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...

In Switzerland, political concordance or direct popular rights and the resulting consociational democracy are often held responsible for delay or even cancellation of necessary political reforms. Switzerland is, however, not the only country with such a system, and direct democracy is just one...