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Demography and social health insurance; an international comparison using generational accounting.


Demography and social health insurance; an international comparison using generational accounting.

Hagist, Christian.



244 pages



Beitrage zum gesundheitsmanagement; v.19


The aging of populations poses a double challenge to public health care systems due to the reduced revenues from the smaller working age population and the greater expenditures required by an older population. This study presents a demographic model for understanding the aging process and determining which generations bear the fiscal burdens, "generational accounting," and apply it to analysis of Austria, France, Germany, Switzerland, the UK, and the US. For each country the framework is applied twice, once looking only at demographic development and once taking the fiscal consequences of medical-technical progress into account as well. Additionally, the fiscal consequences of social health insurance schemes are discussed on the basis of several indicators. Distributed in the US by ISBS.

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Publication:SciTech Book News
Article Type:Book review
Date:Sep 1, 2008
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