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Die Schweiz als Vorbild? Bemerkungen zur Diskussion um eine Reform des deutschen Gesundheitswesens

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  • Gebhard Kirchgässner

Abstract

Taking into account the Swiss experience, this paper considers some aspects of the current reform discussion concerning the German health insurance system. The income dependence of effective premia, their size and their distributional consequences are discussed. The potential role of competition is also considered. It is shown that there are only gradual but no systematic differences between the current German and Swiss systems with respect to their labour market consequences that are central to the present German discussion, while those aspects where the two systems really differ are rarely ever discussed, and the planned new German system will hardly differ in these other dimensions from the old one.

Suggested Citation

  • Gebhard Kirchgässner, 2010. "Die Schweiz als Vorbild? Bemerkungen zur Diskussion um eine Reform des deutschen Gesundheitswesens," University of St. Gallen Department of Economics working paper series 2010 2010-15, Department of Economics, University of St. Gallen.
    • Handle: RePEc:usg:dp2010:2010-15
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    File URL: http://ux-tauri.unisg.ch/RePEc/usg/dp2010/DP-1015-Ki.pdf
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    References listed on IDEAS

    as
    1. Beck, Konstantin & Spycher, Stefan & Holly, Alberto & Gardiol, Lucien, 2003. "Risk adjustment in Switzerland," Health Policy, Elsevier, vol. 65(1), pages 63-74, July.
    2. Friedrich Breyer, 2003. "Einkommensbezogene versus pauschale GKV-Beiträge: eine Begriffsklärung," Discussion Papers of DIW Berlin 330, DIW Berlin, German Institute for Economic Research.
    3. Brennan,Geoffrey & Buchanan,James M., 2006. "The Power to Tax," Cambridge Books, Cambridge University Press, number 9780521027922, September.
    4. Franz, Wolfgang & Guertzgen, Nicole & Schubert, Stefanie & Clauss, Markus, 2007. "Reformen im Niedriglohnsektor: Eine integrierte CGE-Mikrosimulationsstudie der Arbeitsangebots- und Beschäftigungseffekte," ZEW Discussion Papers 07-085, ZEW - Leibniz Centre for European Economic Research.
    5. Wolfgang Buchholz, 2005. "A Note on Financing Health-Care Reform: Some Simple Arguments Concerning Marginal Tax Burden," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, vol. 61(3), pages 438-446, November.
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    More about this item

    Keywords

    Health insurance; Germany Switzerland;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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