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Expectations were high, so disappointment is likely to be all greater now. “This time re is a real chance,” SPD health expert Karl Lauterbach said before coalition negotiations. He thus stated his party’s declared goal of abolishing Nebeneinandervon of legal and private health insurance. Only union has been very much against it from outset. The outcome of negotiations is now: re will be no EineBürgerversicherung for all, even dispute umÄrztehonorare and remuneration is adjourned. Except for some minimally invasive interventions, SPD has suffered a clear defeat in health policy.
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Only in a fundamental question do sichbeide parties seem to agree: re is a great need for a reorganisation of system, especially in financial terms. This is why coalition agreement states that “both outpatient fee regulations in GesetzlichenKrankenversicherung and fees regulations of private Krankenversicherungmüssen are being reformed.” So far, system is living on fact that 90 percent of federal citizens are depositing in statutory health insurance, but Wegensteigender health spending is getting more limited benefits. Dierestlichen Ten percent of population, however, have private versichertund enjoy a better supply. They also subsidize system of legal funds. Because only because doctors collect higher fees fürPrivatpatienten, y could finance expensive equipment and AufwendigePraxisausstattungen, argument is derPrivatkassenverfechter.
DerKoalitionsvertrag does not say how system of fees Nunreformiert and thus perhaps even more equitable. The Coalition formulate cloudy: “Deshalbwollen we create a modern remuneration system, which is a reflection of supply needs of population and state of MedizinischenFortschritts.” and later it says: The future federal government werdeeine “Commission, which Vorschlägevorlegt by end of 2019 taking into account all related medical, legal and economic issues”. Instead of a citizen’s insurance, re is a working group for first time.
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After all, BeideKoalitionäre promise small improvements to legally insured: deliverables of access to outpatient medical services – in particular to specialists – should be improved. Eswerde will be able to provide nationwide service points to be reached under BundeseinheitlicherRufnummer and to provide specialist medical appointments. New Isdive The pass that contract doctors have to offer at least 25 hours per WocheSprechstunden for legally insured. Moreover, SPDund union have decided to increase fixed subsidies for dentures, to rise from 50Prozent to 60 percent.
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In future, family doctors will also be better remunerated and those doctors who offer “talking medicine” can work without expensive equipment. In addition, re are surcharges for doctors in countryside, who still make long distances through villages and so treatment even in remote places. It will also make it easier to settle down as a doctor. It would be at least dringendnötig that more young people would opt for profession of country doctor, who has a significant shortage of offspring. For this reason, incentives should already be created in DerMedizinerausbildung to enable more young people to become house doctors beyond cities. The additional funds for country Arzthonorare Sollenaus Structural Funds for health sector come. By way, staff should also be greatly increased in both care – by 8,000 employees in a first immediate program.
Even hospitals sollenbald more abundant from Structural funds to be supplied with money. At this stage, SPD has won a small victory with its demand to use one billion euros per year for hospitals (and not onlyone half a billion) in order to become technologically and digitally fit for future. At least for four years money is to flow. In addition, DieKrankenhäuser should no longer settle only on a lump sum basis. But Künftigwerden also pays for m according to ir actual personnel costs, including gilteine mixed calculation of case lump sums and wage costs. However, with regard to question of woherdas additional money for clinics, union went through: one billion should come to one half “from liquidity reserve of Health fund” and to or half from Structural Funds, which will be Ländernfinanziert by fund. The SPD wanted to take federal government and country into duty.
