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Solidarity: who cares?

In: Costs and Benefits of Collective Pension Systems

Author

Listed:
  • P. P. T. Jeurissen

    (Council for Public Health and Care)

  • F. B. M. Sanders

    (Diakonessenhuis Utrecht — Zeist — Doorn Hospital)

Abstract

This contribution describes the principal forms of solidarity in the healthcare sector. We discuss the concept of solidarity and its diverse roles as well as the design of the existing solidarity framework and trends for the future. Solidarity in healthcare is under pressure: the costs are rising and the distribution of solidarity transfers is becoming increasingly uneven, socio-cultural trends are sending out mixed signals and many think it is fair to ask people with unhealthy lifestyles to pay more. However, a fully funded system is less suited to healthcare than to supplementary pensions. In healthcare, more so than in the pension sector, solidarity is nurtured by feelings of community and justice. At the same time, egalitarian outcomes are increasingly difficult to achieve due to the evermore uneven distribution of the health cost burden, the enormous supply of healthcare products and the large mutual differences in the production process.

Suggested Citation

  • P. P. T. Jeurissen & F. B. M. Sanders, 2007. "Solidarity: who cares?," Springer Books, in: Onno Steenbeek & Fieke Lecq (ed.), Costs and Benefits of Collective Pension Systems, chapter 3, pages 33-48, Springer.
    • Handle: RePEc:spr:sprchp:978-3-540-74374-3_3
    DOI: 10.1007/978-3-540-74374-3_3
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    Cited by:

    1. Van der Aa, Maartje J. & Paulus, Aggie T.G. & Klosse, Saskia & Evers, Silvia M.A.A. & Maarse, Johannes A. M., 2019. "The impact of reforms of national health insurance on solidarity in the Netherlands: comparing health care insurance and long-term care insurance," LSE Research Online Documents on Economics 106225, London School of Economics and Political Science, LSE Library.

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