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Zur Wiederbelebung des Generationenvertrags in der gesetzlichen Krankenversicherung: Die Freiburger Agenda

  • Stefan Fetzer
  • Bernd Raffelhüschen
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    Using a generational accounting approach, we analyse the sustainability of the German Statutory Social Health Insurance. Due to the future double aging process, the current level of health benefits can only be maintained through a massive increase in the contribution rate. Additionally taking into account the medical-technical progress would severely worsen the long-term stance of the German Health Insurance Scheme. To restore a sustainable situation, we suggest a reform proposal, the so called "Freiburger Agenda". This reform contains a minimum franchise, the privatisation of the entire dental care as well as the introduction of more market forces thus intensifying competition between e.g. hospitals and insurance companies. Copyright Verein für Socialpolitik und Blackwell Publishers Ltd, 2005

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    Article provided by Verein für Socialpolitik in its journal Perspektiven der Wirtschaftspolitik.

    Volume (Year): 6 (2005)
    Issue (Month): 2 (05)
    Pages: 255-274

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    Handle: RePEc:bla:perwir:v:6:y:2005:i:2:p:255-274
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    1. Friedrich Breyer & Mathias Kifmann, 2001. "Optionen der Weiterentwicklung des Risikostrukturausgleichs in der GKV," Discussion Papers of DIW Berlin 236, DIW Berlin, German Institute for Economic Research.
    2. Peter Zweifel & Stefan Felder & Markus Meiers, 1999. "Ageing of population and health care expenditure: a red herring?," Health Economics, John Wiley & Sons, Ltd., vol. 8(6), pages 485-496.
    3. 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.
    4. Buchner, Florian & Wasem, Jürgen, 2000. "Versteilerung der alters- und geschlechtsspezifischen Ausgabenprofile von Krankenversicherern," Wirtschaftswissenschaftliche Diskussionspapiere 01/2000, Ernst Moritz Arndt University of Greifswald, Faculty of Law and Economics.
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