Treatment FAQ

how does healthcare treatment differ in italy from the us

by Vesta Yundt Published 3 years ago Updated 2 years ago
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In spite of being both wealthy, developed countries, Italy and the US have completely different approaches to health care. Italy has a public-based system, supported by tax income, as well as a flourishing private insurance market, which is often chosen by Italians as a sort of top up to the standard public “mutua”.

One primary distinction between the two is that the American healthcare delivery system is a hybrid of public and private payers, while Italy relies predominantly on a universal public healthcare system augmented by a growing private system.Nov 1, 2021

Full Answer

How good is Italy's healthcare system?

Some essential elements emerge from this report:

  • The number of Italian doctors is higher than the EU average
  • Italy has the second-lowest preventable mortality rate in the EU.
  • The rate of hospital admissions registered in Italy for chronic diseases such as asthma, pulmonary disease, chronic obstructive (COPD), and diabetes are among the lowest in the EU.

More items...

What is the quality of healthcare in Italy?

  • It needs to be essential medical care that can’t wait till you get home
  • You need to go through the National Healthcare Service, Private medical centers are not covered
  • It is valid only for 6 months from your arrival

Does Italy have universal healthcare?

Italy, as other developed European countries, has a national health service (NHS) that, in principle, offers universal health care and coverage to Italians and other legal (non-Italian) residents who have full access to health care.

Is health care good in Italy?

Yes, it does and its health system is hailed as one of the best worldwide. In general, Italy's public health system and medical care are excellent, as almost all patient costs are covered. The system focuses on both preventative and prescriptive care.

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Is Italian healthcare better than the US?

“For example, Italy's health care system was ranked second out of 191 countries by the World Health Organization's listing of top countries for quality healthcare. In contrast, the United States was ranked 37th, the lowest of any industrialized nation.”

Does Italy have a good healthcare system?

Italy ranks among the World Health Organization's top 10 countries for quality health services. The Italian healthcare system is far from perfect, though, as this rating is mainly based on equality of access and health outcomes such as life expectancy and healthy life years.

What is Italy's healthcare system like?

Italy's health care system is a regionally based national health service that provides universal coverage largely free of charge at the point of delivery. The main source of financing is national and regional taxes, supplemented by copayments for pharmaceuticals and outpatient care.

How does US health care differ from other countries?

Patients in the U.S. have shorter average hospitals stays and fewer physician visits per capita, while many hospital procedures have been shown to have higher prices in the U.S. Similarly, many prescription drugs cost more in the U.S. than the same drugs do in other comparable nations.

Which country has the best healthcare system in the world?

South Korea has the best health care systems in the world, that's according to the 2021 edition of the CEOWORLD magazine Health Care Index, which ranks 89 countries according to factors that contribute to overall health.

Who has best healthcare in Europe?

Europe's best healthcare systemsSwitzerland.The Netherlands.Norway.Denmark.Belgium.Finland.Luxembourg.Sweden.More items...•

Is medical treatment free in Italy?

The national health service in Italy, Servizio Sanitario Nazionale (SSN), provides residents with free or low-cost healthcare that includes access to general practitioners (GPs), treatment at public hospitals, subsidised medicines, lab services, ambulance services and certain specialist care.

Why is European healthcare better?

Health coverage in Europe is universal. Having different structures of interactions between insurers, providers, and patients, all European healthcare systems aim to provide care to everyone, on the grounds of free access, equality and equity, and fairness: no matter how much you earn, you're getting a basic package.

Why do other countries have better healthcare than the US?

There are many possible factors for why healthcare prices in the United States are higher than those of other countries — ranging from the consolidation of hospitals, which leads to a lack of competition, to the inefficiencies that derive from the complexity of the nation's healthcare system.

Why are other countries healthier than the US?

External environment includes the availability of health information, doctors, hospitals, drugs, surgeons, and caregivers. The other factors are internal, like personal diet and exercise level. The reason that third world countries often have healthier individuals is because their personal diets are much better.

Why is Italian healthcare so good?

It provides a full range of healthcare services with a free choice of providers. The service is free of charge at the point of service and is guided by the principles of universal coverage, solidarity, human dignity, and health. In principle, it serves as Italy's public healthcare system.

Is Italian healthcare free?

Universal coverage is provided through Italy's National Health Service (Servizio sanitario nazionale, or SSN), established through legislation in 1978. The SSN automatically covers all citizens and legal foreign residents. Since 1998, undocumented immigrants have had access to urgent and essential services.

Which country has the best healthcare system in the world 2020?

Best Healthcare in the World 2022CountryLPI 2020 RankingLPI 2019 RankingDenmark12Norway21Switzerland33Sweden4494 more rows

Is UK healthcare better than Italy?

Britain's healthcare system has been ranked just 30th in a new global study – lagging behind other European countries including Germany, Ireland, Spain, Slovenia and Italy. A report published in The Lancet medical journal rates 192 countries in terms of their quality and access to healthcare.

What has the Italian healthcare system allowed?

As devastating as the coronavirus has been on Italians and the Italian economy, the Italian healthcare system has allowed sick individuals to receive the care they need without costing them financially.

Do you pay for medical care out of pocket?

If a tourist or visitor in the U.S. requires medical assistance, they will likely pay for their treatment out of pocket, unless they have travel insurance that covers them. Because the industry is private, medical care in the U.S. is notorious for being expensive.

Is Italy a human right?

Italy’s Servizio Sanitario Nazionale (the Italian National Service for Health) considers healthcare a human right.

Is healthcare privatized?

US Healthcare System. In the U.S., the health insurance industry is privatized. American citizens are not guaranteed healthcare through the government. Instead, they can purchase health insurance coverage from an insurance company, or it can be awarded to them through their employment.

Do military members get medicaid?

Members of the military are also guaranteed healthcare.

Does Italy have private healthcare?

Private healthcare services exist, but they are supplementary to the automatic national coverage. According to the Commonwealth Fund, in 2010, only around 5.5% of the Italian population paid for private healthcare services.

Do foreigners have to pay for medical services?

Legal foreign residents and undocumented immigrants also qualify for these benefits. Tourists are generally required to pay for their medical services (although emergency medical services in hospitals are universally free), but the cost is much lower than in the U.S.

Italian healthcare wins, hands down, in my opinion

And, on multiple fronts. I’ve been in Italy for almost eight years now, and as I look back across the Atlantic, especially during this pandemic, I’m especially grateful for the assurance of complete medical care without fear of losing everything I have in the wake of a catastrophic illness.

Let me start with a recent, harsh reality (for me, at least)

Technically, I could, since I am a U.S. citizen. Realistically, I can’t because finding any type of travel medical insurance policy that covers COVID in the U.S. is next to impossible. PLUS, why the heck would I take the risk, even following rigid protocol, to be in a country where behaviors are all over the map.

Healthcare is afforded as an equal right to all Italian residents (not just citizens)

I’m gladly onboard with aspects of socialism that focus on the common good of ALL people, and not just those people who have access of gold-standard insurance policies and consequently, the top-level medical care. (Remember, members of U.S. congress have comprehensive, gold-standard care for life.)

Not just Italians, but most Europeans, are horrified and fearful of the American healthcare system

I can’t tell you how many questions I’ve fielded from disbelieving Italians in regard to American healthcare. “How can a country not be set-up to protect the health of each and every citizen?” they ask. My answer? It’s simple.

Markedly different attitudes availability of care

I encourage you to read a blog post I wrote a few years ago about how my sister became ill when she came to visit. The short story is that she was seen quickly at a Rome hospital, and NOT charged anything by the staff. Would this EVER happen in the U.S.?

Is healthcare provided by the US military overseas?

VICENZA, Italy - Worldwide healthcare can vary from country to country, and that especially affects Americans living abroad who may not be aware that, although they are accompanying a Soldier, their healthcare may not be provided by the U.S. military over seas.

Is Italian medical care the same as the US?

Medical care at an Italian Medical Facility is very much the same as in the United States despite some cultural differences that patients may or may not have been expecting. One cultural difference that most people notice relates to modesty.

Is Aviano Hospital closing?

Aviano will be closing all inpatient services in October 2018, and Naples and Sigonella will close inpatient services not long after that. Referrals to the local Italian economy are the way ahead for most specialty care and inpatient procedures, if not being seen and treated at Landstuhl Regional Medical Center or returning to the United States.

Tale of the tape

The costs are without insurance, of course. With my old Kaiser Permanente health insurance in Denver, I would’ve paid a 17-percent copay of $464. But considering 27 million people in the U.S. do not have health insurance, the larcenous costs are serious roadblocks to a healthy nation.

Italian lifestyle major factor

That seems pretty thorough to me. She says Italy’s good health standing has more to do with the Italian lifestyle. That is true. We eat healthier food here. We drink less. We walk more. We have less stress. The pizzas here have such natural ingredients they’re practically health food.

Why not in U.S?

OK, it has its flaws but I’d still rather be here than there. I’ll take longer waits in emergency rooms and decrepit hospitals over obscene medical rates in hospitals where there’s no guarantee of success, either.

The differences and similarities between American and Italian healthcare fraud, waste, and abuse laws: Part 1

This is Part 1 of a three-part series discussing the similarities and differences between the US and Italian healthcare fraud, waste, and abuse laws. Part 2 of this series will be published in the December issue of Compliance Today, and Part 3 will be published in January 2022 issue of the magazine.

The American and Italian healthcare systems

Despite many complicated differences in healthcare spending, both America and Italy commit extraordinary public resources to healthcare delivery.

American healthcare enforcement: A complex regulatory patchwork

In America, the prevention of fraud, waste, and abuse in the hybrid healthcare system is spread across a complex patchwork of actors: federal and state law enforcement agencies and investigators; private insurance company fraud investigations/monitoring departments; and private-citizen whistleblowers.

About the Authors

Pamela Coyle Brecht ([email protected]) serves as Pietragallo Gordon Alfano Bosick & Raspanti LLP’s Practice Chair for the firm’s global Qui Tam/False Claims Act Practice Group in Philadelphia, PA.

Takeaways

There is one major challenge confronting American and Italian healthcare systems—providing healthcare that is effective, innovative, devoid of fraud, and cost effective.

How is healthcare funded in the USA?

Most of the healthcare spending in the USA is funded through the private sector: 28% from households, 20% from private companies. Federal funding takes 28%, and local governments pay for 17%. Most healthcare services are delivered privately, even if publicly funded.

What are the different types of universal healthcare systems in Europe?

So, the types of universal systems in Europe are: 1. Single-payer healthcare system, where the government or the private sector pays fully for health coverage (so a country/private sector is the main insurer) and the healthcare provider sector is mostly private. It’s mostly free for patients — in Spain, where a single-payer model is used, ...

How is Germany's healthcare system financed?

Funds are financed through taxes and contributions. So Germany’s system is based both on the private sector and government. As you can see, in Europe, universal healthcare systems are often built on the co-existence of private and government funds, which is kinda similar to what happens in the USA. There is, of course, a “but.”.

How many states have not adopted the ACA?

Commonwealth Fund states that a way to pursue the US healthcare will be to ensure national insurance coverage (right now, for instance, nearly 29 states have not adopted any ACA’s options), and accelerate and optimize insurance systems, so there is less headache for doctors.

How much does the average American spend on healthcare?

In 2018, the average sum American spends on healthcare became $10.739 per person . Almost half of Americans have employer-provided insurance: in 2018, employers paid 82% of the insurance premium for single coverage and about 67% of the premium for family coverage.

What are the two types of health insurance in Germany?

There are two types of health insurance (HI): statutory (SHI, they are also called “sickness funds”) and private (PHI).

Why do people go to the ER more often than in Europe?

People with preventable diseases like asthma, congestive heart failure, hypertension and diabetes get to the hospitals more often than in Europe. It’s also more common for Americans to use ER instead of scheduling visits to physicians — a direct outcome of people delaying treatment: one in ten Americans does that.

What is the Italian healthcare system?

Public healthcare in Italy. The Italian National Healthcare Service ( SSN – Servizio Sanitario Nazionale) is the Public, tax-funded medical assistance, organized and regulated by the Ministry of Health and administered through regional authorities.

What is private hospital in Italy?

Private hospitals in Italy often operate also in agreement with the Italian National Healthcare Service. When they do, they are in the category called Privato Convenzionato (Private with agreement). This means they can also be accessed with the Italian Health Insurance Card ( Tessera Sanitaria ), under certain conditions.

What is a red prescription in Italy?

The red prescription which allows you to access healthcare in Italy. Also some medicines are free (usually the ones related to serious illness or life threatening conditions) while for others you can get a discounted fee if you have a red prescription from your public Primary Care Physician ( medico di base ).

Where can I find primary care assistance?

On Saturdays, Sundays, and during the night (from 8pm to 8 am) every day, or if you are in a different city and cannot see your personal doctor, you can find primary care assistance at a Healthcare Assistance Continuity Center near you ( usually known as Servizio di continuità assistenziale in Italian) where you will be seen by an NHS doctor who can help you with prescriptions and refills, medical consultations and dressing of minor wounds. This may have a fee, depending on local and regional rules. This public centers are available also for phone consultations, though the staff may not speak English.

Is a consultation with a primary care physician free?

Consultations with your public Primary Care Physician (M edico di base) and with the pediatrician (P ediatra di libera scelta) are free. Hospital admission is free if you are admitted for a necessary procedure. If you want to have an elective procedure (for example a preventive check up), this would not be free.

Can you take a taxi to Italy?

Emergency medical assistance in Italy is provided to everyone, without asking for upfront payment or insurance information. If you are in a medical emergency, you can take a taxi and walk-in to the closest Pronto Soccorso (Emergency Room).

Do hospitals send lab results via email?

Keep in mind that public clinics and hospitals do not send results over email, so if you do lab analyses you will need to go back in person to collect the results. Public labs and hospitals do not send results over email, so if you do lab analyses you will need to go back in person to collect the results.

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