Demography and Social Health Insurance: An International Comparison Using Generational Accounting

Dr. Christian Hagist

doi:10.5771/9783845206646

Summary

Fast alle OECD-Staaten stehen vor einem Alterungsprozess ihrer Bevölkerungen, der sich in den nächsten vier Dekaden vollziehen wird. Dabei unterscheiden sich die Prozesse jedoch zwischen den einzelnen Staaten deutlich. Die vorliegende Arbeit untersucht mit Hilfe der Methode der Generationenbilanzierung, wie sich der demografische Wandel auf die Finanzierung sozialer Krankenversicherungssysteme von sechs OECD-Staaten (Österreich, Frankreich, Deutschland, Schweiz, Vereinigtes Königreich und USA) auswirken wird. Dabei wird auch ein Hauptaugenmerk auf die fiskalischen Konsequenzen des medizinisch-technischen Fortschritts gelegt. Alle untersuchten Systeme zeigen eine deutliche Diskrepanz zwischen zukünftigen Einnahmen und Ausgaben. Der demographische Wandel stellt dabei sogar das kleinere Problem dar, unterstellt man einen medizinisch-technischen Fortschritt analog der Entwicklung der letzten 30 Jahre. Doch auch bei diesem Parameter kann man deutliche Unterschiede zwischen den einzelnen Staaten ausmachen. Auf harte Reformen müssen sich aber alle sechs untersuchten Saaten einstellen.

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Bibliographic data

Edition: 1/2008
Copyright Year: 2008
ISBN-Print: 978-3-8329-3285-5
ISBN-Online: 978-3-8452-0664-6
Publisher: Nomos, Baden-Baden
Series: Beiträge zum Gesundheitsmanagement
Volume: 19
Language: English
Pages: 244
Product Type: Monograph

Titelei/Inhaltsverzeichnis No access Pages 2 - 14
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List of Tables No access Pages 15 - 16
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List of Figures No access Pages 17 - 18
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List of Abbreviations No access Pages 19 - 20
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Introduction No access Pages 21 - 23
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1. Generational Accounting – Methodology No access Pages 24 - 30
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2. Generational Accounting – Limitations No access Pages 30 - 33
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3. Generational Accounting – Empiricism No access Pages 33 - 37
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4. Measuring benefit level growth in social health insurance No access Pages 37 - 40
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5. Constant age-specific profiles – A reasonable assumption? No access Pages 40 - 42
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6. Summary and Conclusion No access Pages 42 - 42
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1. The demographic development of Austria No access Pages 43 - 46
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2. Austria’s social health insurance scheme No access Pages 46 - 48
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3. Analyzing the growth of public health expenditure in Austria No access Pages 48 - 49
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4. 1. Data and Assumptions No access Pages 49 - 53
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  2. Generational Accounts and Sustainability Gaps No access Pages 53 - 56
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  3. Sustainability Indicators No access Pages 56 - 58
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  4. Sensitivity Analysis No access Pages 58 - 60
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5. Summary and Conclusion for Austria No access Pages 60 - 60
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1. The demographic development of France No access Pages 61 - 65
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2. France’s social health insurance scheme No access Pages 65 - 66
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3. Analyzing the growth of public health expenditure in France No access Pages 66 - 67
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4. 1. Data and Assumptions No access Pages 67 - 69
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  2. Generational Accounts and Sustainability Gaps No access Pages 69 - 73
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  3. Sustainability Indicators No access Pages 73 - 75
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  4. Sensitivity Analysis No access Pages 75 - 77
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5. Summary and Conclusion for France No access Pages 77 - 78
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1. The demographic development of Germany No access Pages 79 - 82
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2. Germany’s social health insurance scheme No access Pages 82 - 85
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3. Analyzing the growth of public health expenditure in Germany No access Pages 85 - 86
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4. 1. Data and Assumptions No access Pages 86 - 89
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  2. Generational Accounts and Sustainability Gaps No access Pages 89 - 92
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  3. Sustainability Indicators No access Pages 92 - 94
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  4. Sensitivity Analysis No access Pages 94 - 96
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5. Summary and Conclusion for Germany No access Pages 96 - 96
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1. The demographic development of Switzerland No access Pages 97 - 100
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2. Switzerland’s social health insurance scheme No access Pages 100 - 103
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3. Analyzing the growth of public health expenditure in Switzerland No access Pages 103 - 104
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4. 1. Data and Assumptions No access Pages 104 - 106
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  2. Generational Accounts and Sustainability Gaps No access Pages 106 - 110
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  3. Sustainability Indicators No access Pages 110 - 112
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  4. Sensitivity Analysis No access Pages 112 - 114
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5. Summary and Conclusion for Switzerland No access Pages 114 - 115
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1. The demographic development of the United Kingdom No access Pages 116 - 119
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2. The National Health Service of the United Kingdom No access Pages 119 - 121
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3. Analyzing the growth of public health expenditure in the UK No access Pages 121 - 122
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4. 1. Data and Assumptions No access Pages 122 - 124
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  2. Generational Accounts and Sustainability Gaps No access Pages 124 - 128
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  3. Sustainability Indicators No access Pages 128 - 130
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  4. Sensitivity Analysis No access Pages 130 - 132
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5. Summary and Conclusion for the UK No access Pages 132 - 132
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1. The demographic development of the United States of America No access Pages 133 - 136
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2. Social health insurance in the US No access Pages 136 - 138
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3. Analyzing the growth of public health expenditure in the US No access Pages 138 - 141
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4. 1. Data and Assumptions No access Pages 141 - 143
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  2. Generational Accounts and Sustainability Gaps No access Pages 143 - 147
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  3. Sustainability Indicators No access Pages 147 - 149
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  4. Sensitivity Analysis No access Pages 149 - 151
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5. Summary and Conclusion for the US No access Pages 151 - 151
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1. 1. Central Demographic Parameters No access Pages 152 - 156
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  2. Demographic Developments in Comparison No access Pages 156 - 158
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2. 1. The fiscal situation in the short-run No access Pages 158 - 160
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  2. The fiscal situation in the long-run No access Pages 160 - 164
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  3. Accounting for disproportionate growth of public health expenditure No access Pages 164 - 167
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3. Summary and Conclusion No access Pages 167 - 168
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Conclusion – Demography and Social Health Insurance No access Pages 169 - 173
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References No access Pages 174 - 183
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1. Austria No access Pages 184 - 193
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2. France No access Pages 193 - 203
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3. Germany No access Pages 203 - 214
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4. Switzerland No access Pages 214 - 224
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5. United Kingdom No access Pages 224 - 233
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6. United States of America No access Pages 233 - 243
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7. An international comparison No access Pages 243 - 244
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