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Gesundheitspolitik

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  • Friedrich Breyer

Abstract

Federal Health Secretary Rösler deems a reform of the wage-related contribution system in German social health insurance (GKV) his most important project for the next 4 years. Indeed such a reform would greatly enhance competition in the GKV system. However, other topics are equally important for efficiency, quality and sustainability of the German health care system: more freedom of contract for sickness funds, a better design of copayments to control health care demand, better methods for evaluating new pharmaceuticals, more competition in private health insurance, and the procurement of more organ transplants through introducing the presumed consent rule. Finally, Germany needs a broad social debate on the benefit package of social health insurance to secure long-run sustainability of the system. Bundesgesundheitsminister Rösler sieht in einer der Reform der Beitragserhebung in der Gesetzlichen Krankenversicherung sein wichtigstes Projekt. Diese hat eine große Bedeutung für die Stärkung des Wettbewerbs in der GKV. Jedoch sind andere Themen für Effizienz, Qualität und Nachhaltigkeit der Gesundheitsversorgung in Deutschland ebenso wichtig: mehr Vertragsfreiheit für Krankenkassen, Zuzahlungen mit größerer Steuerungswirkung, ökonomisch sinnvollere Bewertungsmethoden für neue Arzneimittel, eine bessere Wettbewerbsordnung für die Private Krankenversicherung sowie mehr Spenderorgane durch Einführung der Widerspruchslösung bei der Organentnahme. Schließlich ist eine breite gesellschaftliche Diskussion über den langfristig finanzierbaren Leistungskatalog der GKV erforderlich.

Suggested Citation

  • Friedrich Breyer, 2010. "Gesundheitspolitik," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 79(1), pages 44-55.
    • Handle: RePEc:diw:diwvjh:79-1-4
    DOI: 10.3790/vjh.79.1.44
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    References listed on IDEAS

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    1. Martin Nell & Stephan Rosenbrock, 2008. "Wettbewerb in kapitalgedeckten Krankenversicherungssystemen: Ein risikogerechter Ansatz zur Übertragung von Alterungsrückstellungen in der Privaten Krankenversicherung," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 9(2), pages 173-195, May.
    2. Markus M. Grabka, 2006. "Prämien in der PKV: deutlich stärkerer Anstieg als in der gesetzlichen Krankenversicherung," DIW Wochenbericht, DIW Berlin, German Institute for Economic Research, vol. 73(46), pages 653-659.
    3. Wolfram F. Richter, 2009. "Zur zukünftigen Finanzierung der Gesundheitsausgaben in Deutschland," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 10(4), pages 469-479, November.
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    Cited by:

    1. Gern, Klaus-Jürgen & Oskamp, Frank & Sander, Birgit & Scheide, Joachim & Meier, Carsten-Patrick & Boss, Alfred & Dovern, Jonas, 2006. "Weltkonjunktur und deutsche Konjunktur im Herbst 2006," Kiel Discussion Papers 430/431, Kiel Institute for the World Economy (IfW Kiel).
    2. Boss, Alfred, 2006. "Zur geplanten Reform des Gesundheitswesens," Open Access Publications from Kiel Institute for the World Economy 3895, Kiel Institute for the World Economy (IfW Kiel).

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    More about this item

    Keywords

    Social health insurance; sickness fund competition; sustainability;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I10 - Health, Education, and Welfare - - Health - - - General

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