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IW-Trends No. 1 25. March 2015 Susanna Kochskämper / Jochen Pimpertz What Redistribution Effects are Covered by the Solidarity Principle in the Statutory Health Insurance System?
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What Redistribution Effects are Covered by the Solidarity Principle in the Statutory Health Insurance System?
IW-Trends No. 1 25. March 2015 Susanna Kochskämper / Jochen Pimpertz

What Redistribution Effects are Covered by the Solidarity Principle in the Statutory Health Insurance System?

IW-Trends

Susanna Kochskämper / Jochen Pimpertz German Economic Institute (IW) German Economic Institute (IW)

Demographic transformation is taking to absurd lengths the risk equalisation between young and old incorporated into Germany’s statutory health insurance system. Despite increasing average expenditure on benefits, the solidarity principle is being upheld for a cross-section of the insured in any given period. In the long term, however, each succeeding cohort is having to bear a heavier burden. A similar situation applies to the risk equalisation between the productive and the less productive insured. To ensure that inter- and intragenerational solidarity is maintained as well, it is essential that the pay-as-you-go system is combined with an appropriate form of capital funding.

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What Redistribution Effects are Covered by the Solidarity Principle in the Statutory Health Insurance System?
IW-Trends No. 1 25. March 2015 Susanna Kochskämper / Jochen Pimpertz

Susanna Kochskämper / Jochen Pimpertz: Welche Umverteilungseffekte deckt das Solidaritätsprinzip in der GKV ab?

IW-Trends

Susanna Kochskämper / Jochen Pimpertz German Economic Institute (IW) German Economic Institute (IW)

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Älterer Mann arbeitet in seinem Fahrradladen.
IW-Report No. 29 19. June 2026 Ruth Maria Schüler / Stefanie Seele

Abolition of the Additional Earnings Limit

The ageing population in Germany is increasing pressure on the social insurance systems and will (in the future) exacerbate the shortage of skilled labour.

Ruth Maria Schüler / Stefanie Seele IW

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IW-Trends No. 2 19. May 2026 Jochen Pimpertz / Maximilian Stockhausen

The Reform of Old-Age Pension Systems in Germany

Concerns about the risk of poverty in old age have prompted a multitude of reform proposals, most of which aim to introduce additional redistributive elements into Germany’s statutory pension scheme.

Jochen Pimpertz / Maximilian Stockhausen IW

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