Zur zukünftigen Finanzierung der Gesundheitsausgaben in Deutschland
AbstractOne institutional peculiarity of the German health care system is the division of health insurance into public and private spheres. Another one is the financing of public insurance. Contribution payments are wage-related and shared between employers and employees. The article presents a blueprint for overcoming these peculiarities. The proposal is to substitute employers' contributions by increased rates of the value-added tax. The employees' contributions should be substituted by some combination of a flat premium and an adjustment of marginal income tax rates. Private health insurance should be constrained to supplemental coverage and it should phase out as far as basic coverage is concerned. Implications for equity and efficiency are discussed. Copyright 2009 die Autoren Journal compilation 2009, Verein für Socialpolitik und Blackwell Publishing Ltd.
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Bibliographic InfoArticle provided by Verein für Socialpolitik in its journal Perspektiven der Wirtschaftspolitik.
Volume (Year): 10 (2009)
Issue (Month): 4 (November)
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Web page: http://www.blackwellpublishing.com/journal.asp?ref=1465-6493
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Other versions of this item:
- Richter, Wolfram F., 2009. "Zur zukünftigen Finanzierung der Gesundheitsausgaben in Deutschland," IZA Standpunkte 15, Institute for the Study of Labor (IZA).
- H24 - Public Economics - - Taxation, Subsidies, and Revenue - - - Personal Income and Other Nonbusiness Taxes and Subsidies
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Richter, Wolfram F., 2005. "Gesundheitsprämie oder Bürgerversicherung? Ein Kompromissvorschlag," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1998 - 2007), ZBW – German National Library of Economics / Leibniz Information Centre for Economics, vol. 85(11), pages 693-697.
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Discussion Papers of DIW Berlin
205, DIW Berlin, German Institute for Economic Research.
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- Wolfgang Buchholz, 2005. "A Note on Financing Health-Care Reform: Some Simple Arguments Concerning Marginal Tax Burden," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, vol. 61(3), pages 438-, November.
- Joseph E. Stiglitz, 1988.
"Pareto Efficient and Optimal Taxation and the New New Welfare Economics,"
NBER Working Papers
2189, National Bureau of Economic Research, Inc.
- Stiglitz, Joseph E., 1987. "Pareto efficient and optimal taxation and the new new welfare economics," Handbook of Public Economics, in: A. J. Auerbach & M. Feldstein (ed.), Handbook of Public Economics, edition 1, volume 2, chapter 15, pages 991-1042 Elsevier.
- Haufler, Andreas, 2004. "Welche Vorteile bringt eine Pauschalprämie für die Finanzierung des Gesundheitswesens? Einige einfache Äquivalenzresultate," Discussion Papers in Economics 440, University of Munich, Department of Economics.
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