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Originally Posted by 2dogmom 
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| In Germany, everyone pays into the health care system, although if you are among the wealthiest 10 percent, and make more than 6,000 euros a month (about $8,600), you can elect instead to buy private insurance. About 10 percent of the German population is privately insured. |
The article gives a good description, though this bit about private insurance is misleading, as it makes it sound as if people who earn less than €6,000 may not have private insurance, which isn't the case. They can, but there are a number of restrictions on returning to a public health scheme after you opt for a private one. That will soon be moot, as the current plan is to require all private health insurance schemes (Krankenkassen) to offer a "low-cost" basic plan open to everyone.
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| If she becomes ill, she must see her primary care doctor. |
Also, there is still no requirement to go through your primary care physician for an appointment with a specialist, though it has been under discussion for decades. If your primary care physician refers you to a specialist, you only have to pay the €10 quarterly deductible once (to the primary care physician). That doesn't usually prevent people from making appointments with specialists directly.
One point the article doesn't touch on is the price of medications. Patients pay a €5 deductible per prescription. Period.
I think a lot depends on the area you live, also. I've been here for almost 30 years, and have never had to wait for more than 30 minutes at a primary care doctor's office, although I'm not privately insured. With the exception of gynecologists and orthopedic surgeons, I've always gotten appointments with specialists within the week.
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| “A privately insured will be visited every day by the head doctor,” she said. “The publicly insured will mostly be visited by a physician assistant.” |
This is not the correct translation of "Assistenzarzt", who is a resident physician [registrar in the UK], not a P.A..
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Originally Posted by 2dogmom
When I was there the way it worked was that there were different health insurance providers, but you did not get to choose. Your profession determined what provider you got insurance from: there was one for civil servants, one for merchants, one for people in technical fields, one for civil servants and so on and then the "catch-all" one for anyone who didn't fit into the available categories.
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That's no longer the case, meaning you can choose. Both my husband and I are in a merchants' scheme, although he works in health care and I in education. Civil servants are privately insured.
One complaint raised by those who are privately insured is that doctors appear to order too many unnecessary tests in order to raise their incomes. Another is that their right to a semi-private (two-bed) hospital room can mean that they have to share a small room, while two publicly-insured patients may have a three or five-bed room to themselves. The latter is a matter of luck, and often depends on the size of the hospital.