Intergenerational Solidarity of the Public Health Care Systems in Europe
Ageing of the population has become one of the important topics in developed countries in recent times. Health care and pension systems based on solidarity are especially vulnerable to demographic changes associated with falling fertility rates and increasing life expectancy. The main task of the paper is to answer and quantify the question who bears the costs and who benefits from the public health care systems and reveal possible future imbalances. We introduce a long-term projection technique enhanced by some elements of generational accounting approach with intent to express the ageing problem in the health care sector. We explore both the revenue side of the public health care systems as well as the health care expenditures from the perspective of separate generations. Following countries have been selected as the representatives of the European health care systems: the Czech Republic, Denmark, Estonia, France, Italy, the Netherlands, Switzerland and the United Kingdom. The model points to un-sustainability of the current public health care systems if the effective tax rates did not increase. If the demand for health care had to be satisfied, the health care systems financed through social contributions and income-based taxes would be faced with increasing burden on working population.
Volume (Year): 4 (2010)
Issue (Month): 1 ()
|Contact details of provider:|| Postal: Estonská 500/3, 101 00 Praha 10|
Phone: (+420) 210 088 800
Fax: (+420) 271 741 597
Web page: http://www.vsfs.cz/
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- J. Ignacio Conde-Ruiz & Paola Profeta, 2007.
"The Redistributive Design of Social Security Systems,"
Royal Economic Society, vol. 117(520), pages 686-712, 04.
- J. Ignacio Conde-Ruiz & Paola Profeta, 2007. "The Redistributive Design of Social Security Systems," Working Papers 2007-07, FEDEA.
When requesting a correction, please mention this item's handle: RePEc:prf:journl:v:4:y:2010:i:1:p:12-46. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Helena Hakenova)
If references are entirely missing, you can add them using this form.