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hermanzegerman 2 hours ago

We in Germany copied a lot of the stupid stuff from America (including the stupid billing system for inpatient stays), so it's not that surprising that our system is also bad value for money.

PS: Outcomes here are not worse than those of rich people in the US, because I know some idiots will claim this to cope

https://jamanetwork.com/journals/jamainternalmedicine/fullar...

legitster 2 hours ago | parent [-]

Germany didn't copy the US - they just happen to share similar roots.

Both historically had private hospital systems, and just so happen to implement pension/employer-based insurance programs very early on. German's just evolved in one direction and the US evolved in the other.

hermanzegerman 2 hours ago | parent [-]

We copied the DRG reimbursement System from the US.

And no, we didn't had a historically significant share of private hospital systems, those came with the introduction of the DRG System, which forced many city/church owned hospitals into privatisation.

Before that, they had a "Fixed Price per Night" System, which also was a bit stupid, before that they got reimbursed their cost.