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Fiscal federalism and income redistribution through healthcare financing: An empirical analysis for the Swiss cantons

  • Luca Crivelli

    (Department of Economics, Università della Svizzera Italiana, Switzerland)

  • Paola Salari

    ()

    (Department of Economics, Università della Svizzera Italiana, Switzerland)

Previous studies have viewed Swiss health-care financing as particularly regressive. However, as the OECD Review of the Swiss Health System (2011) stated, the income-related inequities and the inter cantonal variations are still unexplored due to a lack of available information. The present paper aims to fill this information gap concerning the Swiss health system by exploring the differences in the level of regressivity of health-care system financing across cantons and over time using household data. The empirical evidence confirms that the Swiss health-care system financing has remained quite regressive since the major reform of 1996 and that the variations in equity across cantons are quite significant. The results are an interesting contribution towards re-thinking a new possible reform of the Swiss health-care system, as well as for other federal states (such as the U.S.) that use regulation and subsidies to ensure universal coverage.

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Paper provided by USI Università della Svizzera italiana in its series CEPRA working paper with number 1204.

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Length: 31 pages
Date of creation: Sep 2012
Date of revision:
Handle: RePEc:lug:wcepra:1204
Contact details of provider: Web page: https://www.bul.sbu.usi.ch

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  3. Philippe Widmer & Peter Zweifel, 2012. "Fiscal Equalization, Tiebout Competition, and Incentives for Efficiency in a Federalist Country," Public Finance Review, , vol. 40(1), pages 3-29, January.
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  8. Lairson, David R. & Hindson, Paul & Hauquitz, Alan, 1995. "Equity of health care in Australia," Social Science & Medicine, Elsevier, vol. 41(4), pages 475-482, August.
  9. Abu-Zaineh, Mohammad & Mataria, Awad & Luchini, Stéphane & Moatti, Jean-Paul, 2008. "Equity in health care financing in Palestine: The value-added of the disaggregate approach," Social Science & Medicine, Elsevier, vol. 66(11), pages 2308-2320, June.
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  14. Wagstaff, Adam & van Doorslaer, Eddy, 1992. "Equity in the finance of health care: Some international comparisons," Journal of Health Economics, Elsevier, vol. 11(4), pages 361-387, December.
  15. Bishop, John A & Chow, K Victor & Formby, John P, 1994. "Testing for Marginal Changes in Income Distributions with Lorenz and Concentration Curves," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 35(2), pages 479-88, May.
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