Socialized Medicine in Germany

Guten Morgan! This comes from a reader:
If you really want European socialized medicine (you personally no, but the masses in general) then you need to know some more information.  I have lived and worked in Europe (Germany), I speak from experience.  First, you are covered until you are 65 years old, after that you are on your own. You can by supplements so those of us with marketable skills will have better care. Second, there is no EMTALA, so uninsured, immigrants, and elderly will not be treated without cash in hand. More than once I saw people die trying to get “free” care. Atrial fibrillation at 66 in an ED, sit and wait for the MI or stroke. An immigrant hit by a car, better drag your broken body out of traffic or you’ll be fined for that. Honest, I saw these things.
Taking care of people under 65 is cheap. Politicians would love this. They know more old people vote so they can’t do this until after we all agree to government health care. Then watch out, something will have to be done about the expense. We all know how whiny and entitled baby boomers can be. Perfect for a little class hatred.Just so you see it coming.

Wow!  So it is not utopia?   And there is governmental “cherry picking” going on over there?   Very interesting.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  8 comments for “Socialized Medicine in Germany

  1. Russ
    March 14, 2012 at 3:29 pm

    Is that the whole E-mail? Can the author provide any links?

    I find it hard to believe that the coverage just disappears at age 65.

    • Doug Farrago
      March 14, 2012 at 3:36 pm

      He worked there. Maybe he will respond to your comment.

  2. March 10, 2012 at 9:41 am

    If you look at what is already going on with Medicare and ACO formations, you will be astounded with how our older population is quickly losing choice in care. In order to incentivize the ACO formations, much like HMOs, they are being promised panels of huge numbers of patients added to their care groups. If your physician has not been coerced to join that specific ACO, that doesn’t matter. You will be assigned a new doctor that you have no familiarity with and cannot change. I am already seeing well-managed care in my patients failing when they are transferred into these models. There’s a lot of deception on both sides.
    I used to laud Australia for having one of the best socialized systems I ever saw, but haven’t looked in a while

  3. big picture doc
    March 7, 2012 at 12:29 pm

    Actually, studies show that Medicare is more efficient than private sector medicine, but agree they both suck. We don’t need more medicine, we need better medicine.

  4. eugene frank
    March 7, 2012 at 12:20 pm

    If Germany ignores the health needs of its 65+ population, why are they living as long as Americans?

  5. robert l erickson
    March 7, 2012 at 11:13 am

    Don’t think the author knows much about the German system. According to T.R. Reid in “The Healing of America”, all are covered, illegal or not, by 200 separate private insurance companies who compete for customers. The government may control the amount of payments but the German Health system is the most expensive (and perhaps the best) in Europe.

  6. Susan Hirsch, M.D.
    March 2, 2012 at 10:18 am

    So what choices are there? The system we have now, where insurance companies run everything, also stinks.

    • Jeff McGraw
      March 2, 2012 at 10:33 am

      What really baffles me in this whole discussion is why anyone would think that the government could run ANYTHING cheaper or more efficiently than the private sector. I challenge anyone to name a government program that has ever come in on or under budget. As far as efficiency goes, ever try to get anything accomplished with a government agency? You’d better have all day!

      Our system may suck, but it’s largely because the government is involved in it. Most of what the insurance companies pull is modeled after what CMS does; they see CMS get away with it and jump on the bandwagon.

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