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Comment by asyx

9 days ago

Paradise is maybe a bit much. I’m German and from close to the border. Not right across but close enough that I visit a lot and my city is overran by Dutch people every Christmas.

On average as a tourist, the Netherlands is straight up just a better version of Germany. However a friend of mine recently moved. She’s from India, moved to Germany and then fell in love with a Durch man she ultimately married. In the process of moving she of course also switched into the Dutch health care system and that I think is legit worse than the German one but I don’t know how much that might be a symptom of a greater issue in the Netherlands.

The difference is essentially that the Dutch health care system tries to be profitable which is nice but then results in procedures not being covered by health insurance that a German doctor would find essential. Specifically preventative care and child birth related stuff where very problematic for her.

But otherwise I think the Netherlands takes a very practical approach to society. Is it annoying for cars to navigate Dutch cities? Yes but also it’s the only country where you can basically always take a bicycle anywhere and be safe. Is 100km/h on the highway annoying? Yes but it’s also the most relaxing drive in heavy traffic I can imagine. I think in a quite literal sense, i think the Dutch are less conservative than we are. The way things were done matters less which results in people seeing the benefits of change much more. Like everything car related. Youd start a riot in germany just doing parking like the Dutch do.

While the Dutch healthcare system has challenges I would say it's working surprisingly well give the demographic trends and budgetary constraints. In general statistics do seem to back this up.

There's a strong focus on streamlining and reducing "unnecessary" care (including a lot of preventative care that is accessible in other countries) but without doing that now the whole system will not be affordable in 20 - 30 years.

Is that the optimal approach? I'm not sure, taking a patient wishes into account and doing (some) preventative care does probably have a positive ROI. Having said that I can see both sides of the coin but as a younger person I'm glad they're taken future demands into account.