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Pre-writing Assignment: Difference between United States and Germany

Health Care Systems

Country 1: United States

Population: 322,000,000

Health Care System: National Health Insurance System.

Overview: Unites States is one of the largest countries in the Americas and has a national health care system. Although this is the case most people have Health insurance through companies like Bay Care who owns smaller Health insurance providers. United States is a great country to live in, it has a growing economy and a reasonable unemployment rate of 4 percent having in mind that the all-time highest unemployment rate this country has ever had is 10.80. The United states has many resources for mothers such as WIC which aids the families in need to buy the food for the baby and the mother. Also, the baby gets free Health care until he or she reaches maturity if the family is of low income.

Country 2: Germany

Population: 81,000,000

Health Care System: Germany lacks a systemized national-level, healthcare system. In turn, their healthcare services are administered through several autonomous bodies and associations, such as the Statutory Health Insurance system (SHI).

Overview: In Germany, Statutory Health Insurance (SHI) provide their services to more than 85 percent of their population (S. Thomson et al, 2011), leaving the remaining individuals to seek the help of privately-owned and/or self-employed health insurance providers. It is mandatory for all German citizens and permanent residents to be covered under some type of health insurance. For those who earn less than €49,500 (US$69,492/monthly), they are automatically eligible to be under the SHI, their dependents included (S. Thomson et al, 2011). The afore-mentioned, SHI services, include all of the basic preventive health care patients need (immunization, check-ups, and cancer screening). However, long-term healthcare benefits are regularly reviewed by the SHI Medical Review Board, which could either lead to the termination of the patient’s benefits or limiting the existing ones.

Topic Focus: Maternal health.

Thesis Statement:

Overall, while both countries, the United States and Germany both provide expecting mothers with extensive health support systems. United states has more resources available for families with lower income. Also, in Unites States it is required to have at least basic insurance coverage meaning that all its citizens don not have the need to pay huge bills out of pockets when emergencies come by. I believe that this although for some citizens might have been an inconvenience; I argue that it was a good action taken by our government because it helps keep the population of this country healthier.

Annotated Bibliography:

Source 1:

Thomson, R. Osborn, D. Squires, and S. J. Reed, International Profiles of Health Care Systems, 2011, The Commonwealth Fund, November 2011. (The Commonwealth Fund)

Cheng, C. Y., Fowles, E. R., & Walker, L. O. (2006). Continuing education module: postpartum maternal health care in the United States: a critical review. The Journal of perinatal education, 15(3), 34-42. (National Institutes of Health)

Maternal/Women's Health, HRSA Maternal & Child Health (2018, June 01). Health Resources & Services Administration.

Annotation: In this article, the HRSA (Maternal and Child Health) association provides a list of goals this institution has to aid in advancing services to improve women’s health, especially in one of the most fragile moments of their lives: maternity. Following it with a statement of some of the MCHB programs they support in order to accomplish the previously mentioned goals. They mention how these programs focuses in providing care to women with maternal early warning signs, or who suffer from hemorrhage hypertension in pregnancy, venous thromboembolism. Providing Postpartum Care Basics for Maternal Safety, Obstetric Care for Opioid Dependent Women, and supporting Intended vaginal births, in order to reduce child and mother mortality rates due to complications pre- or post-partum.

Obama B. (2016). United States Health Care Reform: Progress to Date and Next Steps. JAMA, 316(5), 525-32.

Source 2:

Thomson, R. Osborn, D. Squires, and S. J. Reed, International Profiles of Health Care Systems, 2011, The Commonwealth Fund, November 2011.

The World Factbook: Germany. Central Intelligence Agency, CIA, (2018, February 01).