Current Options for Health System Reform in Germany. Friedrich Breyer University of Konstanz and DIW Berlin Civitas Health Policy Roundtable Cologne, February 22, 2005. 1. The Extent of Compulsory Membership 2. How to Levy Contributions 3. Concluding Remarks. Contents.
Current Options for Health System Reform in Germany
University of Konstanz and DIW Berlin
Civitas Health Policy RoundtableCologne, February 22, 2005
1. The Extent of Compulsory Membership
2. How to Levy Contributions
3. Concluding Remarks
The True Y-Model
a) income-related contributions:
Conclusion: Several parallel systems of income redistribution do not make sense
b) lump-sum contributions: are they feasible?
Exemptions for very low incomes are common (Switzerland, reform models: CDU, Rürup, Herzog).
c) The Bertelsmann Model - lump-sum contribution (adults: ~190 €, children: ~75 €),
- Employer‘s contribution is paid out
- Redistributive elements:
a) Political Debate is in a dead end: parties dedicated to „their“ model which mixes the two issues (membership and contributions)
b) 2004 Annual report of the „5 Sages“: „Citizen‘s Insurance“ compatible with lump-sum contributions
c) Possible grand coalition after 2006 makes compromise likely