“The Dutch have sought to use a tightly managed market to achieve universal health care, rather than a more socialized system like those seen elsewhere in Europe” https://www.vox.com/policy-and-politics/2020/1/17/21046874/netherlands-universal-health-insurance-private …
“The Netherlands fines people who don’t carry insurance for up to six months and then auto-enrolls them in an insurance plan, with premiums that are about 20 percent higher than they would have paid if they signed up during the regular enrollment period”
-
-
“A small number of people — about 200,000, or around 1 percent of the [Dutch] population — default on their premiums, and their wages are garnished to cover the cost of their [health] insurance”
Show this thread -
“The average cost to a Dutch citizen for health insurance is about 1,400 euros, or $1,615, annually. People with lower incomes get additional government assistance to reduce their payments”
Show this thread -
“Public financing covers about 75 percent of the system’s costs; the insurers have also generally operated as nonprofits”
Show this thread -
“The benefits are designed to encourage cost-efficient use of medical care by patients. Dutch patients can visit a primary care doctor for free. For a visit to the hospital, they will need to pay toward their deductible”
Show this thread -
“Insurers can set a cap on how much will be paid out for medical services provided in a given year, known as a global budget, and the government can impose budget cuts if spending goes over that limit”
Show this thread -
“Just one in four Dutch people said in a 2016 survey that they have trouble getting medical attention in the evening or overnight from a general practitioner, which represents much better access than patients in other health care systems”
Show this thread -
“Although the Dutch pride themselves on solidarity and collaboration, sometimes dramatic action has been necessary to make desperately needed improvements to the health care system”
Show this thread -
“Primary care doctors in the Netherlands deal with a lot of churn: They see patients for 10 minutes on average, less than half the time American patients usually get to spend with their doctor, and a shorter consultation than most other Western European doctors enjoy”
Show this thread -
“the country [is] probably underpaying general practitioners relative to their importance in the Dutch health care ecosystem. They make about $120,400 on average, compared to the $211,800 an average US primary care doctor makes”
Show this thread -
“Premiums have been increasing steadily, faster than wages. That has left the lower middle class in particular paying more of their income toward health care than in the years before”
Show this thread -
“The deductibles required under the Dutch model can also be burdensome for people in poverty”
Show this thread -
“The Dutch system is, like all other health systems, a product of its country’s history. A conservative government wanted private markets to provide health insurance to its people. They wanted competition but they also wanted collaboration”
Show this thread -
“After-hours care is a problem that few countries have succeeded in cracking … But it’s a problem the Dutch appear to have solved”
Show this thread
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.
at
retweets