The British pay for their National Health Service out of tax revenue. They pay much higher taxes to cover the cost of health care. It is a single payer system, with the payer being the government, but the public funds it. With this the coverage is huge, there are no insurance premiums, no fees, and no copays, it is all covered for through taxes. The people of Britain can go their whole lives without seeing a medical bill, which is what Britain strongly believes in. Due to this system the government owns the hospitals and the doctors are essentially government employees. These doctors, such as general practitioners, get paid a fixed amount by the government that is based on the number of patients they see. The strong incentive British doctors have to keep their patients healthy is the bonus they get if they do so. They can get a bonus of roughly 90,000 dollars, as stated by Doctor. The British seem to be quite satisfied with how much their government is involved regarding health care.
The Japanese have a health care system known as social insurance and it is paid for by the public through health insurance policies they must sign up for. These policies can be gotten through work or a community based insurer, with the government paying for those who do not have the money to pay. They pay into a social insurance fund to help finance this system, which most Japanese citizens are satisfied with. It is a fair system in their eyes. To keep costs under control the Health Ministry and physicians of Japan get together every two years to negotiate a fixed price point for every drug and procedure. The fixed price they decide upon is set to be the same everywhere in Japan, doctors cannot try to raise their prices to make a profit. Regulation of health insurance for Japanese is quite different than the U.S. healthcare insurance. For starters, regulation of healthcare for the Japanese includes national price regulation, coverage for everyone in all categories of health, and insurance companies being non-profit. This makes all doctors office and a majority of hospitals, about 80 percent, which is more than the U.S., a private business. U.S. healthcare insurance, however, includes a variety of different forms. This includes private insurance gained through an employer, medicare for the elderly, medicaid for the poor, and some citizens with no type of insurance. A good amount of insurance companies in the U.S. are profit-organized companies as well. The Japanese and the U.S. differ a substantial amount in regards to healthcare for the public.
The Bismarck model is a system where, to finance healthcare, germans must pay premiums based on their income to private insurers, also known as “sickness funds”. Germans split the pay for the premiums with their employer. With this model healthcare coverage is universal, insurance plans are non-profitable, and it is carried out by private hospitals and doctors. The rich, however, can choose to opt out of it and pay for their healthcare privately. As stated in the question “the rich pay healthcare for the poor”, this kind of social support that is accepted by the public is what makes the system work. The public does not mind paying more if it means everyone is covered in regards to quality healthcare. The German health system covers the basics such as regular checkups, immunization, emergencies,etc., as well as
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