Welcome!

News Feed Item

The Fraser Institute: German Health Care System Embraces Private Sector, Costs Less with Shorter Wait Times

CALGARY, ALBERTA -- (Marketwired) -- 05/08/14 -- Despite costing less, the German health care system provides universal access to high-quality care with shorter wait times than the Canadian health care system, finds a new study released today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.

The study, part of a series of Fraser Institute studies examining health care policies in other countries that share Canada's noble goal of access to care regardless of ability to pay, spotlights the German health care system and offers valuable insights for the health care debate in Canada.

"Canadian policy makers could learn a lot from the German health care system and its reliance on the private sector, because despite spending substantially less on health care, Germans enjoy shorter wait times for emergency care, primary care, specialist appointments and elective surgery than Canadians," said Nadeem Esmail, Fraser Institute senior fellow and author of Health Care Lessons from Germany.

In 2009, as an age-adjusted percentage of GDP, Germany's total health care expenditures (9.8 per cent) were 22 per cent lower than Canada's (12.5 per cent).

Among developed countries with universal health care, Germany's total health care expenditures were one per cent below the all-country average. By comparison, Canada's health care expenditures, the highest among developed countries with universal health care, were 26 per cent higher than the all-country average.

The study finds that the Canadian health care system would greatly improve if provinces allowed more private competition in the financing and delivery of health care, like in Germany and other countries with high-performing universal systems.

Unlike Canada's tax-funded government monopoly, the German health insurance system provides universal coverage through two insurance premium-funded systems: a statutory social health insurance system for all Germans and a second optional system for higher-income and self-employed Germans (as well as civil servants). In both systems, private insurers compete for subscribers while private providers (i.e. hospitals) compete for patients. And governments in Germany, while involved in funding, regulation and oversight, play little role in the direct delivery of health care.

"The optional private health insurance system in Germany, which shares providers with the social insurance system, has not compromised quality or access in the social health care system," Esmail said.

The private sector also plays a large role in the delivery of health care services in Germany. The study notes that in 2010, 37 per cent of German hospitals were private not-for-profit and another 33 per cent were private for-profit. Since 1991, the number of private for-profit hospitals in Germany increased by roughly 90 per cent following the privatization of public hospitals. Studies have found that private for-profit hospitals are more efficient, deliver higher-quality care (including greater investment per case), and have shorter wait times than public hospitals.

"If Canada wants to mirror the successes of the German health care system, it could start by enhancing the role of the private sector in the delivery of services as part of a larger transition to a system of independent competitive insurers. Competition breeds efficiency and innovation, and in Germany, has contributed to shorter health care wait times and a lighter burden on taxpayers," Esmail said.

Follow the Fraser Institute on Twitter / Like us on Facebook

The Fraser Institute is an independent Canadian public policy research and educational organization with offices in Vancouver, Calgary, Toronto, and Montreal and ties to a global network of 86 think-tanks. Its mission is to measure, study, and communicate the impact of competitive markets and government intervention on the welfare of individuals. To protect the Institute's independence, it does not accept grants from governments or contracts for research. Visit www.fraserinstitute.org

Add to Digg Bookmark with del.icio.us Add to Newsvine

Contacts:
MEDIA CONTACT:
Nadeem Esmail, Senior Fellow, Fraser Institute
Cell: 403-613-2423 / Office: (403) 216-7175 ext. 422
[email protected]
@NadeemEsmail

Mark Hasiuk
Media Relations Specialist, Fraser Institute
(604) 688-0221 ext. 517
[email protected]

More Stories By Marketwired .

Copyright © 2009 Marketwired. All rights reserved. All the news releases provided by Marketwired are copyrighted. Any forms of copying other than an individual user's personal reference without express written permission is prohibited. Further distribution of these materials is strictly forbidden, including but not limited to, posting, emailing, faxing, archiving in a public database, redistributing via a computer network or in a printed form.

Latest Stories
To Really Work for Enterprises, MultiCloud Adoption Requires Far Better and Inclusive Cloud Monitoring and Cost Management … But How? Overwhelmingly, even as enterprises have adopted cloud computing and are expanding to multi-cloud computing, IT leaders remain concerned about how to monitor, manage and control costs across hybrid and multi-cloud deployments. It’s clear that traditional IT monitoring and management approaches, designed after all for on-premises data centers, are falling short in ...
When applications are hosted on servers, they produce immense quantities of logging data. Quality engineers should verify that apps are producing log data that is existent, correct, consumable, and complete. Otherwise, apps in production are not easily monitored, have issues that are difficult to detect, and cannot be corrected quickly. Tom Chavez presents the four steps that quality engineers should include in every test plan for apps that produce log output or other machine data. Learn the ste...
Adding public cloud resources to an existing application can be a daunting process. The tools that you currently use to manage the software and hardware outside the cloud aren’t always the best tools to efficiently grow into the cloud. All of the major configuration management tools have cloud orchestration plugins that can be leveraged, but there are also cloud-native tools that can dramatically improve the efficiency of managing your application lifecycle. In his session at 18th Cloud Expo, ...
DXWordEXPO New York 2018, colocated with CloudEXPO New York 2018 will be held November 11-13, 2018, in New York City and will bring together Cloud Computing, FinTech and Blockchain, Digital Transformation, Big Data, Internet of Things, DevOps, AI, Machine Learning and WebRTC to one location.
With more than 30 Kubernetes solutions in the marketplace, it's tempting to think Kubernetes and the vendor ecosystem has solved the problem of operationalizing containers at scale or of automatically managing the elasticity of the underlying infrastructure that these solutions need to be truly scalable. Far from it. There are at least six major pain points that companies experience when they try to deploy and run Kubernetes in their complex environments. In this presentation, the speaker will d...
Discussions of cloud computing have evolved in recent years from a focus on specific types of cloud, to a world of hybrid cloud, and to a world dominated by the APIs that make today's multi-cloud environments and hybrid clouds possible. In this Power Panel at 17th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists addressed the importance of customers being able to use the specific technologies they need, through environments and ecosystems that expose their APIs to make true ...
"Space Monkey by Vivent Smart Home is a product that is a distributed cloud-based edge storage network. Vivent Smart Home, our parent company, is a smart home provider that places a lot of hard drives across homes in North America," explained JT Olds, Director of Engineering, and Brandon Crowfeather, Product Manager, at Vivint Smart Home, in this SYS-CON.tv interview at @ThingsExpo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
We are seeing a major migration of enterprises applications to the cloud. As cloud and business use of real time applications accelerate, legacy networks are no longer able to architecturally support cloud adoption and deliver the performance and security required by highly distributed enterprises. These outdated solutions have become more costly and complicated to implement, install, manage, and maintain.SD-WAN offers unlimited capabilities for accessing the benefits of the cloud and Internet. ...
In an era of historic innovation fueled by unprecedented access to data and technology, the low cost and risk of entering new markets has leveled the playing field for business. Today, any ambitious innovator can easily introduce a new application or product that can reinvent business models and transform the client experience. In their Day 2 Keynote at 19th Cloud Expo, Mercer Rowe, IBM Vice President of Strategic Alliances, and Raejeanne Skillern, Intel Vice President of Data Center Group and G...
Business professionals no longer wonder if they'll migrate to the cloud; it's now a matter of when. The cloud environment has proved to be a major force in transitioning to an agile business model that enables quick decisions and fast implementation that solidify customer relationships. And when the cloud is combined with the power of cognitive computing, it drives innovation and transformation that achieves astounding competitive advantage.
DXWorldEXPO LLC announced today that "IoT Now" was named media sponsor of CloudEXPO | DXWorldEXPO 2018 New York, which will take place on November 11-13, 2018 in New York City, NY. IoT Now explores the evolving opportunities and challenges facing CSPs, and it passes on some lessons learned from those who have taken the first steps in next-gen IoT services.
The current age of digital transformation means that IT organizations must adapt their toolset to cover all digital experiences, beyond just the end users’. Today’s businesses can no longer focus solely on the digital interactions they manage with employees or customers; they must now contend with non-traditional factors. Whether it's the power of brand to make or break a company, the need to monitor across all locations 24/7, or the ability to proactively resolve issues, companies must adapt to...
"DevOps is set to be one of the most profound disruptions to hit IT in decades," said Andi Mann. "It is a natural extension of cloud computing, and I have seen both firsthand and in independent research the fantastic results DevOps delivers. So I am excited to help the great team at @DevOpsSUMMIT and CloudEXPO tell the world how they can leverage this emerging disruptive trend."
"IBM is really all in on blockchain. We take a look at sort of the history of blockchain ledger technologies. It started out with bitcoin, Ethereum, and IBM evaluated these particular blockchain technologies and found they were anonymous and permissionless and that many companies were looking for permissioned blockchain," stated René Bostic, Technical VP of the IBM Cloud Unit in North America, in this SYS-CON.tv interview at 21st Cloud Expo, held Oct 31 – Nov 2, 2017, at the Santa Clara Conventi...
In this presentation, you will learn first hand what works and what doesn't while architecting and deploying OpenStack. Some of the topics will include:- best practices for creating repeatable deployments of OpenStack- multi-site considerations- how to customize OpenStack to integrate with your existing systems and security best practices.