Some observations on greater competition in the West German health‐insurance system from a US perspective
- 1 September 1986
- journal article
- Published by Wiley in Managerial and Decision Economics
- Vol. 7 (3) , 151-161
- https://doi.org/10.1002/mde.4090070303
Abstract
This article argues that greater competition could result in improved performance and greater efficiency in the West German health‐care system, much as more extensive competition has reduced the growth rate in the United States. Two special impediments to greater competition are discussed: (1) geographical limits in size of sickness funds which limit economies of scale, and (2) the tax‐like financing of individual sickness funds which may actually offer incentives to increase health‐care costs and which violates the most generally accepted principle of tax equity, that of horizontal equity.Keywords
This publication has 4 references indexed in Scilit:
- Report from Germany: Current Conditions and Controversies in the Health Care SystemJournal of Health Politics, Policy and Law, 1983
- Some Interim Results from a Controlled Trial of Cost Sharing in Health InsuranceNew England Journal of Medicine, 1981
- Ausgabenexplosion im Gesundheitssektor:Published by JSTOR ,1981
- The Theory of Local Public GoodsPublished by Springer Nature ,1977