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GMG, Kopfpauschalen und Bürgerversicherungen: Der aktuelle Reformstand und seine intergenerativen Verteilungswirkungen


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  • Stefan Fetzer
  • Christian Hagist
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    The new law "GKV-Modernisierungsgesetz" was introduced in 2003 to stabilize the expenditures of the German public health sector in a long-term perspective. Two alternative reform proposals, "Kopfpauschalen" and "Bürgerversicherung", have also been put forward to secure the financing of the public health sector in the long run. Using a generational accounting approach we show that the "GKV-Modernisierungsgesetz" has not succeeded in achieving this goal. To analyze the reform proposals "Kopfpauschalen" and "Bürgerversicherung", we give a structured comparison of current political commissions concepts. The analysis shows that these concepts as well as the new law all fail to meet the goal of sustainable financing. Furthermore we point out the intergenerational distribution effects induced by the new law and the reform concepts.

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    Bibliographic Info

    Article provided by Duncker & Humblot, Berlin in its journal Schmollers Jahrbuch.

    Volume (Year): 124 (2004)
    Issue (Month): 3 ()
    Pages: 387-420

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    Handle: RePEc:aeq:aeqsjb:v124_y2004_i3_q3_p387-420

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    Cited by:
    1. Hagist, Christian & Klusen, Norbert & Plate, Andreas & Raffelhüschen, Bernd, 2005. "Social health insurance: The major driver of unsustainable fiscal policy?," FZG Discussion Papers 1, Research Center for Generational Contracts (FZG), University of Freiburg.
    2. Stefan Fetzer & Christian Hagist & Bernd Raffelhüschen, 2004. "Was bringen Bürgerversicherung und Gesundheitsprämie wirklich?," Ifo Schnelldienst, Ifo Institute for Economic Research at the University of Munich, vol. 57(15), pages 03-07, 08.


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