IDEAS home Printed from https://ideas.repec.org/a/diw/diwvjh/71-40-14.html
   My bibliography  Save this article

Die Finanzierung der Gesetzlichen Krankenversicherung durch Kopfbeiträge aus verfassungsökonomischer Sicht

Author

Listed:
  • Mathias Kifmann

Abstract

Dieser Beitrag untersucht aus verfassungsökonomischer Sicht den Reformvorschlag, die Gesetzliche Krankenversicherung durch Kopfbeiträge zu finanzieren. Dabei wird davon ausgegangen, dass sich die Bürger im Verfassungszustand einem nicht versicherbaren Prämienrisiko gegenübersehen. Das Niveau des öffentlichen Gesundheitswesens wird im demokratischen Entscheidungsprozess festgelegt. Ein Vergleich des politischen Gleichgewichts bei einer Finanzierung durch Kopfbeiträge und bei einer einkommensabhängigen Finanzierung zeigt, dass eine Verbindung von Einkommensumverteilung und der Umverteilung zwischen Gesunden und Kranken im Verfassungszustand von allen Bürgern vorgezogen werden kann. Bei einer Einführung von Kopfbeiträgen ist deshalb darauf zu achten, dass die Einkommensumverteilung und die Umverteilung zwischen Gesunden und Kranken nicht vollständig entkoppelt werden.

Suggested Citation

  • Mathias Kifmann, 2002. "Die Finanzierung der Gesetzlichen Krankenversicherung durch Kopfbeiträge aus verfassungsökonomischer Sicht," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 505-512.
  • Handle: RePEc:diw:diwvjh:71-40-14
    DOI: 10.3790/vjh.71.4.505
    as

    Download full text from publisher

    File URL: https://doi.org/10.3790/vjh.71.4.505
    Download Restriction: no

    File URL: https://libkey.io/10.3790/vjh.71.4.505?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Friedrich Breyer & Andreas Haufler, 2000. "Health Care Reform: Separating Insurance from Income Redistribution," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 7(4), pages 445-461, August.
    2. Voigt, Stefan, 1997. "Positive Constitutional Economics: A Survey," Public Choice, Springer, vol. 90(1-4), pages 11-53, March.
    3. Mark Pauly, 1994. "Avoiding the mistreatment of bad risks in a democracy: Universal Health Insurance from a constitutional perspective," Constitutional Political Economy, Springer, vol. 5(3), pages 307-318, September.
    4. Mathias Kifmann, 2007. "Health insurance in a democracy: A reply to Richter," Public Choice, Springer, vol. 130(1), pages 243-243, January.
    5. Friedrich Breyer, 2001. "Income Redistribution and the Political Economy of Social Health Insurance: Comparing Germany and Switzerland," Discussion Papers of DIW Berlin 253, DIW Berlin, German Institute for Economic Research.
    6. Wolfgang Buchholz & Birgit Edener & Markus Grabka & Klaus-Dirk Henke & Monika Huber & Hermann Ribhegge & Andreas Ryll & Hans-Jürgen Wagener & Gert G. Wagner, 2001. "Wettbewerb aller Krankenversicherungen kann Qualität verbessern und Kosten des Gesundheitswesens senken," Discussion Papers of DIW Berlin 247, DIW Berlin, German Institute for Economic Research.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Stolpe, Michael, 2003. "Ressourcen und Ergebnisse der globalen Gesundheitsökonomie: Einführung und Überblick," Kiel Working Papers 1177, Kiel Institute for the World Economy (IfW Kiel).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mathias Kifmann, 2005. "Health insurance in a democracy: Why is it public and why are premiums income related?," Public Choice, Springer, vol. 124(3), pages 283-308, September.
    2. Pfarr, Christian & Schmid, Andreas, 2013. "The political economics of social health insurance: the tricky case of individuals’ preferences," MPRA Paper 44534, University Library of Munich, Germany.
    3. repec:ces:ifodic:v:1:y:2003:i:3:p:14567906 is not listed on IDEAS
    4. Klaus-Dirk Henke & Katja Borchardt, 2003. "Capital Funding versus Pay-as-you-go in Health-care Financing Reconsidered," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 1(03), pages 03-08, October.
    5. Catarina Goulão, 2015. "Voluntary public health insurance," Public Choice, Springer, vol. 162(1), pages 135-157, January.
    6. Klaus-Dirk Henke & Katja Borchardt, 2003. "Capital Funding versus Pay-as-you-go in Health-care Financing Reconsidered," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 1(3), pages 03-08, October.
    7. Goulão, Catarina, 2014. "Voluntary Public Health Insurance," TSE Working Papers 14-488, Toulouse School of Economics (TSE).
    8. Nuscheler, Robert & Roeder, Kerstin, 2015. "Financing and funding health care: Optimal policy and political implementability," Journal of Health Economics, Elsevier, vol. 42(C), pages 197-208.
    9. Frimpong Boamah, Emmanuel, 2018. "Constitutional economics of Ghana’s decentralization," World Development, Elsevier, vol. 110(C), pages 256-267.
    10. Sebastian Garmann, 2018. "God save the queen, god save us all? Monarchies and institutional quality," Scottish Journal of Political Economy, Scottish Economic Society, vol. 65(2), pages 186-204, May.
    11. Mingyu Liu, 2024. "Structural and functional analysis of Buchanan’s constitutional contract," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-8, December.
    12. Randall G. Holcombe, 2020. "James M. Buchanan’s constitutional project: past and future," Public Choice, Springer, vol. 183(3), pages 371-387, June.
    13. Kemnitz Alexander, 2013. "A Simple Model of Health Insurance Competition," German Economic Review, De Gruyter, vol. 14(4), pages 432-448, December.
    14. Kallweit, Manuel & Kohlmeier, Anabell, 2012. "Zusatzbeiträge in der Gesetzlichen Krankenversicherung: Weiterentwicklungsoptionen und ihre finanziellen sowie allokativen Effekte," Working Papers 06/2012, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung.
    15. Lars P. Feld & Ekkehard A. Köhler, 2023. "Standing on the shoulders of giants or science? Lessons from ordoliberalism," Public Choice, Springer, vol. 195(3), pages 197-211, June.
    16. Stefan Voigt, 2011. "Positive constitutional economics II—a survey of recent developments," Public Choice, Springer, vol. 146(1), pages 205-256, January.
    17. Lenger Alexander & Goldschmidt Nils, 2011. "Ordnungsökonomik als angewandte Wissenschaft. Zur notwendigen Zusammenführung von Theorie und Praxis / Constitutional Economics as an Applied Social Science. About the Essential Combination of Theory ," ORDO. Jahrbuch für die Ordnung von Wirtschaft und Gesellschaft, De Gruyter, vol. 62(1), pages 343-364, January.
    18. Niklas Potrafke, 2012. "Political cycles and economic performance in OECD countries: empirical evidence from 1951–2006," Public Choice, Springer, vol. 150(1), pages 155-179, January.
    19. repec:jns:jbstat:v:227:y:2007:i:1:p:27-48 is not listed on IDEAS
    20. Anthony Evans & Nikolai Wenzel, 2013. "A framework for the study of firms as constitutional orders," Constitutional Political Economy, Springer, vol. 24(1), pages 2-18, March.
    21. Tina Haußen, 2014. "Yours, mine & ours - The role of gender and (equivalence) income in preferences for redistribution and public spending," Jena Economics Research Papers 2014-033, Friedrich-Schiller-University Jena.
    22. Stefan Greß & Ralf Kocher & Jürgen Wasem, 2004. "Wettbewerbsorientierte Reformen im Gesundheitssystem der Schweiz – Vorbild für regulierten Wettbewerb in der deutschen GKV?," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 5(1), pages 59-70, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:diw:diwvjh:71-40-14. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Bibliothek (email available below). General contact details of provider: https://edirc.repec.org/data/diwbede.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.