• Lumidaub@feddit.org
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      2 months ago

      I’ve never heard the term “fee for service” so I looked it up and I don’t think that’s exactly what we do in Germany? Physicians are allocated a certain budget per patient (it’s not quite as simple but to keep it short) and if they exceed that, it can be somewhat of an issue.

      Or maybe I’m just misunderstanding the term. Any experts in German health care around?

    • pelespirit@sh.itjust.works
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      2 months ago

      When it’s free or super low cost, it’s paid by the government. This means the government has a vested interest in keeping you healthy so they don’t have to pay more. It’s a great set up.

      • CosmicTurtle0@lemmy.dbzer0.com
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        2 months ago

        Tbf, for profit insurance companies also have a vested interest in keeping you healthy. Healthy people require less care which means more profits.

        It’s just that insurance companies also have a vested interest to make sure that they don’t pay out for expensive treatments either. You can be healthy and then get cancer which is expensive vs be a sloth whose only form of exercise is walking back and forth from the front door to their bed and has heart issues.

        • Pup Biru@aussie.zone
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          2 months ago

          individual health is about more than individual health… air quality, stress (including financial, other employment), quit campaigns, etc are all things that are solved at the national or regional government level. they’re all linked with better health outcomes, and incentives and profit motive are aligned when health care is paid for by government

      • 13igTyme@lemmy.world
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        2 months ago

        Plus more preventative care. Get something checked out early rather than waiting months and now being treated inpatient.

      • Slotos@feddit.nl
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        2 months ago

        High wealth inequality IIRC.

        Which would explain recent pivot to the right. Although that has global factors fueling it that might outweigh anything local.

    • DeathByBigSad@sh.itjust.works
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      2 months ago

      lmao I had a period of like maybe 5 years when I didn’t get a regular checkup when I was a kid because my parents kinda neglected it. I was insured under the family plan too.

      Edit: Forgot to add: USA btw