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Finanzierbar, sozial und nachhaltig: Wie sollte die Pflegeversicherung reformiert werden?

Author

Listed:
  • Christa Stewens
  • Bernd Raffelhüschen
  • Franz Knieps
  • Eberhard Wille
  • Adrian Ottnad
  • Johann Eekhoff

Abstract

Seit 1999 weist die gesetzliche Pflegeversicherung Defizite auf. Bis zum Ende dieser Legislaturperiode dürften die bis 1998 angesammelten Anfangsreserven aufgezehrt sein. Zugleich werden zunehmende Qualitätsmängel des Pflegeangebots beklagt. Wie sollte die Pflegeversicherung reformiert werden? Franz Knieps, Bundesministerium für Gesundheit und soziale Sicherung, stellt die Reformvorschläge der Regierungskoalition vor. Nach Meinung von Christa Stewens, Bayerische Staatsministerin für Arbeit und Sozialordnung, Familie und Frauen, muss das bisherige Umlageverfahren durch kapitalgedeckte Elemente als Demographiereserve ergänzt und gleichzeitig der Begriff der Pflegebedürftigkeit neu definiert werden. Und auch Eberhard Wille und Christian Igel, Universität Mannheim, sehen in der Teilkapitaldeckung eine "pragmatische" Lösung. Bernd Raffelhüschen, Universität Freiburg, ist dagegen für eine vollständige Ablösung der Umlagenfinanzierung durch ein Kapitaldeckungsverfahren mittels eines von ihm vorgeschlagenen "Freiburger Auslaufmodells". Diese Ansicht teilt auch Johann Eekhoff, Universität zu Köln, der ebenfalls die Pflegeversicherung auf "Kapitaldeckung und Wettbewerb" umgestellt sehen möchte. Adrian Ottnad, Institut für Wirtschaft und Gesellschaft, Bonn, plädiert für einen Weg hin zur "privaten, kapitalgedeckten Pflegepflichtversicherung für alle". Für Roland Eisen, Universität Frankfurt am Main, "erweisen sich die behaupteten Vorteile von kapitalfundierten Systemen als Mythen. Aber es gibt auch eine ganze Reihe von parametrischen Reformen, die an den Werten von "Schlüssel-Parametern" ansetzen." Als Beispiele nennt er Erhöhung des Regelrenteneintrittsalters und längere Erwerbstätigkeit, höheres Wachstum, gefördert durch technischen Fortschritt und Humankapitalinvestitionen, aber auch "Förderung der Prävention und eines gesunden Lebensstils".

Suggested Citation

  • Christa Stewens & Bernd Raffelhüschen & Franz Knieps & Eberhard Wille & Adrian Ottnad & Johann Eekhoff, 2007. "Finanzierbar, sozial und nachhaltig: Wie sollte die Pflegeversicherung reformiert werden?," ifo Schnelldienst, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 60(09), pages 03-24, May.
    • Handle: RePEc:ces:ifosdt:v:60:y:2007:i:09:p:03-24
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    References listed on IDEAS

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    1. John Geanakoplos & Olivia S. Mitchell & Stephen P. Zeldes, "undated". "Would a Privatized Social Security System Really Pay a Higher Rate of Return?," Pension Research Council Working Papers 98-6, Wharton School Pension Research Council, University of Pennsylvania.
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    3. Martin Werding & Anita Dehne, 2005. "Modellrechnungen zur langfristigen Tragfähigkeit der öffentlichen Finanzen," ifo Beiträge zur Wirtschaftsforschung, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, number 17.
    4. Spermann, Alexander & Arntz, Melanie, 2003. "Wie lässt sich die gesetzliche Pflegeversicherung mit Hilfe personengebundener Budgets reformieren?," ZEW Discussion Papers 03-58, ZEW - Leibniz Centre for European Economic Research.
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    Cited by:

    1. Christine Arentz & Ines Läufer & Steffen J. Roth, 2011. "Pflegevorsorge II – Einstieg in den Umstieg auf Kapitaldeckung in der Pflegeversicherung," IWP Discussion Paper Series 01/2011, Institute for Economic Policy, Cologne, Germany.
    2. Christine Arentz & Ines Läufer & Steffen Roth, 2011. "Reform der gesetzlichen Pflegeversicherung: Teilkapitaldeckungsmodelle im Vergleich," Otto-Wolff-Institut Discussion Paper Series 04/2011, Otto-Wolff-Institut für Wirtschaftsordnung, Köln, Deutschland.

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    More about this item

    Keywords

    Pflegeversicherung; Reform; Finanzierung; Soziale Sicherung; Kapitaldeckungsverfahren; Umlageverfahren; Deutschland;
    All these keywords.

    JEL classification:

    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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