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A Note on Financing Health-Care Reform: Some Simple Arguments Concerning Marginal Tax Burden

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Author Info

  • Wolfgang Buchholz

Abstract

In Germany economic experts and politicians are proposing a fundamental reform of the health-care system by which the current wage-dependent contributions are replaced by flat-rate insurance premiums. One major reason behind this proposal is the wish to avoid the distortion effects caused by the present form of levying the fees, which works like a wage income tax. The purpose of this note is to show by some simple axiomatics that these hopes may be exaggerated. As social compensation is required, the reform as such does not automatically reduce the distortion effects of the current system. Welfare gains will only be generated by some additional features of the proposed system change, which are briefly discussed at the end of the paper.

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Bibliographic Info

Article provided by Mohr Siebeck, Tübingen in its journal FinanzArchiv.

Volume (Year): 61 (2005)
Issue (Month): 3 (November)
Pages: 438-

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Handle: RePEc:mhr:finarc:urn:sici:0015-2218(200511)61:3_438:anofhr_2.0.tx_2-v

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Keywords: health-care reform; flat rate premiums; excess burdens of income taxation;

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Cited by:
  1. Gebhard Kirchgässner, 2010. "Die Schweiz als Vorbild? Bemerkungen zur Diskussion um eine Reform des deutschen Gesundheitswesens," University of St. Gallen Department of Economics working paper series 2010 2010-15, Department of Economics, University of St. Gallen.
  2. Alexander Kemnitz, 2010. "A Simple Model of Health Insurance Competition," CESifo Working Paper Series 3220, CESifo Group Munich.
  3. 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.
  4. Richter, Wolfram F., 2010. "Finanzierung des Krankenversicherungsschutzes: Entgleiste Reformdebatte wieder auf Spur," IZA Standpunkte 29, Institute for the Study of Labor (IZA).
  5. Wolfram F. Richter, 2009. "Zur zukünftigen Finanzierung der Gesundheitsausgaben in Deutschland," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 10(4), pages 469-479, November.
  6. Dirk Goepffarth & Klaus-Dirk Henke, 2007. "Finanzierungsreform und Risikostrukturausgleich - Was bleibt vom Ausgleichsverfahren?," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 227(1), pages 27-48, February.
  7. Wolfram F. Richter, 2009. "Germany goes ahead with Health Vouchers," CESifo DICE Report, Ifo Institute for Economic Research at the University of Munich, vol. 7(3), pages 53-60, October.

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