The health care system used in the U.S is the Affordable Care Act (ACA). It was created in 2010; it is a health care policy set up between the government, employers and the people. It guarantees all Americans access to affordable health insurance. There are two different federal programs within the ACA that provide health care; Medicare, for adults older than 65; and Medicaid, for low-income persons. There are also private insurance options that are state regulated. Private insurance provides additional access with income based subsidies, which is government issued money to aid in
businesses to keep prices low, for low and middle income people.
In Austria, health care is undertaken by the national and regional governments. Parliament, the Federal Ministry of Health, the Federal Ministry of Labour, Social Affairs and Consumer Protection and a few other associations play a major part in health care regulation at the federal level. The federal government defines legislation in outpatient care. The provinces and social security institutions in cooperation with the federal government are responsible for planning inpatient care and policies of their health care system. The health care system’s three main principles are solidarity, affordability, and universality. It is also based on a model that guarantees all people access to health services, no matter age, sex or income.
In the U.S a few of the services covered by the ACA are; hospitalization, maternity and newborn care, mental health services, substance use disorder treatment, prescription drugs, rehabilitation services, and pediatric services including dental and visions. Medicare covers; hospitalization, physician services, and prescription drug coverage through a voluntary supplementary program. It has also eliminated cost-sharing, paying out of pocket for what insurance does not cover, for many services. Medicare offers a “traditional” option, which pays a fee-for-service basis, or Medicare Advantage, which pays private insurers for a network based plan. It does not cover long term care. Medicaid covers hospitalization and physician services, and there are optional benefits varying per state.
All insured Austrians have the right to a long list of services. Such as; emergency care, maternity services, psychotherapy, laboratory tests, dental services, prescription medicine, medical devices, ambulances, it-patient and outpatient care, mobile and home care, rehabilitation, and long term care. The usage of selected services may possibly be linked to special conditions such as type of illness and may involve co-payments. These payments may be paid in fixed rates, or in percentages- based on the insured person's health insurance funds. They may also be faced with out-of-pocket payments. This usually only occurs when health services not included in their list of benefits are used. Examples of these services are daily allowances for in-patient care, certain dental services, or OTC medicines. Payments made may be refunded to the person through their health insurance.
The United State’s healthcare system is one of the most complicated in the world. There are many ways people who need insurance can be confused. In Austria however, the health care is very simple and straight to the point. Everyone who needs healthcare receives it. The differences in the two are very clear and are good examples as to how much better Austria’s healthcare is compared to the United States.