The physician and health professional education is incredible and medical research is advanced allowing high technology in the countries health care system. But the $3,300 per capita health care costs in 1993 was almost twice the average of twenty four nations in the Organization for Economic Corporation and Development. In 2005 alone the per capita expenditures (in United States dollars) on health care was 6, 347 in the United States and 3, 628 in Germany (Blank & Burau, 2010).
In 1883 Germany approved a Health Insurance Act supporting socialism and defining the start of health insurance programs worldwide. Today, about eighty nine percent of the citizens, and estimated 72 million are part of an all-payer public health insurance program and nine percent are covered by private insurance (Powell & Wessen, 1999). In the United States nearly 73 percent of families health insurance comes employer financed insurance, through private insurance companies. Those note covered by private insurance are covered under Medicare or Medicaid, a federal insurance program (M. Laseey, et al., …show more content…
Non Medicare and nonmanaged care patients continue to pay a fee, but at reduced prices. The change to manage care has lessened a majority of hospital revenue from people under age 65. U.S. hospitals are more expensive than other countries due to the fact that there are more employers per patient bed (M. Lassey, et al, 1997, pg. 56).
In Germany, physicians in private practice are paid using the fee-for-service program. The Ministry of Health and Welfare is a group of individuals accountable for fee rated under a point-fee system. Under consideration when paying the physician is technical skill required and cost of materials. This fee schedule has vastly influenced the behaviors of physicians and hospitals. “For example, by limiting the fees for surgical services, the schedule has kept surgery rates low, thus contributing to lower hospital costs” (M. Lassey, et al, 1997, pg.