Statutory health insurance

From WikiMD's Food, Medicine & Wellness Encyclopedia

Statutory Health Insurance (SHI), also known as Social Health Insurance, is a form of health insurance that is legislated by law. It is a system where the government, or a legally mandated body, provides health insurance coverage to all or most of the population. This system is primarily funded through payroll tax or other forms of taxation.

Overview[edit | edit source]

The concept of Statutory Health Insurance originated in Germany in the late 19th century under the leadership of Otto von Bismarck. It has since been adopted by many countries worldwide, including most of Europe, Japan, and South Korea. The specifics of the system can vary greatly from country to country, but the common feature is that it is a legal requirement to provide health insurance coverage.

Funding[edit | edit source]

Statutory Health Insurance is typically funded through a combination of payroll taxes, income taxes, and sometimes, out-of-pocket payments. The exact mix of these funding sources varies from country to country. In some countries, the government may also contribute to the funding of the system.

Coverage[edit | edit source]

The coverage provided by Statutory Health Insurance also varies from country to country. In some countries, it covers all healthcare services, including primary care, hospital care, prescription drugs, and long-term care. In other countries, the coverage may be more limited, and individuals may need to purchase additional private health insurance to cover services not included in the statutory plan.

Benefits and Criticisms[edit | edit source]

The main benefit of Statutory Health Insurance is that it provides universal or near-universal coverage. This means that all or most of the population has access to healthcare services, regardless of their income or employment status.

However, Statutory Health Insurance also has its critics. Some argue that it can lead to inefficiencies in the healthcare system, as there is less competition than in a system with multiple private insurers. Others argue that it can lead to long waiting times for certain procedures, as the system has to prioritize resources.

See Also[edit | edit source]


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Contributors: Prab R. Tumpati, MD