Bismarck Model Of Health Care Analysis

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Walter Cronkite once said “America's health care system is neither healthy, caring, nor a system.” The unorganized health care “system” in the US leaves many without the medical attention they desperately need. However on the other side of the globe, another developed nation portrays the complete opposite. Japan uses a form of the Bismarck model fused with its cultural values to achieve an effective health care system that produces better health outcomes at lower costs; however, there are downfalls to this system.
During the nineteenth century, Japan went through a period of social change, economic growth, and modernization ("The Meiji Restoration "). Along with it came the implementation of the Bismarck model of health care: a government-run …show more content…

A study found that in comparison to the US, Japan had higher life expectancy rates and lower infant mortality rates, at an average of 80 years and 4.6 percent compared to an average of around 75 years and 9.1 percent (“Japan’s Universal”). While this can be attributed to the overall better health of the Japanese due to diet, lower rates of crime, drug use, and other factors, health care plays a pivotal role. People often assume that better health care is associated increased cost; however this is not the case in Japan. The prices charged by private hospitals are regulated by the government through a fee schedule, and theses prices are very low in comparison to other nations. For example, a thousand dollar MRI scan in the US cost only about a hundred in Japan (Reid 92). Not only are these fees low, but doctors are also more likely choose cost effective treatments like prescribing medication rather than invasive surgery due to cultural respects to the body. However there is a downfall to cheap healthcare. Since doctors charge little, they earn little. And for those working in clinics in smaller communities, severe lack of funding prevents them from improving their facilities. The health care system provides excellent benefits for its citizens but squeezes out medical professionals. But as one doctor, Dr. …show more content…

Japan has been in a state of stagnant economic growth, which hurts corporations; many of which fund their own hospitals. This in turn would lead to an inevitable increase in price as they are unable to accommodate health care costs. The aging population can negatively impact this as well. They are more susceptible to disease, many of which require expensive treatment. With the working class shrinking, there is a smaller pool of people to help cover the cost of care. The fee schedule also produces issue within medical facilities. Due to the fixed costs, doctors have to find ways to maximize their profits, which leads to a high patient-doctor ratio as they try to see as many patients as possible (Black). This could inevitably lead to a decrease in quality of care. The fixed pricing also give doctors less incentive to specialize due to no foreseen benefits. While there are both negative and positive outcomes of Japan’s health care system, we can use their experiences as well as adapt and change their policies in order to provide better health care within the United States.
Japan’s health care system, which has been in place for many year, is a wonderful model to gain insight on how to build an efficient health care system. While there are certain aspects that can be implemented to make the United States’ health care “system” more efficient, there are also cultural aspects

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