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: Book Titles

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