navigavo tra le pagg. dell'economist e mi sono imbattuto in questo
art. sulla sanità in Germania. Gli stessi identici problemi italiani
Da noi il cuneo fiscale e come reperire i fondi e lì la stessa cosa
con i fondi per la sanità ...
ho 'ridotto' l'articolo
.
Reforming medical provision is tough in any rich country. But as is often the case, Germany presents particular problems. True to European form, its health-care system is a mostly public affair, with statutory insurers financed by contributions calculated as a percentage of gross salaries (currently 14.6%, shared by workers and employers). However, if your earnings top a certain threshold—now €47,250 ($57,000) a year—you can opt for a private insurance plan. For the policymakers, these private providers, which attract people who are prosperous and relatively good health risks, complicate the picture—and they employ rafts of lobbyists.
To compound the challenge, health care is an issue where ideology tends to prevail over pragmatism. Politicians of various stripes have tried to hone their moral credentials by claiming to have found a panacea for a problem that in reality has no easy remedy: how to stop contributions becoming an ever-increasing burden on labour as health-care costs continue to rise. Ahead of last year's federal elections, Christian Democrats wanted to decouple contributions from salaries by introducing a flat-rate premium. Calling such a poll tax socially unjust, Social Democrats suggested keeping a link to pay, while including other types of income, with a levy on capital gains and interest payments.
And then, of course, there are fundamental problems, to do with money, or the lack of it: Germany is obliged under the European Union's stability pact to bring its overall public deficit below the ceiling of 3% of GDP by 2007. Even without any structural reform, a hole of between €6 billion and €10 billion must be plugged to keep contributions stable next year.
Lowering them by using tax money to pay premiums for children, as the Christian Democrats propose, would cost another €15 billion; and that would probably mean more tax hikes, beyond the rise in VAT, from 16% to 19%, planned for 2007.
art. sulla sanità in Germania. Gli stessi identici problemi italiani
Da noi il cuneo fiscale e come reperire i fondi e lì la stessa cosa
con i fondi per la sanità ...
ho 'ridotto' l'articolo
.
Reforming medical provision is tough in any rich country. But as is often the case, Germany presents particular problems. True to European form, its health-care system is a mostly public affair, with statutory insurers financed by contributions calculated as a percentage of gross salaries (currently 14.6%, shared by workers and employers). However, if your earnings top a certain threshold—now €47,250 ($57,000) a year—you can opt for a private insurance plan. For the policymakers, these private providers, which attract people who are prosperous and relatively good health risks, complicate the picture—and they employ rafts of lobbyists.
To compound the challenge, health care is an issue where ideology tends to prevail over pragmatism. Politicians of various stripes have tried to hone their moral credentials by claiming to have found a panacea for a problem that in reality has no easy remedy: how to stop contributions becoming an ever-increasing burden on labour as health-care costs continue to rise. Ahead of last year's federal elections, Christian Democrats wanted to decouple contributions from salaries by introducing a flat-rate premium. Calling such a poll tax socially unjust, Social Democrats suggested keeping a link to pay, while including other types of income, with a levy on capital gains and interest payments.
And then, of course, there are fundamental problems, to do with money, or the lack of it: Germany is obliged under the European Union's stability pact to bring its overall public deficit below the ceiling of 3% of GDP by 2007. Even without any structural reform, a hole of between €6 billion and €10 billion must be plugged to keep contributions stable next year.
Lowering them by using tax money to pay premiums for children, as the Christian Democrats propose, would cost another €15 billion; and that would probably mean more tax hikes, beyond the rise in VAT, from 16% to 19%, planned for 2007.