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The primary criticism of the Bismarck model is how to provide care for those who are unable to work or can't afford contributions, including aging populations and the imbalance between retirees and employees.
In this model, patients must pay for their procedures out of pocket. The reality is that the wealthy get professional medical care and the poor don't, unless they can somehow come up with enough money to pay for it. Healthcare is still driven by income.
Dr. Barkley has published over 100 refereed works related to acute care nursing practice, nursing education, and multicultural HIV/AIDS prevention, including articles and book chapters. He is the primary editor of Practice Considerations for Adult-Gerontology Acute Care Nurse Practitioners (3rd ed.), and the editor of three additional nurse practitioner specialty texts.
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