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Finanzierung des Krankenversicherungsschutzes: Entgleiste Reformdebatte wieder auf Spur

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  • Richter, Wolfram F.

    (TU Dortmund)

Abstract

Anfang Juli 2010 legte Gesundheitsminister Rösler ein Eckpunktepapier vor, aus dem hervorgeht, wie die Bundesregierung die Finanzierung der gesetzlichen Krankenversicherung zu stabilisieren gedenkt. Unter systemischen Gesichtspunkten steht die Einführung einer 2-Prozentregel im Vordergrund. Von der Regierung wird diese als ein erster Schritt auf dem Weg zu sozial ausgeglichenen Pauschalprämien verstanden. In diesem Beitrag wird zunächst die vorausgegangene Reformdebatte nachgezeichnet. Es wird dann der Frage nachgegangen, mit welcher Art von Reformen der als mangelhaft erkannten Effizienz des deutschen Gesundheitswesen nachhaltig zu begegnen ist. Die 2-Prozentregel wird in diesem Zusammenhang als eine sinnvolle Fortentwicklung des Gesundheitsfonds gewürdigt.

Suggested Citation

  • Richter, Wolfram F., 2010. "Finanzierung des Krankenversicherungsschutzes: Entgleiste Reformdebatte wieder auf Spur," IZA Standpunkte 29, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izasps:sp29
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    References listed on IDEAS

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    1. Friedrich Breyer & Andreas Haufler, 2000. "Health Care Reform: Separating Insurance from Income Redistribution," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 7(4), pages 445-461, August.
    2. Afonso, Antonio & St. Aubyn, Miguel, 2005. "Non-Parametric Approaches to Education and Health Efficiency in OECD Countries," Journal of Applied Economics, Universidad del CEMA, vol. 8(2), pages 1-20, November.
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    5. Klaus-Dirk Henke & Wolfram Richter, 2009. "Zur Zukunft des Gesundheitsfonds," Wirtschaftsdienst, Springer;ZBW - Leibniz Information Centre for Economics, vol. 89(11), pages 727-732, November.
    6. Rürup, Bert & Wille, Eberhard, 2009. "Effizientere und leistungsfähigere Gesundheitsversorgung als Beitrag für eine tragfähige Finanzpolitik Deutschland. Forschungsbericht für das Bundesministerium der Finanzen. Abschlussbericht," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 35703, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
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    Cited by:

    1. Bofinger, Peter & Franz, Wolfgang & Schmidt, Christoph M. & Weder di Mauro, Beatrice & Wiegard, Wolfgang, 2010. "Chancen für einen stabilen Aufschwung. Jahresgutachten 2010/11 [Chances for a stable upturn. Annual Report 2010/11]," Annual Economic Reports / Jahresgutachten, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung, volume 127, number 201011.
    2. Kallweit Manuel & Kohlmeier Anabell, 2014. "Zusatzbeiträge in der Gesetzlichen Krankenversicherung / Income-independent Surcharges in German Statutory Health Insurance: Weiterentwicklungsoptionen und ihre finanziellen sowie allokativen Effekte ," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 234(4), pages 490-517, August.
    3. Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung (ed.), 2011. "Herausforderungen des demografischen Wandels. Expertise im Auftrag der Bundesregierung," Occasional Reports / Expertisen, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung, number 75371, April.

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    More about this item

    Keywords

    Nutzen-Kosten-Effizienz; Wettbewerbsordnung; Vertragsfreiheiten; GKV-WSG; Gesundheitsfonds; 2-Prozentregel; Pauschalprämien; sozial- und anreizverträgliche Finanzierung der Gesundheit;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H24 - Public Economics - - Taxation, Subsidies, and Revenue - - - Personal Income and Other Nonbusiness Taxes and Subsidies

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