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Gerechtigkeit und Verteilungswirkungen der Gesundheitsreform 2007
[Health Care Reform 2007: Justice and Allocational Consequences]


  • Honekamp, Ivonne
  • Rehmann, Adelheid


Discussions of health care reforms are always tightly connected with the question of ensuring equity in financing health care. This paper analyses the German health care reform 2007 and its effect on the equity of health care financing. To do this Rawls’ and Nozick’s perceptions of justice will be applied to develop benchmarks to classify new financing options introduced with the reform. These benchmarks are indicated through a differentiation between the two principles „fair compensation for performance“ and „equitable support based on need“ and the extent of income redistribution of the new financing modes. Overall, it can be concluded that the health care reforms have not reduced equity in health care financing neither if Rawls’ perception of justice is applied nor if the conception of justice held by Nozick is applied.

Suggested Citation

  • Honekamp, Ivonne & Rehmann, Adelheid, 2009. "Gerechtigkeit und Verteilungswirkungen der Gesundheitsreform 2007
    [Health Care Reform 2007: Justice and Allocational Consequences]
    ," MPRA Paper 22904, University Library of Munich, Germany, revised 12 Oct 2009.
  • Handle: RePEc:pra:mprapa:22904

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    References listed on IDEAS

    1. Ivonne Honekamp & Daniel Possenriede, 2008. "Redistributive effects in public health care financing," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(4), pages 405-416, November.
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    More about this item


    Finanzierungsgerechtigkeit; Gesundheit; Rawls; Nozick; Gesundheitsreform; Wahlleistungen; Deutschland; Equity; Financing; Healthcare; Health care reform; Optional services; Germany;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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