Bismarck Model Nations Include:

Germany

Japan

“The archetypal Bismarck model is the traditional system of Germany, financed by multiple insurers, with employer-based schemes supplemented by the state, in which providers are privately owned and patients have direct access to specialists. “

Source: Bevan, Gwyn, Jan-Kees Helderman, and David Wilsford. “Changing Choices in Health Care: Implications for Equity, Efficiency and Cost.” Health Economics, Policy and Law 5.3 (2010): 251–267. https://www.ncbi.nlm.nih.gov/pubmed/20478104

Breaking News

• Oregon Becomes First US State To Guarantee Its Residents Access To Affordable Healthcare
  January 20, 2023In the November 2022 general election, Oregon voters narrowly approved Oregon Measure 111, the Right to Healthcare Amendment. The measure amended the state constitution, adding a guarantee of access to affordable healthcare for all Oregon residents. According to Ballotpedia, last accessed Jan. 20, 2023: “Ballot title “The ballot title was as follows:“Amends Constitution: State must ...
• Massive Savings Possible In US Health System
  October 21, 2021The management consulting firm McKinsey & Company has issued a new report estimating that administrative changes and efficiencies could save the US health system more than a quarter trillion dollars. As noted in a Viewpoint article published in JAMA on October 20:“The analysis dissected profit and loss statements of individual health care organizations, estimated ...
• Health Care in the US Compared to Other High-Income Countries
  On August 4, the Commonwealth Fund issued a new report entitled Mirror, Mirror 2021: Reflecting Poorly / Health Care in the US Compared to Other High-Income Countries.The report compares health care systems in eleven nations: the United States, Canada, Switzerland, France, Sweden, New Zealand, Germany, the United Kingdom, Australia, the Netherlands, and Norway.The report’s key ...
• Medical Debt in Collections in the US
  On July 20, JAMA published an article on medical debt in collections in the US entitled “Medical Debt in the US, 2009-2020.”The researchers found: “In this retrospective analysis of credit reports for a nationally representative 10% panel of individuals, an estimated 17.8% of individuals in the US had medical debt in collections in June 2020 ...

Health Systems Facts is a project of the Real Reporting Foundation. We provide reliable statistics and other data from authoritative sources regarding health systems in the US and several other nations.

Page last updated Oct. 22, 2021 by Doug McVay, Editor.