“The Netherlands leans on private actors — private insurers, independently employed doctors, privately owned nonprofit hospitals — to provide health care. But it also places strict regulations on the health sector to achieve the goals of affordability and access”
“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”
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“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”
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“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”
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“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”
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“The deductibles required under the Dutch model can also be burdensome for people in poverty”
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“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”
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“After-hours care is a problem that few countries have succeeded in cracking … But it’s a problem the Dutch appear to have solved”
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End of conversation
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