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Das Solidaritätsprinzip im Fokus einer GKV-Reform

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  • Pimpertz Jochen

    (Institut der deutschen WirtschaftÖffentliche Finanzen, Soziale Sicherung, VerteilungKonrad-Adenauer-Ufer 21, 50668KölnDeutschland)

Abstract

Almost 9 out of 10 Germans are covered by the pay-as-you-go solidarity-based health insurance. However, including the remaining population would hardly expend the solidarity redistribution in the cross-section. It is true that in the pay-as-you-go system a solidary balance between young and old can be achieved at any time. But in an ageing population, this can only succeed in the long term at the expense of the young. To preserve intergenerational solidarity, expenditure financed by contribution must be limited. A funded second pillar should be set up to provide for future increase in expenditure above and beyond this.

Suggested Citation

  • Pimpertz Jochen, 2022. "Das Solidaritätsprinzip im Fokus einer GKV-Reform," Zeitschrift für Wirtschaftspolitik, De Gruyter, vol. 71(1), pages 1-26, May.
    • Handle: RePEc:lus:zwipol:v:71:y:2022:i:1:p:1-26:n:7
    DOI: 10.1515/zfwp-2022-2068
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    Keywords

    Public and Private Health Insurance; Public Health;

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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