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KMID : 0613620090290020186
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Health Social Welfare Review
2009 Volume.29 No. 2 p.186 ~ p.212
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Reforms of the German Public Health Insurance during the Last Twenty Years and Their Lessons for the Korean National Health
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Lee Yong-Gab
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Abstract
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Recent issues surrounding the reform of Korean National Health Insurance (NHI) include the introduction of a multi-insurers system with competition and efficiency, the limitation of the NHI in basic health security for the activation of private health insurance. But, the reforms of German Public Health Insurance during the last 20 years, especially the Reform 2007, provide definitely different lessons for the recent discussions of NHI reform in Korea. The major contents of the Reform 2007 are the coercion of public/private health insurance entry, extension of the state subsidy for the public health insurance, the state’s direct management of the Health Insurance Funds that is comprised of state subsidies and contributions, the redistribution of the financial resources to Sickness Funds through the Health Insurance Funds.
This study is to review the reforms of the German Public Health Insurance from the perspective of strengthening state’s role and responsibility. The major lessons of the German reforms are not only in the strengthening of the state’s role and responsibility for the public health insurance, but also in sharing financial burdens between all stake-holders of the public health insurance, maintenance of the fundamental functions and structure of the public health insurance through reforms.
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KEYWORD
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reform of the German Public Health Insurance, Health Insurance Funds, strengthening the state’s role and responsibility
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