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Organizational Systems and Quality Leadership C489 Task 3 1Western Governors universityOrganizational Systems and Quality Leadership C489Task 3Abdulai Samuel Sefoi
Organizational Systems and Quality Leadership C489 Task 3 21A.In this paper I am going to compare United States healthcare system to that of Germanyhealthcare system.2. AccessIn comparing US healthcare system to that of Germany, several connections could be drawn aswell as differences that makes each healthcare system distinct. In the United States (U.S.), theAffordable Care Act (ACA) was enacted in 2010 to increase access to quality and affordable carethrough what was termed “shared responsibility” A concept that was conceived to bring togethergovernment, employers and individuals for the sole aim of expanding access to high standard butlow-cost health insurance. It is safe to say that the U.S. insurance coverage remains disintegrated.Data from the Commonwealth Fund estimates that about 55.7% of insurance coverage isprovided by employers, 14.6% through private pay and 37.1% accounts for public coverage;Medicare 16.3%, Medicaid 19.6%. The employer mandate requires employers to provide healthinsurance to their employees, while the individual mandate required individuals who work gethealth insurance through the insurance marketplace if not through employment. Failure to do sowill result in penalty or fine. Subsidized or tax incentive state plans were developed to ensurethat low income individuals get help in getting health insurance. The uninsured rate droppedfrom 9.1% to 8.6% after the ACA was enacted through the first quarter of 2016. People who are65 years and older qualifies for Medicare. (International Healthcare System Profile: The U.S.Healthcare System). Despite the enactment of ACA, health insurance is yet to be comprehensiveand with the political fight to end both the individual and employer mandate, the future of
Organizational Systems and Quality Leadership C489 Task 3 3coverage for all is not clear. The ACA allows children stays on their parent’s insurance until theyare 26 years old. Medicare provides health insurance to those age 65 and older and the disabled.(Ridic, Gleason, & Ridic,. 2012). One key difference between Germans’ system to that of theU.S. is that the cost of family insurance in U.S. is also determined by the size of the family.Moreover, in the US, those without insurance seeks medical care from community clinics forfree or through a sliding fee. Others utilizes the emergency room, cost covered by the hospital orthe federal or state government. On the other hand, Germany is taunted to have one of the most cost effective andsuccessful healthcare systems in the world. Germany has what it calls “sickness funds” which isa compulsory contribution made by those who work and earn certain income. About 240nonprofit insurance providers makes up the public options that covers 90% of Germans, whilethe remaining 10% who are considered high income individuals get health insurance throughprivate and for-profit insurers. Germany does not have a fragmented system such as welfare,