In letzter Zeit mehren sich die Stimmen, die das gegenwärtige System der Beitragserhebung in der Gesetzlichen Krankenversicherung, nämlich die Anknüpfung der Beiträge am Arbeitseinkommen, kritisieren und vorschlagen, zu einer einheitlichen Prämie je erwachsenem Versicherten nach dem Vorbild...

Some people believe that the impact of population ageing on future health care ex-penditures will be quite moderate due to the high costs of dying. If not age per se but proximity to death determines the bulk of expenditures, a shift in the mortality risk to higher ages will not affect lifetime...

The empirical relationship between income and longevity has been addressed by a large number of studies, but most were confined to men. In particular, administrative data from public pension systems are less reliable for women because of the loose relationship between own earnings and household...

In response to the growing burden of obesity, public primary prevention programs against obesity have been widely recommended. Several studies estimated the cost effects of diabetes prevention trials for different countries and found that diabetes prevention can be costeffective. Nevertheless,...

We report results of a survey of a representative sample of the German population in which respondents were asked for their willingness-to-pay (WTP) for either an extension of their life or an improvement in their health corresponding to a gain of one quality-adjusted life year (QALY). While one...

It is still an open question whether increasing life expectancy as such is causing higher health care expenditures (HCE) in a population. According to the "red herring" hypothesis, the positive correlation between age and HCE is exclusively due to the fact that mortality rises with age and a...

In several OECD countries, public pay-as-you-go financed pension systems have undergone major reforms in which future retirement benefit promises have been scaled down. A consequence of these reforms is that especially in countries with a tight tax-benefit linkage, the retirement benefit claims...

Options for reforming unfunded public pension schemes that are now being discussed all share the feature that the burden induced by demographic change would be shifted towards presently living and away from unborn generations. Existing models of the political economy of pension reform can not...

Most systems of health care financing in EU member states currently include elements of income redistribution. The paper analyzes the effects of shifting this kind of redistribution to the tax system and argues that this reform could create two types of efficiency gains. On the expenditure side,...

Idee und Ziele des Risikostrukturausgleichs - Der Risikostrukturausgleich (im folgenden: RSA) in der Gesetzlichen Krankenversicherung wurde mit dem Gesundheits-Strukturgesetz von 1993 eingeführt und trat am 1.1.1994 in Kraft. Mit dem selben Gesetz wurden auch die Wahl- und Wechselmöglichkeiten...