The document compares the health care systems of the United States and Netherlands. It finds that while government health care expenditures as a percentage of total spending are similar between the two countries, total per capita health care expenditures are much higher in the US. The standard coverage provided in the Netherlands includes broader benefits like access to general practitioners and dental for those under 18, while out-of-pocket costs for individuals are higher as a percentage of private spending. Both countries require residents to have health insurance and penalize those who do not comply.
A Comparative Analysis Of The UK And US Health Care Systemsabbiemc
- Published a comparative review of health systems of the National Health Service in the United Kingdom and the varying approaches to health systems in the United States
- Developed research question, conducted interviews, utilized PubMed and similar research database systems, performed literature review, and prepared and submitted for publication
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
A Comparative Analysis Of The UK And US Health Care Systemsabbiemc
- Published a comparative review of health systems of the National Health Service in the United Kingdom and the varying approaches to health systems in the United States
- Developed research question, conducted interviews, utilized PubMed and similar research database systems, performed literature review, and prepared and submitted for publication
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Social Determinants of Health: Why Should We Bother?Renzo Guinto
Presentation delivered during the 2nd Social Oncology Forum with the theme "Social Determinants of Health in Agricultural Communities." November 10, 2013, Benguet State University, La Trinidad, Benguet.
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Universal health coverage was established in the WHO constitution of 1948 declaring health a fundamental human right.The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
Health Financing for UHC – two sides of the coinHFG Project
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Healthcare Crisis| Canada and Ontario| Analysis and Commentary| May 2019paul young cpa, cga
This presentation will look at funding of healthcare along with the issues facing the delivery of healthcare dollars by the provinces and territories as part of improving patient care.
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
(HEPE) Introduction To Health Disparities 1antz505
Many youth leaders are compelled to do work with community based non-profit and local public health agencies as both a service learning and philanthropic component in their development as young professionals. However, despite invaluable experiential learning, students often don\'t comprehend key overarching issues such as health disparities, social determinants of health, health policy and community organizing. To address this gap and optimize their community based work, the Health Disparities Student Collaborative (HDSC), a Boston-based student group under Critical MASS for eliminating health disparities and the Center for Community Health Education Research and Service Inc. (CCHERS), developed a curriculum for students designed to broaden their perspectives while working with local public health, non-profit/community organizations and to develop their interest and ability to visualize the power of their collective voice as students and contributors to social justice work. The curriculum utilizes peer education and webinar software and covers three main topics: Current State of Health Disparities, Social Determinants of Health, and Youth Activism on Health Disparities/Social Determinants of Health. HDSC has collaborated with local partners CCHERS/Critical MASS and the Community Based Public Health Caucus (CBPHC) Youth Council to develop this comprehensive “Health Equality Peer Education” training.
STRENGTHS & WEAKNESSES OFJAPANS' HEALTH CARE SYSTEMnaeemrsat
Japans' excellent health indicators are not entirely due to its' health delivery system. A major factor is the obsession of the Japanese for healthy life styles and food.
Also another big factor is Japans' excellent and very effective public health system
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
This fourth edition of Health at a Glance: Europe presents key indicators of health and health systems in the 28 EU countries, 5 candidate countries to the EU and 3 EFTA countries. This 2016 edition contains two main new features: two thematic chapters analyse the links between population health and labour market outcomes, and the important challenge of strengthening primary care systems in European countries; and a new chapter on the resilience, efficiency and sustainability of health systems in Europe, in order to align the content of this publication more closely with the 2014 European Commission Communication on effective, accessible and resilient health systems. This publication is the result of a renewed collaboration between the OECD and the European Commission under the broader "State of Health in the EU" initiative, designed to support EU member states in their evidence-based policy making.
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Social Determinants of Health: Why Should We Bother?Renzo Guinto
Presentation delivered during the 2nd Social Oncology Forum with the theme "Social Determinants of Health in Agricultural Communities." November 10, 2013, Benguet State University, La Trinidad, Benguet.
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Universal health coverage was established in the WHO constitution of 1948 declaring health a fundamental human right.The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
Health Financing for UHC – two sides of the coinHFG Project
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Healthcare Crisis| Canada and Ontario| Analysis and Commentary| May 2019paul young cpa, cga
This presentation will look at funding of healthcare along with the issues facing the delivery of healthcare dollars by the provinces and territories as part of improving patient care.
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
(HEPE) Introduction To Health Disparities 1antz505
Many youth leaders are compelled to do work with community based non-profit and local public health agencies as both a service learning and philanthropic component in their development as young professionals. However, despite invaluable experiential learning, students often don\'t comprehend key overarching issues such as health disparities, social determinants of health, health policy and community organizing. To address this gap and optimize their community based work, the Health Disparities Student Collaborative (HDSC), a Boston-based student group under Critical MASS for eliminating health disparities and the Center for Community Health Education Research and Service Inc. (CCHERS), developed a curriculum for students designed to broaden their perspectives while working with local public health, non-profit/community organizations and to develop their interest and ability to visualize the power of their collective voice as students and contributors to social justice work. The curriculum utilizes peer education and webinar software and covers three main topics: Current State of Health Disparities, Social Determinants of Health, and Youth Activism on Health Disparities/Social Determinants of Health. HDSC has collaborated with local partners CCHERS/Critical MASS and the Community Based Public Health Caucus (CBPHC) Youth Council to develop this comprehensive “Health Equality Peer Education” training.
STRENGTHS & WEAKNESSES OFJAPANS' HEALTH CARE SYSTEMnaeemrsat
Japans' excellent health indicators are not entirely due to its' health delivery system. A major factor is the obsession of the Japanese for healthy life styles and food.
Also another big factor is Japans' excellent and very effective public health system
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
This fourth edition of Health at a Glance: Europe presents key indicators of health and health systems in the 28 EU countries, 5 candidate countries to the EU and 3 EFTA countries. This 2016 edition contains two main new features: two thematic chapters analyse the links between population health and labour market outcomes, and the important challenge of strengthening primary care systems in European countries; and a new chapter on the resilience, efficiency and sustainability of health systems in Europe, in order to align the content of this publication more closely with the 2014 European Commission Communication on effective, accessible and resilient health systems. This publication is the result of a renewed collaboration between the OECD and the European Commission under the broader "State of Health in the EU" initiative, designed to support EU member states in their evidence-based policy making.
Applying human rights to advocacy campaigns for access to essential medicines...MeTApresents
Presentation on applying human rights to advocacy campaigns for access to essential medicines in Uganda by the Executive Director, Action Group for Health, Human Rights and HIV/AIDS (AGHA) Uganda during the MeTA Uganda CSO workshop, April 2009.
This presentation gives you an introduction to Healthcare DENMARK.
To learn more, please visit our website: www.healthcaredenmark.dk or contact us by mail: info@healthcaredenmark.dk.
Intuitive Navigation for Future HospitalsBen Kraal
My presentation for the QUT IHBI Quest seminar on Friday 19 July. It's supposed to be a 5 minute presentation with three other academics followed by a panel discussion.
Global Generic Pharmaceutical Market - Qualitative and Quantitative AnalysisAiswariya Chidambaram
This report was presented at the Pharma Tech 2013 Conference - India A Game Changer in the Pharma Industry at Ahmedabad, India in December 2013. The presentation highlights the overview of the global generic pharmaceuticals market, with particular focus on the key market trends and challenges by therapeutic areas and geographies including the U.S, EU and India. List of key blockbuster drugs scheduled to lose patent protection between 2010 and 2020 have been included. Additionally impact of regulation on generic drugs by region and strategic recommendations for the success of market participants are also covered in this report.
HIV in USA
Outline:
The universal health coverage in US
Health policy in USA.
Comment about the individualism Vs collectivism in US.
Discuss main risk factors for CVD and the strategy to counter these risks.
Absolute contra-indications for liver transplantation.
Incidence, prevalence, & mortality of HIV/AIDS.
A quick description of American and Canadian Healthcare similarities and differences. I was born in Canada and raised in the US, so it was really interesting to me to know the differences between the two and compare to what I remember prior to becoming a US citizen.
Miriam OrtegaMaternal care is essential for women and infants. MIlonaThornburg83
Miriam Ortega
Maternal care is essential for women and infants. Maternal care extends from the pregnancy period to the period after giving birth. The use of contraceptives lies in this sector of healthcare. Florida's policies on the use of contraceptives allow everyone from any age to purchase contraceptives. Therefore, even at an age below 18 years, it is possible and legal to acquire contraceptives. Abortion is a criminal offense in several nations all over the world. In Florida, abortion is legal. Fifty-six percent of Florida's adults revealed that abortion ought to be legal in most or even all cases. However, Florida requires that, for all persons under the age of eighteen years, a legal guardian or parent be notified of the abortion before the plan is put into motion and permit the victim to have an abortion. Insurance cover does not cover voluntary abortion. However, suppose the abortion is meant to protect the mother's life, and it is certified by a medical professional. In that case, a case can be made for the insurance to cover the abortion (Ely et al., 2020). Therefore, abortion for women with insurance cover may differ a little bit from those without insurance cover (Ely et al., 2020).
Florida's infant mortality rate was 6.01 deaths per thousand live births in 2019 (Atwell, 2019). Infant and maternal mortality rates are related in that they occur during birth or abortion. Infant mortality is the death of an infant during childbirth, while maternal mortality is the death of the mother during the process of giving birth. Infant and maternal mortality rates may occur mostly during abortions if the process is not performed well; or due to other complications during the process of giving birth (Atwell, 2019).
References
Atwell, A. L. M. (2019). Infant Mortality and Structural Determinants of Health in Northwest Florida (Doctoral dissertation, University of West Florida).
Ely, G. E., Hales, T. W., & Agbemenu, K. (2020). An exploration of the experiences of Florida abortion fund service recipients. Health & Social Work, 45(3), 186-194.
Luanda Gan Bedoya
Access to Maternal Health Resources and Polices in Florida State
Florida is a developed state where maternal health is taken seriously. The family planning health services there are rendered by independent agencies and health departments of local hospitals. For example, women of different ages and with various levels of income have access to FDA-approved birth control methods, screening for cancer and STDs, pregnancy tests and counseling (Blakeney et al., 2020). Moreover, the healthcare system of the state is able to provide follow-up and referral services. Those residents of Florida who live below the poverty line are provided with the abovementioned services for free. When it comes to abortion, it can be administered to all pregnant women up to 18 weeks. When it comes to teenagers, Florida law requires them to notify their parents about the intention to have an ab ...
This presentation on findings from a trial of providing HIV medication to people not eligible for Medicare was given by Tony Maynard from the National Association of People With HIV Australia (NAPWHA) at AFAO'S HIV and Mobility Forum on 30 May 2016.
Overview - Health Care IssuesHealth Care IssuesOpposing .docxgerardkortney
Overview - Health Care Issues
Health Care Issues
Opposing Viewpoints Online Collection, 2015
In recent years, the availability and affordability of health insurance in the United States has become
the subject of much debate. The United Nations’ Universal Declaration of Human Rights lists medical
care among the basic human rights to which all people are entitled. In 2011, however, about 17
percent of Americans had no health insurance at all. For many people who are insured, the cost of
coverage is a financial hardship. This situation has led some people to call for the government to
provide health insurance for all citizens. Others, however, are skeptical of government’s ability to
efficiently manage health insurance and oppose any plans that involve government. The issue is made
more urgent by rapidly rising health care costs that threaten to overwhelm the country’s current
system of health insurance, and the national economy in general. Health care reform has become one
of the most important issues in contemporary American politics.
The Basics of Health Care
In most developed countries, health care systems involve government control or sponsorship. For
instance, in Great Britain, Scandinavia, and the countries of the former Soviet Union, the government
controls almost all aspects of health care, including access and delivery. For the most part, health
services in these countries are free to everyone; the systems are financed primarily by taxes. Other
countries, such as Germany and France, guarantee health insurance for almost all their citizens, but
the government plays a smaller role in managing health care. Both systems are financed at least in
part by taxes on wages.
The US government, by contrast, does not pay for most of its citizens’ health care. Generally,
Americans receive health care through employer-sponsored insurance, or they arrange to pay for
insurance on their own. Like all forms of insurance, health insurance operates by pooling the
resources of a group of people who face similar risks. This creates a common fund that members can
draw upon when needed. Each person in the group pays a certain amount, called a premium, every
month. These premiums are used to cover the medical expenses of group members who become sick
or injured.
Health Insurance in the United States
Today, most Americans receive health insurance through their place of work. Employers typically pay
for part of the premiums. Most employer-sponsored plans are administered through payroll
contributions. People who are self-employed and those whose employers do not provide health
insurance must purchase individual health insurance. Individual plans are generally more expensive
than group plans. Certain low-income individuals and families may be eligible for Medicaid, a form of
government-sponsored health insurance. In 1997, the US government introduced the Children’s
Health Insurance Program (CHIP) to assist the children of families who do not qualify f.
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
Accpac to QuickBooks Conversion Navigating the Transition with Online Account...PaulBryant58
This article provides a comprehensive guide on how to
effectively manage the convert Accpac to QuickBooks , with a particular focus on utilizing online accounting services to streamline the process.
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
As a business owner in Delaware, staying on top of your tax obligations is paramount, especially with the annual deadline for Delaware Franchise Tax looming on March 1. One such obligation is the annual Delaware Franchise Tax, which serves as a crucial requirement for maintaining your company’s legal standing within the state. While the prospect of handling tax matters may seem daunting, rest assured that the process can be straightforward with the right guidance. In this comprehensive guide, we’ll walk you through the steps of filing your Delaware Franchise Tax and provide insights to help you navigate the process effectively.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Skye Residences | Extended Stay Residences Near Toronto Airportmarketingjdass
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What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
Explore our most comprehensive guide on lookback analysis at SafePaaS, covering access governance and how it can transform modern ERP audits. Browse now!
2. To make a general comparison on key factors of
health care expenditure by country and a detailed
comparison of the further statutory U.S. health
care program (Affordable Care Act) to the
Netherlands universal health care system;
specifically what is covered in each system.
Objective
3. Due to the current transition the United States is
experiencing to further move under to the
regulations and mandates within the Affordable
Care Act I wanted to compare current U.S. data
and details of the Affordable Care Act to another
country that currently has a health care program
with significant governmental oversight,
seemingly positive outcomes and similar
socioeconomic comparisons to the United States.
The country I selected to compare to: the
Netherlands.
Introduction
5. The United States health care program has been
mainly private insurance through an employer or
self-purchased and also segregated coverage for
those age 65 and over (Medicare) and those with
qualifying low income (Medicaid). These
programs left approximately 16% of the U.S.
population uninsured.
In 2010 the Affordable Care Act was signed into
law with phased implementation over a series of
years. Currently we are experiencing the
implementation of the law that expands coverage
to a greater percentage of the U.S. population and
increases mandated preventative coverage.
Introduction ~ United States
7. Within the last decade the Netherlands transitioned to
a statutory health insurance system based on
government mandates and regulations that requires
coverage for all residents, documented workers and
foreign students. Leaving approximately 2,000
undocumented workers and visitors without coverage.
Although, voluntary and private funds are available to
cover that small population.
The government intentionally left the acquisition and
administration of insurance to the private sector with
the expectation that competition among the insurers
would result in a better outcome for the individual.
Introduction ~ Netherlands
8. {
United States
Prior to the implementation of the Affordable
Care Act health care insurance availability
through employers, private insurers and
Medicare and Medicaid programs for
qualified individuals. Gaps in coverage exist
where individuals are either not covered due
to lack of qualification or by choice.
Under the Affordable Care Act everyone is
legally obligated to obtain health insurance.
Medicare and Medicaid programs continue.
Medicaid broadens qualifications to cover
additional individuals.
Basic medical care is offered through private
insurers per federal mandates and
regulations.
Penalties for non-participation will be
phased with a yearly penalty increase over
the next three years for non-participants.
2014 ~ $95/adult or 1% of family income
2016~$325/adult or 2% of family income
2016~$695/adult or 2.5% of family income
{
Netherlands
Under the Dutch Health Insurance Act
everyone is legally obligated to obtain health
care insurance.
Basic medical care, as defined by the law, is
covered by national health insurance.
Penalties for non-participation are incurred
monthly at 130% of the nominal premium.
Insurance is acquired by the consumer
directly with private insurers.
Supplemental private insurance is available
to cover additional health care costs not
covered under national health insurance.
Penalty fee is whichever is greater
Supplemental private insurance is available
to cover additional health care costs not
covered under under the law.
High-Level Comparison
9. Netherlands
Gross national income per capita
(2012 US $)
50,120
48,250
Total expenditure on health per
capita (2011 US $)
8,608
5,122
Per capita gov’t expenditure on
health (2011 US $)
3,954
4,388
General government expenditure
on health as a % of total
government expenditure
19.8
20.6
20.9
35.5
Life expectancy – male
76
79
Life expectancy – female
81
83
Out-of-pocket expenditure as a %
of private expenditure on health
Statistics
United States
11. {
15 Covered Preventative
Services for Adults
Under the Affordable Care Act
Abdominal Aortic Aneurysm ~ one-time
screening for men of specified ages who have
ever smoked
Alcohol Misuse ~ screening and counseling
Aspirin ~ for men and women of certain ages
Blood Pressure ~ screening for all adults
Cholesterol ~ screening for adults of certain ages
or at higher risk
Depression ~ screening for adults
Type 2 Diabetes ~ screening for adults with high
blood pressure
Diet ~ counseling for adults at higher risk for
chronic disease
HIV ~ screening for all adults at higher risk
Immunization ~ vaccines for adults
Obesity ~ screening and counseling for all adults
Sexually Transmitted Infection ~ prevention
counseling for adults at higher risk
Tobacco Use ~ screening for all adults and
cessation interventions for tobacco users
Syphilis ~ screening for all adults at higher risk
{
22 Covered Preventative
Services for Women
BRCA ~ counseling about genetic testing for
women at higher risk
Breast Cancer Mammography ~ screenings
every 1 to 2 years for women over 40
Breast Cancer Chemoprevention ~ counseling
for women at higher risk
Cervical Cancer ~ screening for sexually active
women
Chlamydia Infection ~ screening for younger
women and other women at higher risk
Contraception ~ Food and Drug Administration
approved contraception methods, sterilization
procedures, and patient education and
counseling, not including abortifacient drugs
Domestic and interpersonal violence ~ screening
and counseling
Gonorrhea ~ screening for all women at higher
risk
HIV ~ screening and counseling for sexually
active women
HPV DNA Test ~ every three years for women
who are 30 years old and have normal cytology
results
Osteoporosis
Rh Incompatibility
Sexually Transmitted Infections ~ counseling for
sexually active women
Syphilis ~ screening for women at increased risk
Well-women visits ~ to obtain preventative
services
12. {
{
Women ~ Pregnancy
Pregnancy ~ Women
Anemia ~ screening on a routine basis
Bacteriuria ~ urinary tract or other infection
screening
Breastfeeding ~ comprehensive support and
counseling from trained providers, as well as
access to breastfeeding supplies, for pregnant and
nursing women
Folic Acid ~ supplements for women who may
become pregnant
Gestational Diabetes ~ screening for women 24 to
28 weeks pregnant and those at high risk of
developing gestational diabetes
Hepatitis B ~ screening at first prenatal visit
Tobacco Use ~ expanded counseling for pregnant
tobacco users
{
26 Covered Preventative
Services for Children
26 Covered Preventative Services for
Children cont’d
26 Covered Preventative
Services for Children
Alcohol and Drug Use ~ assessments
Autism ~ screening at 18 & 24 months
Behavioral ~ assessments
Blood Pressure Screening
Cervical Dysplasia ~ screening for sexually active
females
Congenital Hypothyroidism ~ newborn screening
Depression Screening
Developmental ~ screening under 3 years of age,
and surveillance throughout childhood
Dyslipidemia ~ screening for children at higher
risk of lipid disorders
Fluoride Chemoprevention ~ supplements for
children without fluoride in their water source
Gonorrhea ~ preventative medication for all
newborns
Hearing ~ newborn screening
Height, Weight and Body Mass Index
measurements
Hemotocrit or Hemoglobin screening
Hemoglobinopathies ~ newborn screening
HIV ~ screening for adolescents at higher risk
Immunizations
Iron ~ supplements for children 6-12 months at
risk for anemia
Lead ~ screening for children at risk of exposure
Medical History ~ throughout development
Obesity ~ screening and counseling
Oral Health ~ risk assessment ages 0-10
PKU ~ newborn screening
Sexually Transmitted Infections ~ prevention
counseling and screening for adolescents at
higher risk
Tuberbulin ~ testing for children at higher risk
Vision screening
14. {
Standard Package ~ All
Medical care ~ general practitioners, specialists,
obstetricians and midwives
Hospital admissions and treatments
Approved medications
Maternity care
Postnatal care
Limited physiotherapy, exercise therapy, speech
therapy, occupational therapy, and dietary
advice
Smoking cessation
Assistive medical devices
Patient transport ~ ambulances and transport of
seated patients
Medical care outside of Netherlands ~
emergency services
Dental ~ up to 18 years old
{
Supplemental Insurance
Additional insurance can be purchased to cover
such items as:
Additional physiotherapy treatments
Sport-medical care
Extended coverage if traveling outside of the
country
Extended coverage for glasses or contacts
Dental ~ over 18 years old
Orthodontic care
16.
The governments of U.S. and the Netherlands spend on health is
very similar as a percentage of total government expenditure,
19.8% and 20.6% respectively. There is significant disparity in the
amount of total expenditure on health per capita; the United States
is spending nearly 65% more per capita and falls behind on life
expectancy for both males and females to the Netherlands.
Standard health care in the Netherlands is broader-based coverage
that goes beyond the preventative coverage under the U.S.
Affordable Care Act. The Netherlands health care includes items
such as all visits beyond preventative to general practitioners,
specialists, obstetricians and midwives, dental for individuals 18
and younger, and more. Individual out-of-pocket expenditures as
a percentage of private health expenditures is higher in the
Netherlands at 35.5% where the U.S. is at 20.9% (2011 data).
Conclusion
17. Slide 5:
International Profiles of Health Care Systems, 2013. Table 1-Health Care System Financing and Coverage in Fourteen Countries.
Page 6. The Commonwealth Fund.
http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2013/Nov/1717_Thomson_intl_profiles_hlt_care_
sys_2013_v2.pdf.
Slide 6:
Video. The costs and benefits of Dutch health care. Dutch Government. November 17, 2010.
Slide 7:
International Profiles of Health Care Systems, 2013. The Danish Health Care System, 2013. Vrangbaek, Karsten. University of
Copenhagen. Page 28-36. The Commonwealth Fund.
http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2013/Nov/1717_Thomson_intl_profiles_hlt_care_
sys_2013_v2.pdf.
Slide 8:
The Requirement to Buy Coverage Under the Affordable Care Act.
http://kaiserfamilyfoundation.files.wordpress.com/2013/04/requirement_flowchart_3.pdf.
ZilverenKruis. National Health Insurance 2013. Financial Penalty. Page 6. December 24, 2012.
http://www.zilverenkruis.nl/english/downloadlijst/forms%20and%20brochures/Brochures/Information-for-Impats.pdf.
Slide 9:
The World Bank. Data. United States. GNI per capita, Atlas method (current US$). 2012. http://data.worldbank.org/country/unitedstates.
The World Bank. Data. Netherlands. GNI per capita, Atlas method (current US$). 2012.
http://data.worldbank.org/country/netherlands.
World Health Organization. Global Health Observatory Data Repository. European Region: Netherlands statistics summary (2002present). http://apps.who.int/gho/data/view.country.14600.
World Health Organization. Global Health Observatory Data Repository. Region of the Americas: United States of America
statistics summary (2002-present). http://apps.who.int/gho/data/node.country.country-USA?lang=en.
Slides 11-12:
HHS.gov/HealthCare. U.S. Department of Health & Human Services. Facts & Features. Fact Sheets. Preventative Services Covered
Under the Affordable Care Act. http://www.hhs.gov/healthcare/facts/factsheets/2010/07/preventive-services-list.html.
Slide 14:
Government of the Netherlands. Health Issues. Health Insurance. http://www.government.nl/issues/health-issues/healthinsurance.
References