1. Choose two national health care systems, England and Germany compare and contrast the two systems on the following variables:

• How is each system financed?

• What percentage of GDP is spent on each system?

• What is the rate of increase or decrease in annual health care spending?

• How is the system run? For example is it mostly operated as private business or government run or both? Provide examples.

• describe and compare health care utilization for each country on such metrics as hospital and prescription medication utilization

• discuss and describe health metrics such as 5-year cancer survival rates, dialysis utilization per 1000, infant mortality or life expectancy.

2. The value problem in the us health care system

• Define what is meant by the value problem in the US health care system.

• How is this manifested?

• How is this expressed in the percentage of the GDP that is allocated to health care?

• Why is this problem?

• What is disruptive innovation and how can it impact this problem?

• Provide examples of how disruptive innovation can solve this problem.