German Sickness Funds: A Case Study

Improved Essays
To encourage the best healthcare options for its people, the German government has incentivised competition amongst sickness funds by allowing them to negotiate their contribution rates. For example, one sickness fund may offer a contribution rate of 11 percent tax (half of this being paid by the employer), but does not offer coverage when travelling abroad. Another may offer a contribution rate of 10 percent and coverage while abroad, but have a higher co-pay. In this way, the citizen still has the ability to choose between coverage plans and price. The larger the sickness fund, the better paid the staff and management is. The sickness funds are encouraged to create the best plans for the best prices ("Interview Karl Lauterbach."). Because …show more content…
Despite the inconvenience, nearly 90 percent of the population utilizes the services offered by the sickness funds (Underwood). With the system designed as it has been, all people have medical care available to them in which all people pay for each other. As was noted by German parliament member Karl Lauterbach, it is a system “where the rich pay for the poor… and where the ill are covered by the healthy” (2007).
Also called the “[fifth] branch of… social insurance,” the German’s offer additional health assistance called “long-term care insurance” to better assist those who are unable to take care of themselves ("Long-Term Care Insurance."). This includes those who are ill, disabled, or are unable to look after themselves for a period longer than six months. Like the compulsory health care program, it is mandatory for German’s to contribute through taxes to this program and is split between themselves and their employers. As the nature of the program entails, over 80 percent of those receiving care over 65 years of age ("Defusing the Demographic “time-bomb” in Germany."). In determining which benefits will be offered to the recipient, three categories were designed to assist medical services: care category I, which implies

Related Documents

  • Improved Essays

    After watching Frontline’s documentary, Sick Around the World, I was left stunned by the differences of health care systems in five capitalist, democratic countries much like the United States of America. I am not familiar with health care systems in other parts of the world, nor am I a US citizen therefore learning about the system here was also new information. I found that the countries were great examples of a fair system in their own way. For example, Germany’s tax equity where the wealthy population pay more taxes than the impoverished population is a great way to create balance for the system. However, the treatment of physicians could be better, showing that the systems had both pros and cons.…

    • 269 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    One of the most debatable topics that is challenged today is the issue of healthcare. Although the United States has been trying to provide healthcare for all, the United States fails to supply all of its citizens for insurable healthcare compared to other countries. Compared to the illusion of majority citizens having health insurance, in reality 43% of low income Americans went without medical care due to cost, compared to the range of 8% in Britain and 31% in Switzerland in 2016 (Fox). Today, there are 28.4 million people in the United States who are under the age of 65 that are uninsured (Health Insurance Coverage). Workers who can not afford health care live day by day making enough money to support their family and can not afford a day…

    • 1391 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Along with a detailed history of insurance and political background on how has the health care system changed over the course of a few years, the book presents case studies that shows the financial strain and medical hardships caused by the declining health care system and why it is in a desperate need to reform. Some Americans cannot afford the medicine they need or cannot afford to pay the doctors for any medical help. “Hospitals try to keep out the uninsured because treating those patients will just divert hospital resources away from paying customers” (219). Some companies cannot provide insurance as an incentive with employment like previously either.…

    • 1007 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Many other civilized countries offer their citizens medical health care that provides their citizens with medical care needed at an affordable cost relieving the burden and stress of high premiums, deductibles, and poor medical care. Germany was the first country that implemented national healthcare insurance program in the year 1880. Each of these countries that have either a universal or national healthcare insurance program have a unique way to accomplish the goal of universal healthcare. Furthermore, some countries have even banned private healthcare insurance companies. There are other countries who goal is met through legislation and regulation of insurance companies.…

    • 800 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Has one ever seen somebody who is struggling to pay back debt in medical bills?Quite a few people struggle to pay back medical bills. This problem has accumulated over the years”1 in 4 Americans struggle to pay back medical bills”(Anderson1). America’s government should focus on providing everyone with free health care could lead to better health for all Americans,less debt in medical bills,and cureing long lasting diseases.…

    • 66 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The way healthcare managers and executives are able to promote better delivery of healthcare within their organization is to stop thinking about the pay or bonuses that they are receiving. Throughout the SICKO film, workers in the healthcare system delineate that they need to deny people from insurance to get the “bonus” on their paycheck. By denying people insurance, it saves the company money. It is sickening to read and listen on how they set that as a rule. Why reject a patient from something that can save their lives?…

    • 411 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Many of the Europeans countries provide universal medical care benefit to their citizen. Whereas, in American health benefit for the poor is perceived as something negative, The ushistory.org/Gov website explains that the cost for expansion is…

    • 298 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Although it is more expensive than Japan’s healthcare system and the UK’s healthcare system, it covers a lot more. Germany offers universal health care, including medical, dental, mental health, homeopathy, and spa treatment. Pregnant women in Germany pay nothing but there is a copay fee for most patients which is only about 15 dollars in US currency every 3 months. This healthcare system caters more to the patient than it does the physician.…

    • 941 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction Affordable Care Act, a Promising Road to Affordability of Care for the Elderly The concept of universal care has been in the history of USA for a few decades, since the times of President Theodore Roosevelt, who was the first president to propose this type of health care system then in 1960's a similar concept with the idea of health protection for the two most vulnerable sectors of the population as the poor and the elderly would be covered under the establishment of Medicare and Medicaid, but after fifty years those two programs require to evolve as result of changes in the society, and finally on May 1, 2010, the Affordable Care Act was approved in the middle of a big controversy during the Presidency of Barack Obama. Once…

    • 881 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Similar to Japan it uses the universal system of care in which the government is billed and pays directly to the hospitals and doctors. No one is allowed to opt out of coverage as in Germany. The systems provide insures with a smart card which contains the insured health records and history. Clinics are open on weekends, there are no gatekeepers, and there is no wait for surgeries or specialist.…

    • 771 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Obama Care Pros And Cons

    • 1589 Words
    • 7 Pages

    Have you ever been afraid of getting sick? The fear lies not so much in the illness so much as the cost of the treatment. As you may well be aware of, the healthcare system in the United States could use some reform. That is what many believe anyway. Those who do not get their healthcare via health plans through their work inevitably have to pay for health care through more standard means, myself included.…

    • 1589 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    Medicare Threats

    • 1371 Words
    • 6 Pages

    The economic discussion is the most convincing explanation for a competitive pricing model. The Center for Medicare and Medicaid Services (CMS) and Health Care Financing Administration (HCFA), for twenty five years have tried to establish a competitive pricing model in different areas of the Medicare benefit and have only struggled with strong resistance. The dilemma is that there is no political support for competitive pricing even though there is pressure to control…

    • 1371 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Affordable Healthcare Act

    • 980 Words
    • 4 Pages

    The article further reveals that there lacks a sufficient cause to determine the reasoning behind the sizeable difference in charges. The Affordable Healthcare Act seeks to curtail this issue by adding this aspect of transparency. There are future hopes that insurance companies and hospitals can enter into further negotiations to reduce this cost, and provide better services to its patients. This is important as “unexpected health care bills continue to be a leading cause of financial ruin for American families” (Young, 2013). This issue is above all is important, as the patients are recovering from what condition forced them to seek treatment.…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Health care systems are different from country to country and operate in a variety of ways. Countries that have inadequate health care systems will look to other nations that have systems that are working to improve access to care by reducing care fragmentation. Looking at France and Italy, these two countries have medical systems that share some quality but have aspects that are extremely different from each other. France uses a health care system that is paid for by the national insurance program through general taxation. France relies heavily on compulsory employer and employee contributions from payroll taxes for prepaid revenue of health care coverage for approximately 96% of its entire population.…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Since 2001, the World Health Organization has ranked France number one in health care. When compared to other developed countries, it seems that France has spent and is currently spending less than the others on health finances. The French health care system delivers widespread coverage to all residents who have lived in the country for more than three months. They receive Statutory Health Insurance (SHI).…

    • 852 Words
    • 4 Pages
    Improved Essays