Abstract ; Background: The health care reform of 2004 was intended to reduce moral hazard in the statutory health insurance through various financial incentives. An important element of the reform has been the introduction of a per-quarter fee for doctor visits. The second part of the reform has...

The German health care reform of 2004 imposes a charge of 10 Euro for the first visit to a doctor in each quarter of the year. At first glance, there is no inhibiting effect of this fee on utilization in the German Socio-Economic Panel. However, this study reveals that the true effect is...