Organizational Systems and Quality Leadership Task 3, C489 Bryanna Kidwell Western Governors University A1. Country to Compare United States vs Switzerland A2. Access
The citizens of Switzerland have access to a wide range of healthcare treatments. In Switzerland, it is mandatory for everyone to carry insurance. It is required by law that a resident choose between a publically funded insurance (basic), private insurance (different benefits and premiums, or both. Students or people who do not plan to stay more than 90 days are not required to get a Swiss Health Insurance, but are expected to get a European Health Insurance Card. Children 3 months old to 18 years old have their own insurance at a reduced price, and it can be different from their parents. (Expatica, 2018) Citizens are expected to make monthly contributions to the Unemployment Insurance (UI) as well as Old Age and Survivors Insurance (OASI) during the time of employment. If a resident finds themselves unemployed, they may withdraw from the UI and are entitled to benefits up to 400 days. Residents who are retired or are considered old age may withdraw from the OASI. Benefits vary depending on how long you were working and how much you were making. (Scimetrica, 2019) In 2014, the Affordable Care Act (ACA) was signed into law. This law required all Americans to obtain and retain health insurance. If an individual did not maintain health insurance all year, than a penalty of 2.5% of household income was fined during the filing of individual’s taxes. However in 2017, Tax Cuts and Jobs Act was signed into law. This law alleviated the mandatory insurance placed on individual mandates. Children, unemployed patrons, and people who are of old age or retired have a few options on a federal level for health insurance options. Individualized states may also have their own affordable insurance plans available. In the United States, you can apply for and be awarded if found eligible for Medicaid, CHIP, and Medicare. (HealthSherpa, 2018) These are the publically funded insurances for those of low incomes, fixed incomes, or no incomes. A plethora of private health insurance is available to choose from as well. If uninsured children, elderly, and the unemployed are in need of critical care, the Emergency Medical and Treatment Labor Act (EMTLA) passed in 1986,
ensures that no public hospital can turn them away for treatment, but the bill will be the individual’s responsibility. (U.S. Centers for Medicare & Medicaid Services, 2012)
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