This essay is a presentation of the health care system in Germany. The overview covers delivery of health care in hospitals, public clinics and private clinics; acquisition of health care through private and insurance pay; funding of health care either by the employer or private pay; care for chronically ill; care for dying patients and the involvement of the patient in deciding on the treatment procedure. Introduction The Germany’s health care system is referred to as the Bismarck model and is the oldest model in the world. The model was established in 1883 but has been exposed to several substantial changes to date but the basic structure has been maintained. A significant reform enacted in 2007 had four target goals aimed at having in place mandatory collective health insurance coverage, modernization of sickness funds, and improvement of medical care as well as reforming health fund. The German health system is effective in that it has served its population of 82.4 million effectively in such a way that it has boosted the life expectancy to 81.9 years for women and 78.7 years in men (Schabloski, 2008).
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