Social Insurance
Let's Know Things
Colin Wright
4.8 • 593 Ratings
🗓️ 21 February 2023
⏱️ 21 minutes
🧾️ Download transcript
Summary
This week we talk about Otto von Bismark, Medicare, and demographic lopsidedness.
We also discuss Social Security, Biden, and globalization.
Show notes / transcript: https://letsknowthings.com/episode351
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Transcript
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| 0:00.0 | Various sorts of social insurance programs have been around since the introduction of the modern nation state. |
| 0:21.6 | But the first compulsory social insurance programs, which encompassed an entire nation, |
| 0:26.6 | rather than just portions of a state, were deployed in 1883 in Otto von Bismarck's Germany. |
| 0:32.6 | Initially, folks living in Germany at this time were incorporated into a national health insurance |
| 0:38.5 | scheme, which was followed by workers' compensation and old age and injury schemes in 1884 |
| 0:45.2 | and 1889, respectively. |
| 0:48.0 | This concept worked well enough that it soon spread to neighboring European countries, |
| 0:52.1 | and ultimately across the channel to Great Britain as well, |
| 0:55.5 | which introduced a compulsory national health insurance scheme in 1911, which in turn furthered |
| 1:01.6 | the deployment of these sorts of programs across Europe, and then the larger Western world. |
| 1:07.5 | At a fundamental level, social insurance programs are meant to spread risk around, |
| 1:12.1 | which is what insurance of any kind is for. As when you pay a monthly insurance premium to protect |
| 1:17.6 | your car or home, you're paying a small amount so that if something really catastrophic happens |
| 1:23.6 | to your car or home, that larger payment will be covered by your insurance. |
| 1:28.3 | In this way, all the folks paying into these programs with those relatively low, regular payments, |
| 1:34.3 | are paying the larger bills of the people who have the misfortune to have their homes burned down or cars demolished in an accident. |
| 1:43.3 | Social insurance works the same way, in that the people to whom it applies pay a little bit on a regular basis |
| 1:50.0 | and then get a big payout if and when the right variables change. |
| 1:54.0 | They get sick or injured, they become too old, to work, etc. |
| 1:59.0 | But the fact that it's generally compulsory, meaning everyone has to participate in it, with few exceptions, |
| 2:04.6 | means the pool of money available to pay for those bad luck situations is much larger than is the case for even very large private insurance companies. |
| 2:13.6 | That means these programs can apply broadly and afford to handle all sorts of otherwise too cumbersome situations, |
... |
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