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Denn sie wussten, was sie taten: zur Reform der Sozialen Pflegeversicherung

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  • Jasmin Häcker
  • Bernd Raffelhüschen
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    Abstract

    Although the necessity for reforming the German Long-Term Care Insurance (LTCI) was perceived by the "Kommission für die Nachhaltigkeit in der Finanzierung der Sozialen Sicherungssysteme" (Rürup-Kommission), it was embanked with the help of an unrealistic optimistic set of crucial parameters. Using the method of generational accounting, it can be shown that the pre-existing sustainability gap in the LTCI is more than halfway erased solely by these assumptions. Moreover, it is pointed out that the actual policy recommendation of the "Kommission" is hardly capable to improve the fiscal stance of the LTCI. By means of an alternative funding strategy to what was earlier a pure pay-asyou- go scheme, it can be shown how the policy makers could generate a truly sustainable situation. Die Notwendigkeit eines Reformbedarfs in der Sozialen Pflegeversicherung wurde von der "Kommission für die Nachhaltigkeit in der Finanzierung der Sozialen Sicherungssysteme" (Rürup-Kommission) zwar erkannt, jedoch durch Setzung unrealistisch optimistischer Rahmenbedingungen stark eingeschränkt. Mithilfe der Generationenbilanzierung kann gezeigt werden, dass allein durch diese Rahmensetzung das Nachhaltigkeitsproblem "Pflegeversicherung" bereits mehr als zur Hälfte quasi wegdefiniert wird. Zudem ist die eigentlich vorgeschlagene Politikmaßnahme der Kommission, das so genannte Modell des intergenerativen Lastenausgleichs, kaum in der Lage, eine Verbesserung in der langfristigen Finanzierbarkeit herbeizuführen. Anhand eines alternativen Ausphasungsmodells wird gezeigt, wie eine nachhaltige Situation durch eine private Pflegevorsorge erzeugt werden kann.

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    File URL: http://ejournals.duncker-humblot.de/doi/pdf/10.3790/vjh.73.1.158
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    Bibliographic Info

    Article provided by DIW Berlin, German Institute for Economic Research in its journal Vierteljahrshefte zur Wirtschaftsforschung.

    Volume (Year): 73 (2004)
    Issue (Month): 1 ()
    Pages: 158-174

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    Handle: RePEc:diw:diwvjh:73-10-11

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    References

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    1. Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991. "Generational accounting: a new approach for understanding the effects of fiscal policy on saving," Working Paper 9107, Federal Reserve Bank of Cleveland.
    2. Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991. "Generational Accounts - A Meaningful Alternative to Deficit Accounting," NBER Working Papers 3589, National Bureau of Economic Research, Inc.
    3. Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1994. "Generational Accounting: A Meaningful Way to Evaluate Fiscal Policy," Journal of Economic Perspectives, American Economic Association, vol. 8(1), pages 73-94, Winter.
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    Cited by:
    1. Arntz, Melanie & Sacchetto, Ralf & Spermann, Alexander & Steffes, Susanne & Widmaier, Sarah, 2006. "The German social long-term care insurance - structure and reform options," ZEW Discussion Papers 06-74, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research.
    2. Arntz, Melanie & Thomsen, Stephan L., 2008. "Crowding out Informal Care? Evidence from a Social Experiment in Germany," ZEW Discussion Papers 08-113, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research.
    3. Arntz, Melanie & Thomsen, Stephan L., 2008. "Reforming Home Care Provision in Germany: Evidence from a Social Experiment," ZEW Discussion Papers 08-114, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research.
    4. Heinicke, Katrin & Thomsen, Stephan L., 2010. "The social long-term care insurance in Germany: origin, situation, threats, and perspectives," ZEW Discussion Papers 10-012, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research.

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