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Germany's Healthcare System

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Germany’s Health Care System

Germany’s Health Care System

Germany has one of the oldest healthcare systems in the industrialized world. It is a Bismarckian social insurance system established in 1883, by Otto von Bismarck, and was based on medieval craft guilds’ idea of sickness funds (Dong, 2009 ;Knox, 2008). The founding principles of his design are commonly identified as solidarity, subsidiarity, and corporatism (Green & Irvine, 2013). Bismarck’s idea of a national system of health insurance based on the guilds' sickness funds is still in effect today and covers a majority of the German population. Germans are committed to equitable access to quality medical services and nursing care for everyone, (Altenstetter, 2003). This commitment has kept Bismarck’s design successful for over 100 years.
Access to health insurance is universal for all legal residents of Germany. There are two types of coverage Statutory Health Insurance (SHI) and Private Health Insurance (PHI). With statutory health insurance every employee is insured automatically if his gross income does not exceed a certain limit (Schneider, 2012). Non-earning spouses and children are insured as well (Blumel, 2012). Employees and employers each contribute a specific pre-determined percentage of wages to cover the costs of insurance. As of 2011, insured employees contribute 8.2 percent of their gross wages, while the employer adds another 7.3 percent; the combined maximum contribution is around $759 US dollars per month (Blumel, 2012). If the person is unemployed, disabled or homeless, the government subsidizes the insurance premiums (Schneider, 2012). If the employee’s salary exceeds the yearly gross income for SHI two options are available. Option one is to continue in the SHI system. Option two is to leave SHI and apply for PHI. Self –employed Germans are also eligible for PHI.

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