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Kapitaldeckung in der Gesetzlichen Krankenversicherung: Wer bezahlt den Übergang? / Funding Social Health Insurance: Who Pays for the Transition?

Author

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  • Felder Stefan

    (Institut für Sozialmedizin und Gesundheitsökonomie, Leipziger Str. 44, 39120 Magdeburg, Germany)

  • Fetzer Stefan

    (Wissenschaftlicher Beirat der Betrieblichen Krankenversicherung, Kronprinzenstraße 5-7, 45128 Essen, Germany)

Abstract

The double ageing of the population leads to income redistribution from future to present generations as net payments to social health insurance are negative at young age and positive at old age. Economists arguing in favour of flat health insurance premiums combined with ageing provisions often neglect the transition from the pay-as-you-go to funded system. Using a generational accounting approach we analyze a reform to funded premiums, taking into account the transition. Furthermore, we implement a tax-transfer scheme designed to protect low income persons facing higher payments in the premium scheme.

Suggested Citation

  • Felder Stefan & Fetzer Stefan, 2007. "Kapitaldeckung in der Gesetzlichen Krankenversicherung: Wer bezahlt den Übergang? / Funding Social Health Insurance: Who Pays for the Transition?," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(5-6), pages 603-620, October.
    • Handle: RePEc:jns:jbstat:v:227:y:2007:i:5-6:p:603-620
    DOI: 10.1515/jbnst-2007-5-612
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    References listed on IDEAS

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    Cited by:

    1. Stefan Fetzer & Stefan Moog, 2021. "Indicators for Measuring Intergenerational Fairness of Social Security Systems—The Case of the German Social Health Insurance," Sustainability, MDPI, vol. 13(10), pages 1-18, May.
    2. Henke Klaus Dirk, 2007. "Zur Dualität von GKV und PKV / The Future of Private and Public Health Insurance in Germany," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(5-6), pages 502-528, October.

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