it)
Rose Balentine, Carolina Cardoso, Jack Culhane and Katarina Veevers-Carter
Who is in charge?
What do you need to enroll?
Big Picture
Germany - Insurers and Providers
-What do you need to be enrolled?
- Universal Coverage
- Choice in providers
- But sign up and you're in
- Who's "in charge"
Moral Question
- Costs?
France-Practitioner & Government
Can't be denied
- Should a wealthy country provide health care to everyone?
- What happens if you do not?
The Bismarck Model
THE BISMARCK MODEL AND THE U.S. HEALTH CARE SYSTEM
Same Access to the Same Care at The Same Cost
- Named for Prussian Chancellor Otto Von Bismark (b. 1815-d.1898)
- Countries that follow the Bismark Model puts all of their citizens under one system
- Economic incentive to provide preventive health care
- Health Care is the largest industry in all wealthy countries.
It consumes more of the national income than education and defense.
- 17% of the GNP in the US ($7,000 per citizen per year)
COSTS
- 2x as much as any other European Country
- 1st ever welfare state in the modern world
- Multi-payer Model
- Non-Profit "Charity" Model
- Health Care Providers and Payers are private
- Expensive!
- France- 10% GDP Germany- 11% GDP Japan- 8% GDP
- Socialism?
Countries
DISADVANTAGES
Germany, France, Japan, Belgium, Switzerland, the Netherlands, and some parts of Latin America
ADVANTAGES
GERMANY
FRANCE
- All 82 million Germans and millions of "guest workers" legal or not are covered by generous health care plans
- WHO rated France best in the world for "Overall Health System Attainment"
- Includes every aspect of health treatment from mental health care, all prescriptions, and trips to the spa...
- No choice to opt out
- Hospitals are underfunded
- Costly for the country
- Disadvantageous for doctors
- If you lose your job, you keep your health care
- "Carte Vitale" - digitized health insurance card
- Eliminates paperwork
- Automatic Payment
- "World-class" quality care
- Germany ranks at the top in all comparative health care studies
- No one is denied coverage
- No waiting lines
- Covered during unemployment
- German doctors marching the streets of Berlin
JAPAN
- All citizens are covered for minimal fees and no waiting lists : "Individual Mandate"
- Result: everyone takes advantage of clinics and hospitals
- The catch: Japan spends half as much as the US
- Insurance is compulsory
- Insurance companies are more efficient
- High quality of health care