We develop a two-region model where the decentralized provision of spillover goods and other public expenditures is financed by means of user fees. We show that a decentralized solution tends to be inefficient. If the regional spillover goods are substitutes, user fees tend to be inefficiently...

The paper analyzes the strategic effects of decentralized user-fee and enforcement policies for the financing of interregional spillover goods. We derive the equilibrium pricing and enforcement rules for a n-region economy.We show that under mild conditions on the pattern of substitution between...

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Health Economics is the most complete text available on the economics of health behavior and health care delivery. Appropriate both for advanced undergraduate and beginning graduate students of economics, this text provides the key analytical tools required to understand current research,...

There is an increasing shortage of human organ transplants in Germany. This paper aims at understanding the reasons for that shortage and discusses various ways to alleviate it by changing the rules of donation and procurement. In particular we consider creating adequate incentives for hospitals...

A crucial parameter for increasing the retirement age is the early-retirement discount of the public pension system. Critics of the present German system argue that the downward adjustment of the pension for early retirees is too small compared with a ‘fair’ system and thus encourages early...

Bundesgesundheitsminister Rösler sieht in einer der Reform der Beitragserhebung in der Gesetzlichen Krankenversicherung sein wichtigstes Projekt. Diese hat eine große Bedeutung für die Stärkung des Wettbewerbs in der GKV. Jedoch sind andere Themen für Effizienz, Qualität und Nachhaltigkeit...

Der Methoden-Katalog des IQWiG hat in der Fachwelt erhebliche Diskussionen ausgelöst, und einer der wesentlichen Streitpunkte ist die Entscheidung der Autoren dieses Katalogs, bei der Nutzenmessung allein indikationsbezogene Outputmaße einzusetzen. Dagegen verlangen zahlreiche Kritiker des...