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Kapitaldeckung als Antwort auf die demographische Herausforderung?

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  • Borchardt, Katja
  • Farhauer, Oliver
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    Abstract

    Die demografische Alterung der Bevölkerung und der medizinisch-technischen Fortschritt als sich verstärkender zirkulär-kausaler Zusammenhang werden bei einer Beibehaltung der derzeitigen Finanzierung des deutschen Gesundheitswesens weitere Ausgabensteigerungen hervorrufen. Durch die Einführung eines Versicherungsschutzes mit Teilkapitaldeckung erscheint es möglich, diesen negativen Trend zu durchbrechen. Die Gesellschaftsmitglieder müssen bei dieser Entwicklung Rücklagen für ihr Alter bilden, da die Finanzierung des Gesundheitssystems über das bestehende Umlageverfahren zunehmend an seine Grenze stößt. Zudem hilft nur eine stärke Marktorientierung des Systems und den damit einhergehenden besseren Anreizstrukturen langfristig, das Gesundheitswesen bedarfsgerechter und kostengünstig zu gestalten. -- The demographic aging of the population in combination with the medical-technical progress, also named as circular-causal coherence, will constantly pressure the expenditures of the German Health Care System, if the actual mode of financing will be maintained. With the help of a partial capital funded system it seems likely to break that trend. Members of society have to accrued individual reserves as the pay- as-you-go system is no more sustainable in the present form. In addition, a more market-oriented system is needed with its better longterm incentives, to reach an effective Health Care System which meets the future needs.

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    Bibliographic Info

    Paper provided by Technische Universität Berlin, School of Economics and Management in its series Discussion Papers with number 2003/6.

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    Date of creation: 2003
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    Handle: RePEc:zbw:tubsem:20036

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    1. Siebert, Horst, 1997. "Umlagesystem versus Kapitaldeckung in der Alterssicherung," Kiel Working Papers 817, Kiel Institute for the World Economy.
    2. Barro, Robert J, 1974. "Are Government Bonds Net Wealth?," Journal of Political Economy, University of Chicago Press, vol. 82(6), pages 1095-1117, Nov.-Dec..
    3. Homburg, Stefan & Richter, Wolfram, 1990. "Eine effizienzorientierte Reform der GRV," EconStor Open Access Articles, ZBW - German National Library of Economics, pages 183-191..
    4. Cassel, Dieter & Oberdieck, Veit, 2002. "Kapitaldeckung in der gesetzlichen Krankenversicherung," Wirtschaftsdienst – Zeitschrift für Wirtschaftspolitik (1998 - 2007), ZBW – German National Library of Economics / Leibniz Information Centre for Economics, vol. 82(1), pages 15-22.
    5. Friedrich Breyer & Volker Ulrich, 2000. "Gesundheitsausgaben, Alter und medizinischer Fortschritt: Eine Regressionsanalyse," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 220(1), pages 1-17.
    6. Friedrich Breyer, 2000. "Kapitaldeckungs- versus Umlageverfahren," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 1(4), pages 383-405, November.
    7. Wolfgang Buchholz & Birgit Edener & Markus Grabka & Klaus-Dirk Henke & Monika Huber & Hermann Ribhegge & Andreas Ryll & Hans-Jürgen Wagener & Gert G. Wagner, 2001. "Wettbewerb aller Krankenversicherungen kann Qualität verbessern und Kosten des Gesundheitswesens senken," Discussion Papers of DIW Berlin 247, DIW Berlin, German Institute for Economic Research.
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