“Public financing covers about 75 percent of the system’s costs; the insurers have also generally operated as nonprofits”
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“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”
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“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”
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“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”
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“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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