PUBH 1515 Movie Notes - England • No‐co‐pay •...

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Unformatted text preview: England • No‐co‐pay • No
insurance • Govt.
owned
hospitals
paid
out
of
taxes • No
medical
bankrupts • Much
higher
taxes
than
us • Primary
and
emergency
care
works
well • Elec@ve
care
has
really
long
wait
lists
(ex.
Hip
replacement
@
6months) • Hospitals
compete
for
govt.
money
to
survive • Gate
keeper‐can’t
go
right
to
specialist. • GP‐
paid
on
fixed
amount
avg

pa@ence
1800 • Care
costs
to
liLle
 • World
leader
preven@ve
medicine Japan • Long
healthy
life
in
world
lowest
infant
mortality • Social
Insurance:
Everyone
signs
up
for
health
insurance,
gov.
pays
for
poor • Private
medical
centers • Go
to
dr.
3x’s
as
oUen
as
US.
3
MINUTE
VISITS • No
gate
keepers • No
wai@ng
list • Every
price
nego@ated
every
2
yrs
fixed
pricing. • Scanning
equipment
made
inexpensively. • No
profit
from
insurance
companies,
can’t
be
denied
coverage • Hospitals
going
broke Germany • Bismark
model • Rich
can
opt
out
90%
stay
in • Market
system
–private
dr.
office
and
hospitals • Private
insurers‐
sickness
funds
more
expensive
that
Japan
and
UK • Pregnant
people
pay
nothing,
everyone
else
pays
co‐pay
but
only
every
3
months • Standard
prices
nego@ated
every
year Taiwan • Looked
at
other
countries
and
developed

a
compila@on
system • Na@onal
health
insurance
1
government
insurer,
everyone
has
to
pay,
no
opt
out • No
gatekeeper/no
wai@ng
@me/clinic
open
on
weekends • Has
to
have
smart
card,
has
history
and
medica@on
info
and
automa@c
bill
pay • Over
20
@mes
month
or
50
@mes
in
3
months
govt.
visits
pa@ent • Govt.
borrowing
from
banks
and
don’t
wait
to
raise
premiums Switzerland • Lamal‐
the
sickness,
everyone
buys
insurance
govt.
pays
for
poor • Insurance
could
not
make
profit
on
basic
care
or
cherry
pick • Insurance
compete
by
saying
they
will
pay
faster • Supplemental
Health
insurance
makes
a
profit 








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This note was uploaded on 11/19/2011 for the course PHYS 1501 taught by Professor Mercynavis during the Summer '10 term at Life Chiropractic College West.

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