Re: Re: Health Care in Germany/28.3.-23:59h

[Guest guest]

Hi all,

The chief doc of an department (Chefarzt) often has the right to have "private beds".

Our small town hospital gave the chief 10 of those. They get occupied by "private patients" which have "private additional insurance" for this purpose (2. Klasse Zusatzversicherung).

An appendix operation was charged at DM 4.000 on the regular system, and DM 7.000 for the "private bed". The service for the patient is exactly the same, some junior doc takes your appendix out. The difference is in the morning "visite", the chief will shake your hand instead of a minor physician. The chief makes the extra DM 3.000 for that on top of his salary and pays the hospital a fee for the private rooms.

The argument for this is "to attract the most competent physicians".

When our small town build its hospital there was no medical need. The town committee (Stadtrat) based its decision on purely economical reasons - to bring more people into town from surrounding villages that would shop in town.

Finance was made possible through grants from federal gov, state gov, county gov. The town only introduced some land at an inflated price to cover its share.

In order to get these grants the hospital had to have a size for which the required occupancy rate could never be achieved. The grants demanded that "certain equipment" had to be purchased. You can easily work out from there who "influenced" the creation of these grants.

Hospital staff are all salaried town employees. A certain occupancy rate = provision of insurance reimbursed services, is needed to cover the operating costs. If you fail to reach this rate the town is out of pocket, and there is no budget for being out of pocket.

Our town soon got the reputation for having a population without appendixes.

The hospital was an economic need, all the other small towns were doing the same and no town wanted to be left behind and be economically disadvantaged.

This system constitutes manipulation of taxes for the benefit of Big Pharma & co. Unfortunately people can't see through this. Nobody questions the purpose of these grants.

I don't know a single town whose hospital would operate profitable or be able to cover operating costs without manipulation of patients - you pass them from one department to another for examinations for which there is no medical need.

Add up all these costs and you realize that it has nothing to do with health care anymore.

The script is written by Big Pharma & Co. Their politicians pass the laws that puts the money into their pockets. There is no political opposition as all politicians have the same paymasters. Collectively they sell this system as the ultimate form of health care to the public.

When Germany bought the rest of Europe (they called it EU) all EU commissioners (Hallstein + co) were representatives of Big Pharma. Most of these were executives in IG-Farben previously - sentenced in the Nuremberg trials - then they forgot to hang them and reinstated them as executives of the companies that succeeded IG-Farben (Bayer, Hoechst, etc).

When you let these people take charge of a health care system you should know exactly what you are going to get.

Needless to point out that all aquired European countries developed health care systems based on the German model.

Cheers,

Wilfrid

Subject: Re: Health Care in GermanyTo: Rife Date: Sunday, March 28, 2010, 4:15 PM

Hi Randy,its much more complicated than that. Here is a brief description:GP's have no formal gatekeeper function. Private physicians, over half of which are specialists, are paid on a fee-for-service basis. Representatives of the sickness funds negotiate with the regional associations of physicians to determine aggregate payments. Physicians who work in hospitals are full-time salaried specialists, whose work is entirely devoted to in-patients. All medical and nursing education is free.Here is a reasonably good description of the differences to the American system.http://www.npr. org/templates/ story/story. php?storyId= 91971406 Regards> > >> > >> > > , Does the health care plan in Germany mandate that everyone must> > have insurance. Is there a

penalty or fine if you do not purchase insurance?> > > Von Hamrick> > >> >> > > >>