Health Insurance Values and Implementation in the Netherlands and the Federal Republic of Germany: An Alternative Path to Universal Coverage
Kirkman-Liff, Bradford L.
JAMA. 1991 May 15; 265(19): 2496-2502.
The health care systems in the Netherlands and the Federal Republic of Germany are based on a set of values that involve mutual obligations between private parties. These obligations are realized through systems incorporating private practice physicians, community and church- and municipality-affiliated hospitals, and nonprofit and for-profit insurers. The underlying values and implementation approaches in these systems provide an alternative to the adoption of a Canadian-style health insurance system. A discussion that focuses on "obligations" rather than "rights" may be a more useful approach for the design of reforms of the American health system in the 1990s. Such a discussion would focus on the mutual responsibility of all parties to create and maintain a universal private health care system.
Adoption; Aged; Economics; Employment; Health; Health Care; Health Care Delivery; Health Insurance; Hospitals; Indigents; Insurance; International Aspects; Mandatory Programs; National Health Insurance; Obligations of Society; Obligations to Society; Patients; Physicians; Public Policy; Regulation; Rights; Self Regulation; Values;
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