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Ehrbarer Staat? Die Generationenbilanz. Update 2010: Handlungsoptionen der Gesundheitspolitik

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  • Raffelhüschen, Bernd
  • Moog, Stefan

Abstract

Eine der schwersten Wirtschaftskrisen scheint für Deutschland noch einmal einigermaßen glimpflich abgelaufen zu sein, insbesondere was den Arbeitsmarkt betrifft. Für Entwarnung ist es allerdings noch zu früh. Vor allem die in den Krisenjahren erneut aufgebauten strukturellen Haushaltsdefizite stellen eine Bedrohung für die Zukunftsfähigkeit unseres Landes dar. Daneben muss sich die Politik noch stärker als bisher der demografischen Herausforderung und den impliziten, d.h. versteckten Schulden in den umlagefinanzierten Sozialversicherungen stellen, um diese dauerhaft stabil und funktionsfähig zu halten. Ein ehrbarer Staat, der das langfristige Wohl der Bürger im Blick hat, muss schon heute umsetzbare Reformstrategien entwickeln. Das vorliegende vierte Update der 2006 begonnenen "Generationenbilanzierung" der Stiftung Marktwirtschaft und des Forschungszentrums Generationenverträge der Universität Freiburg wirft einen ungeschminkten Blick auf die langfristige Tragfähigkeit der öffentlichen Finanzen. Darüber hinaus werden unterschiedliche Varianten einer pauschalen Gesundheitsprämie im Hinblick auf ihre Nachhaltigkeitswirkung und den erforderlichen sozialen Ausgleich auf den Prüfstand gestellt.

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  • Raffelhüschen, Bernd & Moog, Stefan, 2010. "Ehrbarer Staat? Die Generationenbilanz. Update 2010: Handlungsoptionen der Gesundheitspolitik," Argumente zur Marktwirtschaft und Politik 111, Stiftung Marktwirtschaft / The Market Economy Foundation, Berlin.
  • Handle: RePEc:zbw:smwarg:111
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    1. Martin Schellhorn, 2001. "The effect of variable health insurance deductibles on the demand for physician visits," Health Economics, John Wiley & Sons, Ltd., vol. 10(5), pages 441-456, July.
    2. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    3. Alan J. Auerbach & Jagadeesh Gokhale & Laurence J. Kotlikoff, 1991. "Generational Accounts: A Meaningful Alternative to Deficit Accounting," NBER Chapters, in: Tax Policy and the Economy, Volume 5, pages 55-110, National Bureau of Economic Research, Inc.
    4. Auerbach, Alan J & Gokhale, Jagadeesh & Kotlikoff, Laurence J, 1992. " Generational Accounting: A New Approach to Understanding the Effects of Fiscal Policy on Saving," Scandinavian Journal of Economics, Wiley Blackwell, vol. 94(2), pages 303-318.
    5. Rainer Winkelmann, 2004. "Health care reform and the number of doctor visits-an econometric analysis," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 455-472.
    6. Augurzky, Boris & Bauer, Thomas K. & Schaffner, Sandra, 2006. "Copayments in the German Health System: Does It Work?," IZA Discussion Papers 2290, Institute of Labor Economics (IZA).
    7. Rainer Winkelmann, 2004. "Co‐payments for prescription drugs and the demand for doctor visits – Evidence from a natural experiment," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1081-1089, November.
    8. 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.
    9. Augurzky, Boris & Bauer, Thomas K. & Schaffner, Sandra, 2006. "Copayments in the German Health System - Do They Work?," RWI Discussion Papers 43, RWI - Leibniz-Institut für Wirtschaftsforschung.
    10. Andreas Werblow, 2002. "Alles nur Selektion?: Der Einfluss von Selbstbehalten in der Gesetzlichen Krankenversicherung," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 427-436.
    11. Martin Schellhorn, 2002. "Auswirkungen wählbarer Selbstbehalte in der Krankenversicherung: Lehren aus der Schweiz?," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 411-426.
    12. Rothgang, Heinz & Wasem, Jürgen & Greß, Stefan, 2005. "Kopfprämienmodelle in der GKV - Lohnt sich ein Systemwechsel? Aktualisierte und erweiterte Expertise für die Hans-Böckler-Stiftung," IBES Diskussionsbeiträge 140, University of Duisburg-Essen, Institute of Business and Economic Studie (IBES).
    13. Damian Fichte & Olaf Schulemann, 2010. "Versicherungsfremde Leistungen in der Gesetzlichen Krankenversicherung," Wirtschaftsdienst, Springer;ZBW - Leibniz Information Centre for Economics, vol. 90(10), pages 676-682, October.
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    1. Gerhards, Eva & Goerl, Caroline-Antonia & Thöne, Michael, 2012. "Tragfähigkeit der öffentlichen Finanzen: Eine Bestandsaufnahme national und international praktizierter Methoden der langfristigen Budgetanalyse [Sustainability of Public Finances: A review of inte," FiFo Reports - FiFo-Berichte 14, University of Cologne, FiFo Institute for Public Economics.

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