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51 Cards in this Set

  • Front
  • Back
% of GDP that is healthcare in US
16%
employers pay what % of premiums in US (approximately)
74%
average famliy premium in US
1111
coverage for adults in US- most people have what type of insurance

what % is uninsured
more than 50% is employer sponsored
20% are uninsured
UK- what % of GDP is for healthcare
8.6%
UK healthcare sytsem (4) premiums, co-pays, what types of insurance are avail?
no family premium
some co-pays for drugs, dental care, glasses
gov't pays for hospitals, doctors, etc
private insurance is now available decreased waiting times
benefits to US healthcare (3)
-easy access
-if you want something you can usually get it
-a lot of research and stuff going on
downsides to US healthcare (4)
-uninsured population- most people choose not to get it, but for many it is just too expensive
-lack of transparency in cost
-bankruptcy due to health care
-people avoid preventative care that they need due to cost
downsides to UK healthcare (5)
-care is rationed- you can't get something if it's not determined you absolutely need it
-e.g. zyrtec- not offered due to cost, even if you really want it
-have to go through gatekeeper even if they are out of town (have to wait)
-everyone has it bad, equally
-you are assigned to one primary care doctor, you can't switch
-high taxes
benefits to UK healthcare (2)
it's free
everyone has a doc so good preventative care
dartmouth atlas- what does it show? (2)
shows practice area variation across the country for specific things like cancer therapy at end of life, etc.

assumption that variation is all caused by inappropriate care is not accurate- there are certain diseases where it isn't known exactly what the best next step is
command system definition
central authority makes all the decisions (like in the UK?)
Germany % of GDP that is healthcare
10.7% of GDP is healthcare
average family premium in germany
copays
$750 average family premium (adjusted for income)
$15 co-pays every three months
sickness funds- properties/what they do (3)
non-profit
cannot deny coverage based on pre-existing conditions
bargain with doctors
% of germany that has private insurance
10%
idk i think i need to know which is mixed, command, free market system...
--listen to lecture
which healthcare system is a command system?
UK
issue with command systems (2)
government makes decisions based on an average so it might be really good for some and shitty for others

poor still get less healthcare than rich
mixed system example
germany
and US kinda
mixed system definition
Market-based system in which the central authority is involved (to a greater or lesser extent)
benefit of mixed system
close loopholes (like pre-existing conditions- govt can close
disadvantages of mixed system (2)
ways to game the system like lobby your congressman

not maximizing individual satisfaction (based on averages)
Taiwan system- % of GDP
avg family premium
how it is run
6.3% of GDP is healthcare
$650 average family premium (split with employers)

One government-run insurance company
copays in Taiwan (cost of drugs, traditional meds)
Co-pays: 20% of cost of drugs, up to $6.50, $7.00 for traditional medicine
benefits of taiwan system (5)
-very low admin costs
-cheap
-easy to pull up records/switch around docs
-have choices
-no waiting times
downside of taiwan system (3)
-system is broke
-people go for frivolous reasons (no gate keeper)
-government watching
swiss healthcare- who is doing the covering? (2)
Non-profit insurance companies accept all patients
Insurance companies offer supplemental coverage- not like germany where you have option to opt out- but you can buy supplemental coverage
copays in swiss
10% of cost of all services, up to $420 per year
Swiss:
% of GDP that is healthcare
avg family premium
11.6% of GDP is healthcare
$750 average family premium
benefits of swiss healthcare system (3)
-non profit status + competition = not bad solution
-universal coverage
-no adverse selection- everyone has to buy in
Japan system- % of GDP
average family premium
8% of GDP is healthcare
$280 average family premium
5 benefits of jap system
take care of people very well (good preventive care)
universal
choice of doctors
low cost due to banning insurance company profits and limiting doctor fees
Japan system- co-pays how much?
who is covering insurance (2)
30% of the cost of procedures
Insurance is provided by employers or community-based insurance companies

The government negotiates prices with providers.
disadvantages of jap system (3)
Not making enough money (bankrupt)
More people go to health care than needed (price so low you get MRIs for everything)
basically, prices are too low
vet system vs. man healthcare system (4)
all payments made in cash
no waiting
gov't provides free care for poor animals
competitive (limited govt involvement though)
downside to vet system
really expensive treatments that are hard to pay for
wtf is moral hazard
---
closest system to market system
vet system
market system definition
Decisions made by consumers and producers pursuing their own interests
market system benefit and downside
efficient (you give what services are wanted) but not equal for all
CHIP (children's health insurance program)
a program for low income children who do not qualify for Medicaid.
4 public healthcare programs in US
medicare
medicaid
CHIP
other fed/state/county lvl assistance programs
7 public options avail in iowa
hawk-i: Healthy and Well Kids in Iowa
Health Insurance Premium Payment (HIPP) Program
AIDS/HIV Health Insurance Premium Payment Program
IowaCare
Home and Community-Based Services (HCBS)
Medicaid for Employed People with Disabilities (MEPD)
Medicaid for Kids with Special Needs
2 types of private health insurance available in US
employer based
individual health insurance
4 private options for paying for healthcare
private insurance
private pay (out of pocket)
charities
co-op (group that pools together risk)
bulk of health expenditures were on what? (2)
hospital care and physicians
healthcare system composed of...(3)


distribution (which is most)
hospitals
nursing facilities
am care

more care is in am care but this is not where all the costs come from (most cost comes from hospital care)
% of healthcare practitioners that are pharmacists
0.5% are pharmacists
% spending of GDP on healthcare- who the highest

second highest
US!

then swiss
describe growth of total health expenditure (% of GDP) of the US
around 1977 started huge upwards slope