CHAPTER 17 THE BISMARCK MODEL: SOCIAL HEALTH INSURANCE
CHAPTER 17 THE BISMARCK MODEL: SOCIAL HEALTH INSURANCE
Social health insurance in Germany 。 In 1881,the first Chancellor of modern Germany,Otto von Bismarck,introduced a popular new national policy:universal sickness insurance. His idea was based on centuries-old practices of Prussian miners,who belonged to mutual aid societies or "sickness funds"called Knappschaftskasse. The passage of Bismarck's 1883 insurance bill is considered a foundational moment in the history of the welfare state. The government eventually extended health insurance coverage to the entire population. Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics Social health insurance in Germany • In 1881, the first Chancellor of modern Germany, Otto von Bismarck, introduced a popular new national policy: universal sickness insurance. • His idea was based on centuries-old practices of Prussian miners, who belonged to mutual aid societies or “sickness funds” called Knappschaftskasse. • The passage of Bismarck’s 1883 insurance bill is considered a foundational moment in the history of the welfare state. • The government eventually extended health insurance coverage to the entire population
The spread of social health insurance In 1958,Japan passed the National Health Insurance Law,which universally guaranteed health insurance to Japanese citizens. Other East Asian nations like South Korea and Taiwan followed Japan's lead in the late 2oth century. Many health care systems in continental Europe, such as those in France,Switzerland,and the Netherlands,evolved in similar ways Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics The spread of social health insurance ❑ In 1958, Japan passed the National Health Insurance Law, which universally guaranteed health insurance to Japanese citizens. ❑ Other East Asian nations like South Korea and Taiwan followed Japan’s lead in the late 20th century. ❑ Many health care systems in continental Europe, such as those in France, Switzerland, and the Netherlands, evolved in similar ways
Key traits of Bismarck health care systems Universal insurance Community rating Regulated,private health care provision Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics Key traits of Bismarck health care systems Universal insurance Community rating Regulated, private health care provision
Key traits of Bismarck health care systems Universal insurance: All or nearly all of the population has health insurance coverage,either through a plan sponsored by an employer or through the government. No one is denied access to insurance based on inability to pay or poor health status. Community rating Regulated,private health care provision Bhattacharya,Hyde and Tu-HealthEconomics
Bhattacharya, Hyde and Tu – Health Economics Key traits of Bismarck health care systems Universal insurance: All or nearly all of the population has health insurance coverage, either through a plan sponsored by an employer or through the government. No one is denied access to insurance based on inability to pay or poor health status. Community rating Regulated, private health care provision