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Bismarck model

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The Bismarck model (also referred as "Social Health Insurance Model") is a health care system in which people pay a fee to a fund that in turn pays health care activities, that can be provided by State-owned institutions, other Government body-owned institutions, or a private institution. The first Bismarck model was instituted by Otto von Bismarck in 1883 and focused its effort in providing cures to the workers and their family. Since the establishment of the first Beveridge Model in 1948, where the focus was into providing healthcare as a human right to everyone with funding through taxation, nearly every Bismarck system became universal and the State started providing insurance or contributions to those unable to pay.

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53-560: After the formation of the German Empire in 1871, Chancellor Otto von Bismarck experienced opposition from German Democratic Socialists . In response, anti-socialist legislation was passed in 1878 , and Bismarck made the decision to incorporate social protection schemes into his budgetary planning. Three major pieces of legislation that established state social insurance were the Compulsory Insurance Act of 1883,

106-410: A big tent party of the centre-left. The SPD led the federal government from 1969 to 1982 (under Willy Brandt and Helmut Schmidt ), 1998 to 2005 (under Gerhard Schröder ) and again since 2021. It served as a junior partner to a CDU/CSU-led government from 1966 to 1969, 2005 to 2009 and from 2013 to 2021. During Scholz's chancellorship, the party has set out principles of a new German defence policy in

159-597: A 1952 Soviet suggestion for Germans to form a neutral state was ignored by the CDU/CSU–FDP government. After 17 years in opposition, the SPD became the junior partner in a grand coalition with the CDU/CSU which lasted from 1966 to 1969. After the 1969 federal election , the SPD's Willy Brandt became chancellor in a coalition with the liberal Free Democratic Party. His government sought to normalise relations with East Germany and

212-513: A Bismarck system. The Euro health consumer index calls the statement "Bismarck beats Beveridge" a "permanent feature" since 2014. Bismarck systems usually have significantly higher accessibility, lower waiting times and, thanks to the competition between operators, higher quality and more consumer-oriented healthcare. Studies show that the introduction of the Bismarck system in Germany led to

265-585: A key role in the German Revolution of 1918–1919 . On 9 November 1918, leading SPD member Friedrich Ebert was designated chancellor and fellow Social Democrat Philipp Scheidemann , on his own authority, proclaimed Germany a republic . The government introduced a large number of reforms in the following months, introducing various civil liberties and labor rights . The SPD government, committed to parliamentary liberal democracy , used military force against more radical communist groups, leading to

318-405: A life without exploitation, suppression and violence, hence in social and human security", the realization of which is emphasized as a "permanent task". Social democracy serves as the "principle of our actions". The party platform of the SPD espouses the goal of democratic socialism, which it envisions as a societal arrangement in which freedom and social justice are paramount. According to

371-684: A master's degree. From 2001 to 2004 he received a scholarship from the Friedrich Ebert Foundation (FES). Whilst at university, Klingbeil worked in the constituency offices of Chancellor Gerhard Schröder and Heino Wiese  [ de ] from 2001 until 2003. After finishing his studies he worked as youth education advisor for the Social Democratic Party in North Rhine-Westphalia . From 24 January 2005 until 18 October 2005 Klingbeil

424-679: A permanent split between the SPD and the USPD , as well as the Spartacist League which would go on to form the Communist Party of Germany (KPD) and integrate a majority of USPD members as well. The SPD was the largest party during the first 13 years of the new Weimar Republic . It decisively won the 1919 federal election with 37.9 per cent of votes, and Ebert became the first president in February. The position of chancellor

477-457: A significant drop in mortality. Since in the Bismarck health system the core financing are contributions, people in poverty can't pay and get limited coverage. In some countries, like Switzerland, the cost of insurance is high and continues to grow, leading part of the population to be under-insured. Another criticism is that since institutions are paid by performance some isolated localities may have little hospital coverage. While primary care

530-458: Is a social democratic political party in Germany . It is one of the major parties of contemporary Germany. Saskia Esken has been the party's leader since the 2019 leadership election together with Lars Klingbeil , who joined her in December 2021. After Olaf Scholz was elected chancellor in 2021, the SPD became the leading party of the federal government , which the SPD formed with

583-528: Is significantly faster to get in a Bismarck system than in a Beveridge system some argue that some elective care may be slow to get even in a Bismarck system than in a free-market healthcare , like the US . Social Democratic Party of Germany The Social Democratic Party of Germany ( German : Sozialdemokratische Partei Deutschlands , [zoˈtsi̯aːldemoˌkʁaːtɪʃə paʁˌtaɪ ˈdɔʏtʃlants] , SPD , German pronunciation: [ɛspeːˈdeː] )

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636-695: The Communist Party of Germany (KPD). The SPD played a leading role in the German revolution of 1918–1919 and in the foundation of the Weimar Republic . The SPD politician Friedrich Ebert served as the first president of Germany from 1919 to 1925. After the rise of the Nazi Party to power, the SPD was the only party in the Reichstag which voted against the Enabling Act of 1933 ; the SPD

689-669: The Eastern Bloc , a policy known as Ostpolitik . The party achieved its best ever result of 45.8 per cent in 1972 , one of only three occasions in which it formed the largest Bundestag faction. After Brandt's resignation in 1974, his successor Helmut Schmidt served as chancellor until 1982, when the SPD returned to opposition. During the Peaceful Revolution in East Germany, the East German SPD

742-707: The Nazi government while others fled the country. The party-in-exile was called Sopade . After the end of World War II , the re-establishment of the SPD was permitted in the Western occupation zones in 1945. In the Soviet occupation zone , the SPD was forcibly merged with the KPD in 1946 to form the Socialist Unity Party of Germany (SED). The SED was the ruling party of East Germany until 1989. In West Germany ,

795-768: The Progressive Alliance and was joined by numerous other parties around the world. Previously, the SPD was a founding member of both the Second International and the Labour and Socialist International . The Social Democratic Party has its origins in the General German Workers' Association , founded in 1863, and the Social Democratic Workers' Party , founded in 1869. The two groups merged in 1875 to create

848-583: The Reformed Protestant region of East Frisia directly to the north, with its strong traditional streak of anti-Catholicism , is one of their strongest constituencies. Further south, the SPD also enjoys solid support in northern Hesse , parts of Palatinate and the Saarland . The social democrats are weakest in the south-eastern states of Bavaria, Saxony and Thuringia , where the party's percentage of votes dropped to single-digit figures in

901-519: The Reichstag , except for the one of 1919 which was called the National Assembly and since 1949 the parliament is called Bundestag . Note that changes in borders (1871, 1919, 1920, 1949, 1957 and 1990) varied the number of eligible voters whereas electoral laws also changed the ballot system (only constituencies until 1912, only party lists until 1949 and a mixed system thereafter), the suffrage (women vote since 1919; minimum active voting age

954-587: The Second International 's agreement to oppose militarism, the SPD supported the German war effort and adopted a policy, known as Burgfriedenspolitik , of refraining from calling strikes or criticising the government. Internal opposition to the policy grew throughout the war. Anti-war members were expelled in 1916 and 1917, leading to the formation of the Independent Social Democratic Party of Germany (USPD). The SPD played

1007-605: The Socialist Workers' Party of Germany  [ de ] (German: Sozialistische Arbeiterpartei Deutschlands ). From 1878 to 1890, the Anti-Socialist Laws banned any group that aimed at spreading socialist principles, but the party still gained support in elections. In 1890, when the ban was lifted, the party adopted its current name. The SPD was the largest Marxist party in Europe and consistently

1060-750: The Zeitenwende speech . The SPD holds pro-European stances and is a member of the Party of European Socialists and sits with the Progressive Alliance of Socialists and Democrats group in the European Parliament . With 14 MEPs , it is the third largest party in the group. The SPD was a founding member of the Socialist International , but the party left in 2013 after criticising its acceptance of parties they consider to be violating human rights. The SPD subsequently founded

1113-520: The political centre . After World War II , the SPD was re-formed in West Germany after being banned by the Nazi regime ; in East Germany , it merged with the Communist Party of Germany to form the ruling Socialist Unity Party of Germany . Under the chairmanship of Kurt Schumacher , the SPD was a socialist party representing the interests of the working class and of trade unions. With

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1166-439: The 1959 Godesberg Program, the party evolved from a socialist working-class party to a modern social democratic party working within democratic capitalism . The SPD's Hamburg Programme, adopted in 2007, describes democratic socialism as "the vision of a free and fair society in solidarity", which requires "a structure in economy, state and society guaranteeing civil, political, social and economic basic rights for all people living

1219-502: The 1990s, the left and moderate wings of the party drifted apart, culminating in a secession of a significant number of party members which later joined the socialist party WASG , which later merged into The Left ( Die Linke ). Much of the SPD's current-day support comes from large cities, especially northern and western Germany and Berlin . As of 2019, 10 of the country's 15 biggest cities are led by SPD mayors. The metropolitan Ruhr Area , where coal mining and steel production were once

1272-453: The 2018 and 2019 elections. In 2021, it significantly increased its vote share in the states of the former east. The federal leader is supported by six Deputy Leaders and the party executive . As of 2021, the leaders are Saskia Esken and Norbert Walter-Borjans . The previous leader was Andrea Nahles , who announced her pending resignation on 2 June 2019. As Germany is a federal republic , each of Germany's states have their own SPD party at

1325-881: The Accident Insurance Act of 1884 and a pension system that was enacted in 1889 and began in 1891. Unlike single-payer healthcare , the state does not directly insure the population through a single publicly-owned insurance provider. Instead, all residents are mandated to enroll in one of several publicly- or privately-managed insurance funds to ensure universal coverage. Community rating protects insurance applicants from sale and price discrimination , while risk equalization subsidizes providers that are forced to insure high-risk individuals . Governments will also use all-payer rate setting to fix prices at private healthcare providers . States such as Germany , Austria , Switzerland and Czech Republic have Bismarck healthcare, while states such as South Korea and

1378-603: The CDU/CSU after the 2013 federal election . This arrangement was renewed after the 2017 federal election . SPD narrowly won against the CDU/CSU in the September 2021 federal election , becoming the biggest party in the federal parliament (Bundestag). Social Democrat Olaf Scholz became the new chancellor in December 2021, and formed a coalition government with the Green Party and the Free Democrats. The SPD

1431-594: The German-Russian Parliamentary Friendship Group from 2010 until 2013. Klingbeil managed to win the constituency of Rotenburg I – Heidekreis in the 2017 elections , winning with 41.2% of vote. He contested the same constituency at the 2021 German federal election . On 19 October 2017, Social Democratic Party chairman Martin Schulz nominated Klingbeil as secretary general. He was confirmed on 8 December 2017 with 70.62% of

1484-690: The Greens and the Free Democratic Party , after the 2021 federal election . The SPD is a member of 11 of the 16 German state governments and is a leading partner in seven of them. The SPD was founded in 1875 from a merger of smaller socialist parties, and grew rapidly after the lifting of Germany's repressive Anti-Socialist Laws in 1890 to become the largest socialist party in Western Europe until 1933. In 1891, it adopted its Marxist -influenced Erfurt Program , though in practice it

1537-722: The Nazi Sturmabteilung . The Nazis overtook the SPD as the largest party in July 1932 and Adolf Hitler was appointed chancellor in January 1933. Of the parties present in the Reichstag during the passage of the Enabling Act of 1933 , the SPD was the only one to vote against; most of the communist deputies had been arrested ahead of the vote. The SPD was banned in June. Many members were subsequently imprisoned and killed by

1590-655: The Netherlands , while having a basic state insurance, have a much stronger private presence in the healthcare providers and insurance systems. In Europe , countries like France , Hungary and Slovakia , while theoretically Beveridge system, have some degree of Bismarck politics in their laws. Some in Italy argue that the Lombard socio-health system , which prescribes equality between the private and public sector and payment by performance, has some typical characteristic of

1643-555: The SPD became one of two major parties, alongside the Christian Democratic Union (CDU) . In the inaugural 1949 federal election , it placed second with 29.2 per cent of votes and led the opposition to the CDU government. In its 1959 Godesberg Program , the party dropped its commitment to Marxism and sought to appeal to middle class voters, becoming a big tent party of the centre-left. Although strongly leftist ,

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1696-455: The SPD initially opposed both the social market economy and Konrad Adenauer 's drive towards Western integration fiercely; after Schumacher's death, however, it accepted the social market economy and Germany's position in the Western alliance in order to appeal to a broader range of voters. It still remains associated with the economic causes of unionised employees and working class voters. In

1749-437: The SPD was willing to compromise. Only through its support did the governing CDU/CSU pass a denazification law that its coalition partner the Free Democratic Party (FDP) and the far-right German Party voted against. At the same time, the SPD opposed the pro-West integration of West Germany because they believed that made a re-unification of Germany impossible. Austria could have become a sovereign neutral state in 1956, but

1802-501: The classical social democrats continue to defend classical left-wing policies and the welfare state. The Keynesian left-wing of the SPD claims that in recent years the welfare state has been curtailed through reform programs such as the Agenda 2010, Hartz IV , and the more economic liberal stance of the SPD which were endorsed by centrist social democrats. In reaction to Agenda 2010, an inner-party dissident movement developed, leading to

1855-718: The foundation of the new party Labour and Social Justice – The Electoral Alternative ( Arbeit & soziale Gerechtigkeit – Die Wahlalternative , WASG) in 2005, which later merged into The Left ( Die Linke ) in 2007. The Parlamentarische Linke comprises left-wing SPD Members of the German Bundestag . Prior to World War II, as the main non-revolutionary left-wing party, the Social Democrats fared best among non- Catholic workers as well as intellectuals favouring social progressive causes and increased economic equality. Led by Kurt Schumacher after World War II,

1908-471: The main industries, have provided a significant base for the SPD in the 20th century. In the city of Bremen , the SPD has continuously governed since 1949. In southern Germany, the SPD typically garners less support except in the largest cities. At the 2009 federal election , the party lost its only constituency in the entire state of Bavaria (in Munich ). Small town and rural support comes especially from

1961-441: The most popular party in German federal elections from 1890 onward, although it was surpassed by other parties in terms of seats won in the Reichstag due to the electoral system. In the years leading up to World War I , the SPD remained radical in principle, but moderate in reality. According to Roger Eatwell and Anthony Wright, the SPD became a party of reform, with social democracy representing "a party that strives after

2014-613: The party platform, political freedom , justice and social solidarity form the basis of social democracy. The SPD is mostly composed of members belonging to either of the two main wings, namely the Keynesian social democrats and Third Way moderate social democrats belonging to the Seeheimer Kreis . While the more moderate Seeheimer Kreis generally support the Agenda 2010 programs introduced by Chancellor Gerhard Schröder ,

2067-783: The party's Co- Leader since 2021, together with Saskia Esken . Klingbeil previously was the General Secretary of the Social Democratic Party from December 2017 to December 2021. Since 2001 he has been a member of the City Council of Munster and a member of the District Council of Heide. He was a Member of the Bundestag for about nine months in 2005 and has been a member again since the 2009 Federal Election . From 2003 till 2007, Klingbeil

2120-407: The socialist transformation of society by the means of democratic and economic reforms". They emphasise this development as central to understanding 20th-century social democracy, of which the SPD was a major influence. In the 1912 federal election , the SPD won 34.8 per cent of votes and became the largest party in the Reichstag with 110 seats, although it was still excluded from government. Despite

2173-399: The state level. From August until October 2010, senior Bundestag member Joachim Poß served as interim Bundestag leader in the absence of Frank-Walter Steinmeier , who was recovering from donating a kidney to his wife. The SPD, at times called SAPD, took part in general elections determining the composition of parliament. For elections up until 1933, the parliament was called

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2226-408: The traditionally Protestant areas of northern Germany and Brandenburg (with previous exceptions such as Western Pomerania where CDU leader Angela Merkel held her constituency, which the SPD gained in 2021) and a number of university towns. A striking example of the general pattern is the traditionally Catholic Emsland , where the Social Democrats generally gain a low percentage of votes, whereas

2279-594: The vote. He did manage to enter the Bundestag as a List MP for Lower Saxony. Klingbeil has been a member of the Defence Committee since 2009 as well as being a deputy member of the Committee on Cultural Affairs and Media. Since 2013, he has also been leading the Bundestag group of SPD parliamentarians from Lower Saxony , the second largest delegations within the SPD parliamentary group. In addition to his committee assignments, he served as deputy chairman of

2332-456: Was 25 till 1918, 20 till 1946, 21 till 1972 and 18 since), the number of seats (fixed or flexible) and the length of the legislative period (three or four years). The list begins after the SPD was formed in 1875, when labour parties unified to form the SPD (then SAPD, current name since 1890). Lars Klingbeil Lars Klingbeil (born 23 February 1978) is a German politician of the Social Democratic Party (SPD) who has been serving as

2385-589: Was a Member of the Bundestag following the resignation of Jann-Peter Janssen . During these nine months Klingbeil was a member of the Committee on European Affairs, the Health Committee and a deputy member of the Defence Committee of the Bundestag. Leaving office after the 2005 national elections , Klingbeil worked as chief of staff to the chairman of the Social Democratic Party in Lower Saxony Garrelt Duin . Furthermore, Klingbeil

2438-519: Was a member of the SPD leadership's International Commission from 2004 until 2007, and since 2006 he has been the deputy leader of the SPD in the Soltau-Falingbostel regional council. Klingbeil stood in the 2009 federal elections in the constituency Rotenburg I – Soltau Fallingbostel, however, he lost with 35.2% of the vote against the CDU 's candidate Reinhard Grindel who had won 40.2% of

2491-545: Was established as a Marxist party in 1875. It underwent a major shift in policies, reflected in the differences between the Heidelberg Program of 1925 which called for "the transformation of the capitalist system of private ownership of the means of production to social ownership" and the Godesberg Program of 1959 which aimed to broaden the party's voter base and to move its political position toward

2544-457: Was held by Social Democrats until the 1920 federal election , when the SPD lost a substantial portion of its support, falling to 22 per cent of votes. After this, the SPD yielded the chancellery to other parties, although it remained part of the government until 1924. Ebert died in 1925 and was succeeded by conservative Paul von Hindenburg . After making gains in the 1928 federal election , the SPD's Hermann Müller became chancellor. As Germany

2597-470: Was moderate and focused on building working-class organizations. In the 1912 federal election , the SPD won 34.8 percent of votes and became the largest party in the Reichstag , but was still excluded from government. After the start of the First World War in 1914, the party split between a pro-war mainstream and the anti-war Independent Social Democratic Party , some members of which later formed

2650-505: Was refounded. It merged with the West German party in 1990, shortly before German reunification . The SPD returned to government under Gerhard Schröder after the 1998 federal election in a coalition with The Greens . This government was re-elected in 2002 but defeated in 2005 . The SPD then became junior partner of a grand coalition with the CDU/CSU until 2009 . After a term in opposition, they again served as junior partner to

2703-485: Was struck hard by the Great Depression , and unable to negotiate an effective response to the crisis, Müller resigned in 1930. The SPD was sidelined as the Nazi Party gained popularity and conservatives dominated the government, assisted by Hindenburg's frequent use of emergency powers . The Reichsbanner Schwarz-Rot-Gold , the SPD's paramilitary wing, was frequently involved in violent confrontations with

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2756-588: Was subsequently banned, and operated in exile as the Sopade . After the Second World War from 1939 to 1945, the SPD was re-established. In East Germany , it merged with the KPD under duress to form the Socialist Unity Party of Germany . In West Germany , the SPD became one of two major parties alongside the CDU/CSU . In its Godesberg Program of 1959, the SPD dropped its commitment to Marxism, becoming

2809-631: Was the Deputy Leader of the Jusos , the SPD youth wing. Klingbeil is a member of the Seeheim Circle , the right wing of the SPD, which shares many similarities with Tony Blair 's New Labour . After doing his Abitur in Munster and completing his alternative civilian service , in 1999 Klingbeil began studying political science at Leibniz University Hannover , graduating in 2004 with

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