tytuł:
|
Starzenie się człowieka i starzenie się populacji : podział odpowiedzialności za skutki finansowe w systemie opieki zdrowotnej |
wariant tytułu: |
The aging of human being and the aging of the population : the division of responsibility for the financial results in health care system
|
autor: |
Sowada Christoph
|
tytuł czasopisma:
|
Zeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarządzanie |
tom: |
9 |
numer:
|
1 |
data wydania
:
|
2011 |
strony:
|
86-100 |
ISSN: |
1731-7398
|
eISSN: |
2084-2627
|
DOI: |
10.4467/20842627OZ.11.006.0343
|
adres URL: |
http://www.ejournals.eu/Zdrowie-Publiczne-i-Zarzadzanie/2011/Tom-9-zeszyt-1/art/1448/
|
data dostępu: |
2019-11-22
|
uwagi:
|
Bibliogr. s. 97-100 |
język: |
polski |
język czasopisma:
|
polski |
abstrakt w j. angielskim: |
The adverse consequences of an aging society for the stability of health
care financing systems are superimposed on the natural inequality of
the distribution of health needs, and consequently, expenditure for
health services in the life cycle of man. How long, under such conditions,
will financial security systems based on the mechanism of PAYG
(pay as you go) be able to guarantee all of its citizens, including the
oldest ones, broad access to medical care? The debate brought about
by D. Callahan in 1987 on “age-based rationing of benefits” for many
years focused on trying to find ethical and economic rationale for limiting
the scope of benefits guaranteed to the oldest citizens (eg A. Willimas,
F. Breyer, D. Brock, N. Daniels, P. Dabrock). Age-based benefit
rationing from public funds, however, may soon become a reality if we
do not manage to break ties, within the public system, with the idea of
full socialization of the costs of old age at the expense of future generations.
Maintaining fundamental fairness towards the future generations
requires an equal sharing of the financial consequences of aging, and
this means taking on more responsibility of every individual for himself.
A good practice of substitute private health insurance in Germany is the
mandatory creation of individual financial reserves for old age which allows
avoiding an excessive rise of equivalent risk premium in old age.
Another solution for social health insurance might be reserves built by
each generation, or a general public reserve. The transition from the
purely PAYG system to a more capital one, however, will require the
construction of functional solutions for the transitional period in which
we have yet to build reserves and fund services for older generations
who have not yet built reserves for themselves. An apparent increase
of the country’s debt seems therefore inevitable, but also present older
generations must be held financially accountable through higher premiums
or payments for benefits. |
słowa kluczowe w j. polskim: |
starość, racjonowanie świadczeń, rezerwy na starość, wydatki zdrowotne, sprawiedliwość międzypokoleniowa |
słowa kluczowe w j. angielskim: |
old age, rationing of benefits, provisions for old age, health expenditure, intergenerational justice |
wydział: instytut / zakład / katedra: |
Wydział Nauk o Zdrowiu : Instytut Zdrowia Publicznego |
typ: |
artykuł w czasopiśmie |
podtyp: |
artykuł |
punktacja MEiN [2011 B]: 9