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Health policy and marketization: introduction.

Document Cited in Related
AuthorBockmann, Roman
PositionEssay

The German health care system is undergoing a process of fundamental change in its regulatory structures. Hitherto, in spite of the variety of control over health care policy in Germany, corporatist forms of regulation have been particularly important. These corporatist structures have recently attracted a hail of criticism, being justifiably blamed for many lapses in quality and a good deal of inefficiency in the provision of medical care. Since the early 1990s elements of market regulation have incrementally gained in importance. Competition between statutory health insurance funds has been established by the introduction of free choice of sickness funds for the insured. Moreover, in recent years demands are growing louder for the competition between these funds to be complemented by competition between the health care providers. Essentially, the idea is to take the collective contracts between statutory health...

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