Health Care

With aging populations and rising costs, health care provision is a concern for societies on both sides of the Atlantic. Although both the U.S. and Germany have very different health care systems, a more nuanced analysis of the systems shows that both countries are confronted by similar challenges, among them the reform of the health care system so that it rewards quality health care and payment systems for medical providers. A cornerstone of economic policy, health care policy in Germany and the U.S. will influence domestic policy debates for years to come. More articles on health care in the U.S. and Germany

Health Care Reform in Germany: 2011 Reform

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Overview While the United States Congress passed health care reform in 2010, the German government worked on a less comprehensive reform of its own system. The U.S. reform, enacted by Patient Protection and Affordable Care Act, emphasized expanding coverage and making health care less expensive for those disadvantaged in the market. In… Read more >

Health Care Reform in the United States: The Affordable Care Act

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Overview On 23 March 2010, President Barack Obama signed the Patient Protection and Affordable Care Act into law. The result of months of political conflict and compromise, this law entails a comprehensive reform of the U.S. health care system meant to expand coverage for those with and without insurance and curb the… Read more >

Health Care Reform in the U.S. Presidential Election

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The Patient Protection and Affordable Care Act, which President Obama signed in March 2010, is considered by supporters as one of the president’s culminating achievements to date. The Act has stimulated considerable controversy, garnering extensive criticism from conservatives and suffering in opinion polls. As a result, health care reform has taken a… Read more >

The Affordable Care Act in the Supreme Court

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Background Since its passing in 2010, opponents of the Patient Protection and Affordable Care Act have launched legal challenges on the health care reform on the basis of its constitutionality. Both state governments and private parties have attacked the law through the court system, until the case reached  the Supreme Court.  The… Read more >

Issues in the German and U.S. Health Care Systems

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The United States faces severe challenges in access to health care, cost effectiveness, equity, and to a lesser extent in coordinating care. Meanwhile, the German system is confronted by problems in coordinating care and controlling costs. United States Coordinating Care U.S. health care providers are heavily divided by state and local regulations,… Read more >

Federalism At Work: The Health Care Act in the Supreme Court

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The recent Supreme Court hearings on the constitutionality of the Affordable Care Act (ACA) – President Obama’s landmark health reform – received widespread attention on both sides of the Atlantic. For most Europeans, it is incomprehensible why this reform became subject to such legal controversies, but as AICGS Resident Fellow Dirk Göpffarth argues, the legal issues are mostly concerned about the relationship of the federal level and the states – a typical conflict in a federal state.

Structure of the U.S. Health Care System

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Insurance The United States has had a more privatized system than most European countries, with a relatively low proportion of health insurance provided by public programs. According to the Commonwealth Fund, in 2010 “56% of U.S. residents received primary coverage through private insurers,” while 27% “were covered under public programs.” The remaining… Read more >

Structure of the German Health Care System

Insurance In Germany, individuals purchase insurance through a system characterized by public-private partnership. Federal law requires all Germans to hold health insurance, but does not provide coverage directly. In the German system, about 85 percent of residents purchase heavily regulated, non-profit insurance referred to as Gesetzliche Krankenversicherung (Statutory Health Insurance, GKV), approximately… Read more >

The Legal Framework of Abortions in Germany

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With campaigns in full swing leading up to the U.S. presidential election in November of this year, the issue of birth control and abortion has generated substantial debate on both sides of the political spectrum. Though the laws and views of the U.S. on this sensitive subject have been brought to the forefront, the stance of other countries tends to be left out. In this AICGS Spotlight, Susanne Dieper explains the laws surrounding birth control and abortion in Germany, including a brief history on how these laws have evolved.