The financial crisis and economic downturn are going to weigh on fiscal positions in OECD countries over the short to medium-term, both through the operation of automatic stabilisers and the enactment of discretionary fiscal stimulus packages. However, the strategic policy options facing OECD...

Virtually all fiscal measures influence people's health, through their impacts on behaviour, consumption, income and wealth. A narrow subset of fiscal measures, however, can be more directly aimed at improving health by targeting behaviours and risks that are known to be strongly associated with...

Germany’s healthcare system is praised as one of the best in the world. In this article, we review Germany’s health system by critically analysing its structure, funding, resource allocation, provider payments, efficiency, health outcomes, and access. Whilst health provision and access are...

The paper provides an analysis of the determinants of health spending differentials among the Italian Regions for the years 1998-2010. An original standardised spending framework is proposed that takes into account the appropriateness of the services provided and price/technical efficiency, as...

Medical Savings Accounts (MSAs) have been controversially debated as an alternative healthcare financing mechanism since the 1970s. Only a few countries adopted MSAs (to different extents) within their healthcare system, e.g. Singapore, China, South Africa, and the US. Proponents argue that MSAs...

In this paper we concentrate on the question whether the financing structure of the health care systems converges. In a world of increasing economic integration convergence in health care financing (HCF) and, hence, decreasing differences in HCF across countries enhance individuals' (labour)...