What are the references of the vision of reconstruction of the post-war health system… the German experience as a model (3)…?! – #The_Autre_Dimension – ✍️ Musaab Brier
» After the Federal Minister of Health withdrew, Dr. Muhammad Ibrahim spoke about adopting the German model to rebuild the health system after the war, and even described the news published about it as “word of mouth.” The German health system is one of the five systems examined. For reference purposes only, we will continue to present the remaining episodes of the presentation of the German health system out of interest.
» Health insurance card in the German health system: When you join the health insurance fund (which is mandatory, as we mentioned), you get a special electronic card called an electronic health insurance card… which is an electronic card, like a bank card or a phone SIM card!
» What is in this card? The card contains the patient's personal information, such as name, residential address, insurance company information, and insurance subscription number. In the coming years, important medical information will also be added to the card, such as medical history or medications the patient is taking. The only thing the patient needs to do in this case is to always carry his health insurance card with him and show it wherever he needs care or to obtain certain medications or medical services.
» The German health insurance card covers you in all German territories, regardless of the state in which you reside or in which the insurance company is headquartered. When you enter the doctor or hospital, your electronic card is read by the computer. In this way, your data is identified and it is confirmed that you are covered by health insurance. You can then benefit from the necessary health services anywhere in Germany, regardless of the state from which it was obtained. Health insurance companies also cover you in the countries of the European Union in the event of an emergency When you travel.
» Insurance Company Coverage: Suppose you obtained certain health care services from a health care provider (such as a doctor, hospital, or pharmacy). That entity will arrange for documented receipts and bills for the charges resulting from those services that were provided. the conditions.
» So the circle is complete and the insurance company has acted as a mediator between the two parties by collecting fees from the people in proportion to the situation of each of them and then paying the costs to the entities that provide health care. But what does the insurance company receive in return? Of course, this work is very large and complex, and requires a very large number of employees and various headquarters in all German cities. In exchange for this work, insurance companies naturally obtain certain percentages of the funds they manage between the two parties. With these amounts, they cover their expenses and the salaries of their employees. Despite this, the high costs of medical services exceed the capacities of these companies, so they need direct financial support from the state, which is obtained indirectly through the taxes paid by these companies. anyone who earns an income in Germany.
» The insurance and care system: A practical example: I will now give a practical example through which you will understand how the health insurance system works in Germany. Sarah is a married woman and her husband is not currently working as an employee. pays part of his salary to the health insurance fund. Thanks to this insurance, he automatically receives a card for himself and another for his wife thanks to the family insurance benefit, simply because he is married and without additional costs.
“Let’s say Sarah has been suffering from a persistent cough for several weeks, what should she do? Sarah should first see a general practitioner or family doctor. Everyone living in Germany must have a registered general practitioner. A general practitioner is the first doctor a patient goes to in non-urgent cases. It is equivalent to the term general practitioner or GP in Great Britain.
» Many family doctors can do many basic tests in the clinic, such as blood tests or ultrasounds. So Sarah called the clinic and got an appointment for a review. After doing the necessary tests and giving several treatments, Sarah did not improve as desired. After consulting the family doctor, he referred her to a lung specialist clinic. When a patient needs treatment from a specialist, they usually need to be referred by a family doctor. So, if the family doctor is not able to diagnose the disease or solve the problem, he will refer the patient. The referral can be made either to a medical clinic that specializes in a specific area or even directly to the hospital.
» Let's say Sarah has a coughing fit and shortness of breath in the middle of the night, should she go to her GP? Of course not. The GP only works at specific times and is not present in the clinic at night. Most GP clinics in Germany open daily in the morning from Monday to Friday, in addition to evening work at least two days a week. Many doctors prefer to work in private clinics, as these working hours are better than the long working hours in hospitals.
» In such an emergency, Sarah must go directly to the hospital, where she will be received and treated by ambulance or in the emergency room in all the cases we have mentioned (whether at the general practitioner's clinic, at the specialist's office or at the hospital). Sarah only needs to present her health insurance card to obtain the necessary medical services.
After the last one:
In summary, the German health insurance system is no different from the Sudanese system, except that the former is limited only to the purchase of the service and nothing else. As for the Sudanese health insurance law, although the health insurance law is clear and explicit about health insurance. should be the purchaser of the service only, the leaders of the Sudanese health insurance violated the law with might and main and spent a lot of money. The insured's money was invested in the failed investment in the provision of therapeutic services, until this important project was ruined. by this absurdity that found no one to resist it. Finally, it seems that the leaders of our clinically paralyzed health system only care about praise, and the incense burners embellish their bad deeds as unrivaled heroes, and the result is us. . Now we repeat the experiment without putting our finger in the wound … and we continue
I didn't get it without God revealing it
God is enough and yes, the agent
O God, impose not on us, because of our sins, those who do not fear You for us and have no mercy on us, O Most Merciful of the merciful.
#TheOther_Dimension | Brier Musaab |
Saturday (July 13, 2024 AD)
