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Defining benefit catalogues and entitlements to health care in Germany: Decision makers, decision criteria and taxonomy of catalogues

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  • Busse, Reinhard
  • Stargardt, Tom
  • Schreyögg, Jonas
  • Simon, Claudia
  • Martin, Maria

Abstract

This paper studies the politico-economic reasons for the refusal of a proposed compulsory flood insurance scheme in Germany. It provides the rationale for such scheme and outlines the basic features of a market-orientated design. The main reasons for the political down-turn of this proposal were the (mis)perceived costs of a state guarantee, legal objections against a compulsory insurance, distributional conflicts between the federal government and the German states ("Länder") on the implied administrative costs and the well-known "samariter dilemma" of ad-hoc disaster relief. The focus on pure market solutions proved to be an ineffective strategy for policy advice in this field.

Suggested Citation

  • Busse, Reinhard & Stargardt, Tom & Schreyögg, Jonas & Simon, Claudia & Martin, Maria, 2005. "Defining benefit catalogues and entitlements to health care in Germany: Decision makers, decision criteria and taxonomy of catalogues," Discussion Papers 2005/5, Technische Universität Berlin, School of Economics and Management.
    • Handle: RePEc:zbw:tubsem:20055
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    References listed on IDEAS

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    1. Niebuhr, Dea & Greß, Stefan & Rothgang, Heinz & Wasem, Jürgen, 2003. "Verfahren und Kriterien zur Konkretisierung des Leistungskatalogs in der gesetzlichen Krankenversicherung," Working papers of the ZeS 05/2003, University of Bremen, Centre for Social Policy Research (ZeS).
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    Cited by:

    1. Reinhard Busse & Tom Stargardt & Jonas Schreyögg, 2005. "Determining the “Health Benefit Basket” of the Statutory Health Insurance scheme in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 6(1), pages 30-36, November.

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    2. Reinhard Busse & Tom Stargardt & Jonas Schreyögg, 2005. "Determining the “Health Benefit Basket” of the Statutory Health Insurance scheme in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 6(1), pages 30-36, November.
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    4. Rothgang, Heinz & Niebuhr, Dea & Wasem, Jürgen & Greß, Stefan, 2004. "Evidenzbasierte Bestimmung des Leistungskatalogs im Gesundheitswesen? Das Beispiel des englischen National Institute for Clinical Excellence (NICE)," Working papers of the ZeS 02/2004, University of Bremen, Centre for Social Policy Research (ZeS).
    5. Wasem, Jürgen & Greß, Stefan & Rothgang, Heinz, 2003. "Kopfprämien in der gesetzlichen Krankenversicherung: Eine Perspektive für die Zukunft?," Working papers of the ZeS 07/2003, University of Bremen, Centre for Social Policy Research (ZeS).

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