Failure Of German Compulsory Health Insurance
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Redefining German Health Care
Author: Michael E. Porter
language: en
Publisher: Springer Science & Business Media
Release Date: 2012-01-25
The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended. This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system. These steps are practical and achievable, as numerous examples in the book demonstrate. Moving to a value-based health care system is the only way for Germany to continue to ensure access to excellent health care for everyone.
Disorder
Author: Peter A. Swenson
language: en
Publisher: Yale University Press
Release Date: 2021-11-30
An incisive look into the problematic relationships among medicine, politics, and business in America and their effects on the nation’s health Meticulously tracing the dramatic conflicts both inside organized medicine and between the medical profession and the larger society over quality, equality, and economy in health care, Peter A. Swenson illuminates the history of American medical politics from the late nineteenth century to the present. This book chronicles the role of medical reformers in the progressive movement around the beginning of the twentieth century and the American Medical Association’s dramatic turn to conservatism later. Addressing topics such as public health, medical education, pharmaceutical regulation, and health-care access, Swenson paints a disturbing picture of the entanglements of medicine, politics, and profit seeking that explain why the United States remains the only economically advanced democracy without universal health care. Swenson does, however, see a potentially brighter future as a vanguard of physicians push once again for progressive reforms and the adoption of inclusive, effective, and affordable practices.
The Struggle for Social Security, 1900–1935
Author: Roy Lubove
language: en
Publisher: University of Pittsburgh Pre
Release Date: 1986-03-15
For the first one-third of the twentieth century, proposals for workmen's compensation, unemployment or health insurance, and widow's or old age pensions met steep resistance on the grounds that such programs would diminish the dignity of the individual. In this book, Roy Lubove examines the clash between the traditional American ethic of individualism and voluntarism and the push for an active government role in social welfare assistance, and the battles within the social security movement itself. He concludes his study with the actual legislative enactments of 1935 when, after the experience of the Great Depression, social insurance came into its own.