![]() In Germany, in accordance with the many new drugs on the market, the more expensive medications have to prove they are actually better than the older counterpart, and if you choose to use the more expensive medication you will be responsible for the cost. In the US, many use lower cost alternatives or generic to keep costs lower, or choose to forego the medication due to cost. There are cost effective medications for many diseases, but there are many very expensive medications to treat a variety of illness that are costly even with adequate coverage. The US and Germany have a system in place cost-effective medication alternatives in many cases. ![]() In regards to medication coverage for the US and Germany, the medications are costly for both when health insurance is not in the picture. The noncontributory social compensation program provides a program for those in the military or public service - the social welfare program aid to those who are not eligible under the other two programs. The contributory plan protects those who pay into them. Germany has a social security system and statutory pension insurance: contributory, noncontributory social compensation program, and social welfare program. If unable to afford and upon further stipulations in regards to income, you may still qualify for Medicaid services also. You will be able to get private Medigap coverage to shorten the gap between those expenses. In the US upon retirement at the age of 65, you will become eligible for Medicare, which will cover a lot of your medical expenses, but not all. Unlike coverage in the US, when a person in Germany becomes unemployed, they may receive transient coverage until employed again or otherwise directed. When an individual is unemployed in the US, they may not be eligible to receive government assistance. These are funded jointly by state and federal government. Children are either covered under their parents plan until the age of 26 if needed, and there are also government programs such as the Children’s Health Insurance Program (CHIP) to provide health coverage through Medicaid and other programs. Medicare is a program offered in the US as a federally funded healthcare system. (Healthcare in Germany, 2015) Those who are over the age of 65 or who have disabilities can be covered under Medicare. Similar to social medicine in Germany where if an individual is employed, the family is covered as long as their income falls below a level. Medicaid is government-financed insurance that assists many whose household income falls under a certain level to be covered by Medicaid. In the US, public health care is offered, but individuals need to meet a particular set of criteria to receive free public healthcare. (German Insurance: Costs &Coverage, 2019) And if you are eligible for private insurance, you can choose one or the other, but you cannot have both. All salaried workers in Germany have to have public health insurance, are not allowed private insurance. ![]() To include procedures such as immunizations, prescriptions, and dental checks. Citizens are required to have state or private health insurance. Social security contributions fund the medically essential healthcare. Germans residents have access to free public healthcare, which means medically necessary. I will be providing a comparison of the United States Healthcare System to that of the German Healthcare system. Organizational Systems and Quality Leadership
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