The double ageing of the population leads to income redistribution from future to present generations as net payments to social health insurance are negative at young age and positive at old age. Economists arguing in favour of flat health insurance premiums combined with ageing provisions often...

On the basis of an empirical application for Germany, we compare two methods for measuring fiscal sustainability, the Generational Accounting approach and the OECD-Method. We show that both methods can be transferred into each other. Therefore the indicators belonging to one method can be used...

This paper assesses the long-term fiscal position of the Russian health insurance system using Generational Accounting, with particular attention to special factors of the health care sector. We find out that the demographic development of Russia causes a significant burden for future...

Since 2011 German health insurance funds have had to raise additional lump-sum contributions from members in case of insufficient allotment from the central health funds. The new German government plans to replace the lump-sum contributions with wage-related ones. Despite its contrary...