Free Choice of Sickness Funds: Economic Implications and Ethical Aspects of the 1992 Health Care Reform in Germany
Journal of Medicine and Philosophy. 1995 Dec; 20(6): 657-667.
To properly comply with the Health Sector Act of 1992 a functioning competition should be introduced in the interests of the insured of the German Statutory Health Insurance, while still maintaining the principle of solidarity. This is a critical order-political aim, because the principles of solidarity and self-responsibility as typically understood are functionally in contradiction. This paper analyzes the important measures of the Organizational Reform and concludes, that the principle of self-responsibility ought to obtain priority. Therefore, the German legislature ought to focus on further competitively oriented reform steps.
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Theurl, Engelbert (1999)The health care systems in Austria, Germany and Switzerland owe their institutional structure to different historical developments. While Austria and Germany voted for the Bismarck- Model of social health insurance, ...