Going Dutch — Managed-Competition Health Insurance in the Netherlands

Sep 2018
6,679
1,127
cleveland ohio
#1
on January 1, 2006, the Dutch government enacted the Health Insurance Act (HIA), under which every person who legally lives or works in the Netherlands is obliged to buy, from a private insurance company, individual health insurance whose benefits are specified by law (see table). Penalties for failure to enroll include back payments for premiums that would have been charged had enrollment occurred on time. To date, about 98.5% of eligible Dutch people have enrolled.

The law covers care by general practitioners and specialists, as well as pharmaceuticals and hospital care (for up to 1 year). In addition, the Exceptional Medical Expenses Act provides everyone with coverage for potential needs such as long-term care and hospitalization beyond 1 year. The HIA describes the standardized basic benefits package in terms of “functions of care,” rather than “providers of care” — for instance, “rehabilitation care,” rather than care delivered by rehabilitation institutions.

About 15 competing insurers, some for-profit and others not-for-profit, are intended to be prudent buyers of care. They compete on the basis of premiums, service, and the quality of care offered by their contracted providers, as well as on the premiums and benefits of any supplementary health insurance they provide. The insurers may contract, through various types of arrangements, with independent doctors and hospitals, or they may provide care directly, through their own facilities and staff.
NEJM - Error w need to find a practical model that provides quality care for all, it doesn't have to be government run >
 
Nov 2012
41,006
11,805
Lebanon, TN
#4
obama care ironically was sort of based on our system as usual you americans cocked it up with your partisan bickering https://www.healthaffairs.org/doi/full/10.1377/hlthaff.12.Suppl_1.24
No our system was based on free market you wanted insurance you got it you could not afford it you had Medicaid.

which had a average rate of inflation of 3%

What Obamacare did was force unneeded coverage on people, caused an explosion in healthcare coverage cost, exploded with increases of 10% vs the previous 3% increases, and massive increased in deductibles.

Typical Obamacare exchange policy 7500/year premiums, 6500 deductible.
 
Sep 2018
6,679
1,127
cleveland ohio
#5
No our system was based on free market you wanted insurance you got it you could not afford it you had Medicaid.

which had a average rate of inflation of 3%

What Obamacare did was force unneeded coverage on people, caused an explosion in healthcare coverage cost, exploded with increases of 10% vs the previous 3% increases, and massive increased in deductibles.

Typical Obamacare exchange policy 7500/year premiums, 6500 deductible.
everyone needs coverage, what an idiotic thing to say, what do you do if you suffer a catastrphic illness or injury
 
Nov 2012
41,006
11,805
Lebanon, TN
#6
everyone needs coverage, what an idiotic thing to say, what do you do if you suffer a catastrphic illness or injury
No, everyone needs freedom..

Pre-Obamacare My Daughter had a 181/month Catastrophic care plan, and an HSA she saved during college she saved her 10K while in College go a 10K deductible plan after she graduated and got her job she put 166/month into the plan.

Obamcare came along, the cost jumped to 680/month.

I am 63 years old, and had a vasectomy a few decades ago, I AM FORCED TO PAY FOR BIRTH CONTROL coverage.
 
Sep 2018
6,679
1,127
cleveland ohio
#7
No, everyone needs freedom..

Pre-Obamacare My Daughter had a 181/month Catastrophic care plan, and an HSA she saved during college she saved her 10K while in College go a 10K deductible plan after she graduated and got her job she put 166/month into the plan.

Obamcare came along, the cost jumped to 680/month.

I am 63 years old, and had a vasectomy a few decades ago, I AM FORCED TO PAY FOR BIRTH CONTROL coverage.
typical selfish american all you think about is me me me, you make me sick this isnt the way it works in a healthy society back home people dont pay lots of tax because it helps others, they do it because in the end it helps everyone, and most important it helps the person who pay them, have you ever bought anything in bulk? paper towels cereal gasoline you buy in volume the price goes down youd pay less but your too much off a racist dumb ass to think about that
 
Sep 2018
6,679
1,127
cleveland ohio
#8
No, everyone needs freedom..

Pre-Obamacare My Daughter had a 181/month Catastrophic care plan, and an HSA she saved during college she saved her 10K while in College go a 10K deductible plan after she graduated and got her job she put 166/month into the plan.

Obamcare came along, the cost jumped to 680/month.

I am 63 years old, and had a vasectomy a few decades ago, I AM FORCED TO PAY FOR BIRTH CONTROL coverage.
americans have too muchfreedom they dont deserve anthing they have
 
Sep 2018
6,679
1,127
cleveland ohio
#10
No our system was based on free market you wanted insurance you got it you could not afford it you had Medicaid.

which had a average rate of inflation of 3%

What Obamacare did was force unneeded coverage on people, caused an explosion in healthcare coverage cost, exploded with increases of 10% vs the previous 3% increases, and massive increased in deductibles.

Typical Obamacare exchange policy 7500/year premiums, 6500 deductible.
in holland everyone pays 150 euro for full coverage Basic health insurance costs around 100 euros per month and covers: Appointments with your doctor (huisarts) 113.90 us$ you are a fool
 

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