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...

Zwölf Jahre nach der Wiedervereinigung muss für Ostdeutschland eine ernüchternde Bilanz gezogen werden. Der Osten ist durch geringe privatwirtschaftliche Investitionen, eine hohe Arbeitslosigkeit und einen ungünstigen Altersaufbau gekennzeichnet. Wie wirkt sich die Anpassungsgeschwindigkeit...

Based on an empirical application for Germany, we compare two methods of measuring fiscal sustainability: the generational-accounting approach and the OECD method. In a first step, we show that the two methods can be transformed into one another. Hence, the indicators of generational accounting...

The new law "GKV-Modernisierungsgesetz" was introduced in 2003 to stabilize the expenditures of the German public health sector in a long-term perspective. Two alternative reform proposals, "Kopfpauschalen" and "Bürgerversicherung", have also been put forward to secure the financing of the...

Der Gesetzlichen Gesundheitsversorgung in Deutschland stehen einschneidende Reformen bevor. Können das Konzept der Bürgerversicherung, der Vorschlag einer Gesundheitsprämie oder kapitalgedeckte Prämien eine Lösung bieten?

Using a generational accounting approach, we analyse the sustainability of the German Statutory Social Health Insurance. Due to the future double aging process, the current level of health benefits can only be maintained through a massive increase in the contribution rate. Additionally taking...

Prof. Dr. Bernd Raffelhüschen, Stefan Fetzer und Christian Hagist, Universität Freiburg, untersuchen mit Hilfe der Generationenbilanzierung, welche Auswirkungen die aktuellen Vorschläge (nämlich Bürgerversicherung oder Gesundheitsprämien) zur Reform der gesetzlichen Krankenversicherung,...