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Die Finanzierung der Gesetzlichen Krankenversicherung durch Kopfbeiträge aus verfassungsökonomischer Sicht

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  • Mathias Kifmann

Abstract

Dieser Beitrag untersucht aus verfassungsökonomischer Sicht den Reformvorschlag, die Gesetzliche Krankenversicherung durch Kopfbeiträge zu finanzieren. Dabei wird davon ausgegangen, dass sich die Bürger im Verfassungszustand einem nicht versicherbaren Prämienrisiko gegenübersehen. Das Niveau des öffentlichen Gesundheitswesens wird im demokratischen Entscheidungsprozess festgelegt. Ein Vergleich des politischen Gleichgewichts bei einer Finanzierung durch Kopfbeiträge und bei einer einkommensabhängigen Finanzierung zeigt, dass eine Verbindung von Einkommensumverteilung und der Umverteilung zwischen Gesunden und Kranken im Verfassungszustand von allen Bürgern vorgezogen werden kann. Bei einer Einführung von Kopfbeiträgen ist deshalb darauf zu achten, dass die Einkommensumverteilung und die Umverteilung zwischen Gesunden und Kranken nicht vollständig entkoppelt werden.

Suggested Citation

  • Mathias Kifmann, 2002. "Die Finanzierung der Gesetzlichen Krankenversicherung durch Kopfbeiträge aus verfassungsökonomischer Sicht," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 71(4), pages 505-512.
    • Handle: RePEc:diw:diwvjh:71-40-14
    DOI: 10.3790/vjh.71.4.505
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    1. Stolpe, Michael, 2003. "Ressourcen und Ergebnisse der globalen Gesundheitsökonomie: Einführung und Überblick," Kiel Working Papers 1177, Kiel Institute for the World Economy (IfW Kiel).

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