In: Nursing
cost control between Germany, Canada, The United Kingdom, and Japan varies and differs from one another. In Japan, costs controlled and the health care system is determine and relies on payroll taxes and thus requires a large employed population. But with a low birth rate and the longest life expectancy in the world, Japan’s population is aging faster than that of other developed nations. In contrast, in Canada, Canadians have found a way to deliver comprehensive care to their entire population at far less cost. In 1970, the year before Canada’s single-payer system was fully in place, Canada and the United States spent approximately the same proportion of their gross domestic products on health care—7.2% and 7.4%, respectively. On the other hand, in the United Kingdom, Two major factors allow the United Kingdom to keep its health care costs low: the power of the governmental single payer to limit budgets and the mode of payment of physicians. While Canada also has a single payer of health services, it had traditionally paid most physicians fee-for-service. In contrast, the United Kingdom relies chiefly on capitation and salary to pay physicians; payment can more easily be controlled by limiting increases in capitation payments and salaries. Moreover, because consultants (specialists) in the United Kingdom are NHS employees, the NHS can and does tightly restrict the number of consultant slots, including those for surgeons. Moreover, in Germany, German health care costs resumed an upward surge, paving the way for a 1993 cost-control law restricting the growth of sickness fund budgets. However, Germany’s health care expenditures as a percent of GDP have continued to rise, from 8.3% in 1990 to 11.3% in 2012. Germany has not fully solved the problem of rising health care expenditures.
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Japan's health care system has many features that are employment-based health insurance, free consumer choice of physician, clinical decision making of the doctor.cost of the health care system in Japan is very low compared with the US. Japanese health care an impressive health care system for many citizens, it has a low infant mortality rate. Japan's economic growth at end of world war II made per capita income is one of the highest.it is physician-run offices operated privately. Japanese health care system loosely organized and less functionally differentiated. Japanese financing system has multiple features multiple payers all the citizens have an attachment to social insurance plans, all the plans have comprehensive medical benefits. In Canada, provincial and territorial governments are responsible for the management, organization, and delivering health care services. the federal government responsible for national standards for the health care system. Canada has success containing costs due to public financing of the health insurance system.this publicly financed health care system makes cost containment and universal access to health care services. Canadian medicare system makes each individual receive cash assistance from the federal government on a per capita cost basis. Germany has high health care costs, citizens must have either state or private health insurance for their health care service. The health care system in Germany viewed by American policymakers as a model system that has cost control and providing comprehensive benefits to all citizens. German reforms service as a timely model for cost control measures that aim both price and volume to control aggregate health care costs. In the united kingdom, high health care spending per capita spending increased 2.6 percentage points UK. The UK has a government-sponsored universal health care system called national health service, it has a publically-funded health care system, but the citizens have private health insurance also. UK health care system is most efficient it is publically funded and generally paid for by taxation.canada and united kingdom has government-financed systems and largely public. German, Japanese, Canadian systems are mostly private based.