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"They want to learn about how we're doing things," Sheran said, mentioning HMO concepts for managed care.
The Germans will be visiting Minnesota in the spring to take a look at Nike Sports Bra Kids
The delegation quizzed the Germans about policies regarding pharmaceuticals and how they managed to spend about half as much as Americans on prescription drugs, and they asked about rationing of care. The Germans insisted they don't ration, drawing a distinction between Nike Sports Bra Pro Indy
state House and Senate health budget panels, Human Services Commissioner Cal Ludeman, AARP representative Hubert "Skip" Humphrey, Dr. Patricia Simmons of the Mayo Medical School and University of Minnesota Board of Regents.
A first term Democrat, nurse and former nursing instructor at Minnesota State University, Sheran said the German national health care system addresses many of the concerns she hears from constituents.
As a former nursing educator, Sheran was surprised the nurses in Germany aren't academically educated instead getting their training from the individual hospital employing them. The result is physicians doing many of the procedures done by nurses in America, which adds to the expense.
the way health care is provided in the state and in America.
"If those are the goals, then they're doing some really, really great things in Germany that we could bring over here," Sheran said. ". Thirteen accepted, including the chairs of the Nike Leggings Shorts
And Germans don't lose coverage when they lose a job, don't get turned down for coverage because of pre existing conditions, have their mental illnesses treated more consistently and have universal coverage across their population.
Just back from a trip to Berlin to learn about the German health care system, state Sen. Kathy Sheran of Mankato saw plenty that America and Minnesota could emulate as the health care reform debate drags on. Sheran also saw a few places where Germans could learn a lesson from America's medical system.
Hospital stays in Germany are longer than America, a fact that's probably attributable to America's more extensive support system for patients after they leave a hospital, Sheran said.
With the state's ongoing budget problems, out of state travel reimbursement has been frozen for senators. So Sheran paid for the air fare and lodging out of her own pocket. The cost of the conference was covered by the German Federal Ministry of Economics and Technology.
Sheran studies health care in Germany
that and "defining what is medically necessary."
The German system provides a publicly financed insurance system that people making less than about $75,000 a year must participate in. The cost is a 7 percent payroll tax on workers and employers.
While the German system requires that both public and private insurance plans cover a broad range of services, the public plans don't cover "quality of life intervention," Sheran said. That includes birth control, drugs such as Viagra and many alternative medicines.
"When I go door to door and talk to people, that's what they want," Sheran said.
Participants in either system can choose their own doctors, dentists and therapists, and those in the public plan have the option of paying more to have perks such as private rooms during Nike Dri Fit T Shirt Mens hospital stays.
But German law allows higher income Germans to opt out, provided they buy private insurance. (Although once they drop out, they can't return unless their income drops below the $75,000 a year threshold.)
She believes the Germans also can learn something about the coordination of care in Minnesota and efforts here to improve electronic record keeping to increase efficiencies and reduce duplication. In Germany, the outpatient clinics are completely separated meaning the doctor a German regularly visits isn't the doctor checking on them and treating them if they're admitted to a hospital.
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