4. Solidarity within families, shift from individualism to collectivism in Amsterdam

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Keywords:
- Role of insurance
- Feeling of community
- Basic care is provided for everyone -> Same care for the same for everyone -> no difference between poor and rich
- Hospitals interiors are basic and simple, rooms are large and offer place for many patienst
- Family takes care of food, washing
- Consequence people will go abroad for health care that can provide higher services
- Creates a market for care takers

Story:
During the first years of the century the costs of healty care and the various hospitals have risen enourmously. This steep increase in costs of healty care made health care allmost unaffortable for a large part of the people of Amsterdam. To reduce costs most of the healthcare have been reduced from 'it's nice to have' services. This 'nice to have' service can include services like food, cleaning of clothes, entertainment etc. But these 'nice to have' service can also be new innovations in health care. For some people (the early, wealthy adaptors) these might be 'must have' services but for other people the old fashion health care, meaning without all the new innovations, might be a 'nice to have'. It is known that these new innovation are more expensive during the early adaptors years.

In the hospitals 90% of all health care related actions are taken care off. The 'specialities' are being done in special hospitals. In the normal hospitals only the core product is being offered. The extra's can either be bought or taken care off yourself (or family or friends). This means that families will take care of the food, washing, entertainment of the patient. Even the supply of pills can done by the familie or friends. Besides the financial side of this development the large range of cultures and religion in Amsterdam is also an enabler of this trend; by taking care of some parts of the health care yourself (with families, friend of ... religionmembers) one can create its services more 'custom made' to its habbits, cultures or religionrequirements.

The developments in tele-monitoring can also be enabler of this development because e.g. the patients can 'call' or skype a friend, relative or religion member to come by incase of an 'minor' emergency to take care of e.g. give pills, helping to dress etc. If service is require a request is being sent the 'listed' friends; who are at that time close to the hospital.

If these activities are not being taken care of a fine has to be paid.

In and around the hospitals extra services can be bought from local entrepeneurs. And because these services are done by more local service providers; without any expensive overhead or educations they can be offered more cheaply then the facility support of the 'old fashion' hospitals. And as stated about more tailor made service can be offered because of the small and local size of the services.

<Wellicht nog wat toevoegen dat ook in preventieve zin families elkaar helpen gezond te blijven? Samen sporten, voor elkaar koken, zodat de snackbar kan worden overgeslagen?>

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