Healthcare System Comparison: Canada v. UK v. Germany

This video compares three classic health care systems: The Single Payer Health Care System (Canada / Traditional Medicare), the Beveridge Health Care System, (United Kingdom / Veterans Affairs), and the Bismarck Health Care System (Germany / Medicare Advantage). This video provides a way of visualizing the difference, and explains each one.

0:00 - Overview
1:08 - Single Payer / Canada / Traditional Medicare
3:17 - Beveridge System / UK / Veterans Affairs
6:02 - Bismarck System / Germany / Medicare Advantage

[wangdangdoodie]

It's refreshing to hear someone who actually knows the correct title for the British system is 'The Beverage System'.

[colko]

Some clarifications from Germany:

- The german social security system is NOT part of the government, all branches as pension funds, public health insurers, unemployment fund etc. are self governing and autonomous bodies. All members are voting their represantatives to the boards, half by the people, half by employers.
Government set the rules and pays subventions because children and non-earning spouses are covered without any additional costs in the public system

- The premium is paid half by the employer and half by the employee, like taxes via pay check

- You can't opt out of the public system unless you earn more than 5, 200€/month (or you're a civil servant or a student). Below that, you have to be insured in the public system, above you can stay in the public system.
If you earn more tha 4, 700€/month, the premiums aren't rising anymore.

- No public health insurer can deny access to anyone. They have to insure you even if you need the most expansive treatments. The public health insuring companies are paying to a risk balancing fund, which gives money to insurers with more costly members. Again, no government involvement beside setting the rules. And no voucher system!

-You can have additional health insurance to the public insurance for glasses or single room in hospital or dental implants.

- In the private insurance system, payments could be lower for younger people but are rising drastically with age. You have to pay extra for children and spouses. So many who could choose private insurance stay in the public system or try to re-entry when getting older.

- And last but not least, you have to be health insured when living in Germany, no way out!

[philrodriguez]

Amazingly informative, thank you so much for clearing these complex differences up!

[MrMineHeads.]

Great video! I very much enjoyed your explanation. Clear and concise.

[jonmce]

THe best unbiased description I have seen.

[marianaramos]

Thanks! this is a great and straightforward explanation for those who are learning about health care systems (like me).

[FINANCIALFREEDOMCJ]

Great differentiation of the health care systems.

[Joinalagent]

thanks so much ma'am appreciate the overview

[George-zvyy]

Nice video Ashley. After reading some of the comments I just wanted to ask viewers if any other country such as Canada, the UK or Germany have separate, large medical systems in place to provide healthcare to the current service members and their families and other facilities just for military veterans who had served in the military. I suspect they do not. I suspect the very large (expensive) military hospital, Tricare medical clinic system and the V.A. medical centers are only found in the USA.
I worked for a manufacturer of medical imaging systems which resulted in my working in private (for profit) hospitals, military and V.A. hospitals and government Tricare clinics. The government facilities were always well run, and patient focused. They were not driven by profit and the difference in the work climate was very apparent. They were well equipped and under-utilized since they don't help care for the general population.

[werthersoriginal]

I would love to see this examined through the lens of Game Theory. Thank you for breaking this down.

[maverick]

Great video. Think it's plain to see why the expression in Healthcare exists: "Bismarck beats Beveridge & Single Payer" hands down.

[japreet_kah]

Wait??? Does the united kingdom not use the national insurance model which has elements of both Bismarck and Beveridge ? Im from the UK and im studying the health systems

[whiteeyemovalik]

so which of the three is better and cheaper for the patient?

[ggjr]

In the US Medicare Advantage system the government gives insurance companies more money for sicker patients too but it hasn’t stop the insurance companies from denying payment for needed treatments. Definitely wouldn’t want that if I could help it.

[johnmichaelcule]

The UK example seems to me to be wrong. There is no real 'insurance' in the Beveridge model. The government funds the system from taxation. Some of the taxes bear the label "National Insurance' but it's taxation.

[ashleymichelle]

Thank you!! Omg! What reference did you get this from? I’m literally writing a paper on this topic!

[crimsonwizard]

Medi-Care in Canada was formed by a Scotsman, who was born in the same Scottish village as I was. Camelon.

[lalainenash]

I think the UK’s Bismark system is the most efficient way as it removes the middleman which is the health insurance. The government takes accountability from the tax they’re receiving from the people.

[plantgurugangsta]

Does any country have a system where ONLY emergency room visits are "free" or rather covered by taxes and then u deal strait with the insurance and doctor or better yet, just the doctor for additional services you may need or want? Or where u can opt in or out BY CHOICE of whether or not you want to pay the tax to get the services? Or...is the government always involved in every healthcare system?🤔lol I'm just learning about the different types of healthcare around the world and it confuses me so much. Seems complicated.😆I prefer the holistic route and food/self care being the greatest health investment u can make but I acknowledge modern medicine has its time and place and can be a matter of life or death.✌

[ekemininkopuruk]

Explain the pros and Cons of Bismarck Health care system