Attitudes of Germans towards distributive issues in the German health system
Social health care systems are inevitably confronted with the scarcity of resources and the resulting distributional challenges. Since prioritization implies distributional effects, decisions on respective rules should take citizens’ preferences into account. Thus, knowledge about citizens’ attitudes and preferences regarding different distributional issues implied by the type of financing health care is necessary to judge the public acceptance of a health system. In this study we concentrate on two distributive issues in the German health system: First, we analyse the acceptance of prioritizing decisions concerning the treatment of certain patient groups, in this case patients who all need a heart operation. Here we focus on the fact that a patient is strong smoker or a non-smoker, the criteria of age or the fact that a patient has or does not have young children. Second, we investigate Germans’ opinions towards income dependent health services. The results reveal strong effects of individuals’ attitudes regarding general aspects of the health system on priorities, e.g. that individuals behaving health demanding should not be preferred. In addition, experiences of limited access to health services are found to have a strong influence on citizens’ attitudes, too. Finally, decisions about different prioritization criteria are found to be not independent.
|Date of creation:||Jun 2014|
|Date of revision:|
|Contact details of provider:|| Postal: Ludwigstraße 33, D-80539 Munich, Germany|
Web page: https://mpra.ub.uni-muenchen.de
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- Corneo, Giacomo & Grüner, Hans Peter, 2001.
"Individual Preferences for Political Redistribution,"
CEPR Discussion Papers
2694, C.E.P.R. Discussion Papers.
- Corneo, Giacomo & Gruner, Hans Peter, 2002. "Individual preferences for political redistribution," Journal of Public Economics, Elsevier, vol. 83(1), pages 83-107, January.
- Angeletos, George-Marios & Alesina, Alberto, 2005.
"Fairness and Redistribution,"
4553009, Harvard University Department of Economics.
- Elvire Guillaud, 2011.
"Preferences for redistribution: an empirical analysis,"
Documents de travail du Centre d'Economie de la Sorbonne
11030, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne.
- Elvire Guillaud, 2011. "Preferences for redistribution : an empirical analysis," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-00594072, HAL.
- Alberto F. Alesina & Paola Giuliano, 2009.
"Preferences for Redistribution,"
NBER Working Papers
14825, National Bureau of Economic Research, Inc.
- Greene,William H. & Hensher,David A., 2010.
"Modeling Ordered Choices,"
Cambridge University Press, number 9780521142373, November.
- Luigi Siciliani & Rossella Verzulli, 2009. "Waiting times and socioeconomic status among elderly Europeans: evidence from SHARE," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1295-1306.
- Allan Meltzer & Scott Richard, 1983. "Tests of a rational theory of the size of government," Public Choice, Springer, vol. 41(3), pages 403-418, January.
- Miguel Gouveia, 1997.
"Majority rule and the public provision of a private good,"
Springer, vol. 93(3), pages 221-244, December.
- Gouveia, Miguel, 1997. "Majority Rule and the Public Provision of a Private Good," Public Choice, Springer, vol. 93(3-4), pages 221-44, December.
- Mathias Kifmann, 2005. "Health insurance in a democracy: Why is it public and why are premiums income related?," Public Choice, Springer, vol. 124(3), pages 283-308, September.
- Marlies Ahlert & Katja Funke & Lars Schwettmann, 2013. "Thresholds, productivity, and context: an experimental study on determinants of distributive behaviour," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 40(4), pages 957-984, April.
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