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Nationale Krankenversicherungssysteme Europas im Systemwettbewerb / National Health Care Systems Exposed to Institutional Competition

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  • Daumann Frank

    (Rechts- und Wirtschaftswissenschaftliche Fakultät, Universität Bayreuth, D-95440 Bayreuth)

Abstract

The health care systems of the EU-member states are based on the social principle but to a different extent, and there are also differences in funding the health care expenditures. Some systems are financed by taxes, others by insurance premiums. Actually to become a member of a specific EU state's health system it is necessary to live or to work in this state. This means e. g. that getting a benefit from a tax-funded type requires paying taxes in this state. Free factor movement and free trade lead to an institutional competition which is weakend by the fact that an individual can only choose between whole bundles of services and taxes.The conclusion could be drawn that free access to such a health care system would strengthen the competition between these systems. But it can be shown that this kind of liberalization would lead to a breakdown, if all the health services used in any member state were refunded by the home health system.

Suggested Citation

  • Daumann Frank, 2000. "Nationale Krankenversicherungssysteme Europas im Systemwettbewerb / National Health Care Systems Exposed to Institutional Competition," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 220(5), pages 527-540, October.
    • Handle: RePEc:jns:jbstat:v:220:y:2000:i:5:p:527-540
    DOI: 10.1515/jbnst-2000-0503
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    References listed on IDEAS

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    1. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64(5), pages 416-416.
    2. Viktor Vanberg & Wolfgang Kerber, 1994. "Institutional competition among jurisdictions: An evolutionary approach," Constitutional Political Economy, Springer, vol. 5(2), pages 193-219, March.
    3. Sinn, Hans-Werner, 1997. "The selection principle and market failure in systems competition," Journal of Public Economics, Elsevier, vol. 66(2), pages 247-274, November.
    4. Siebert, Horst & Koop, Michael J., 1990. "Institutional competition: a concept for Europe?," Kiel Working Papers 440, Kiel Institute for the World Economy (IfW Kiel).
    5. Stefan Sinn, 1992. "The taming of Leviathan: Competition among governments," Constitutional Political Economy, Springer, vol. 3(2), pages 177-196, March.
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    1. Daumann Frank, 2000. "Müssen die nationalen Krankenversicherungssysteme in der EU harmonisiert werden?," ORDO. Jahrbuch für die Ordnung von Wirtschaft und Gesellschaft, De Gruyter, vol. 51(1), pages 435-456, January.

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