Unsocial health policy from black and yellow

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Black and yellow health policy: costs will rise and benefits will fall - resistance is forming against Rösler's plans to introduce a flat rate per capita

The plans presented by Federal Health Minister Phillip Rösler in his first speech to the Bundestag to freeze the employer's share of the contribution to statutory health insurance to 14% and the announcement that employees will soon support their health insurance with a lump sum per head are outraged by all opposition parties, trade unionists and also bumped into doctors. At a nationwide action conference of the alliance “We don't pay for your crisis” from November 13-15, 2009 in the trade union building in Stuttgart, most of the participants agreed, according to the conference's online magazine “Telepolis”, that health policy should be the center of a new social Protestes could be.

The former deputy DGB chairwoman Ursula Engelen-Kefer also describes Rösler's announced measures in the taz of November 13, 2009 as the initiation of a "super GAU" for the welfare state. She explains that the implementation of the flat rate per capita in Switzerland has led to additional costs, reduced quality of health care and two-tier medicine.

According to the news magazine “NewsAdHoc”, the President of the Saxon Medical Association, Jan Schulze, has also criticized the introduction of the flat rate per capita. He said it "could become a financial, bureaucratic, and political nightmare."

In fact, according to the AOK Schleswig-Holstein, when implementing the flat rate per capita in the statutory health insurance, an employee household would be charged with a monthly cash contribution of at least 140 euros. For this head lump sum, 22 billion euros in government subsidies would be required. That means the state would add another 14.9 billion euros that it already pays to the health insurance companies.

Rösler blames the high non-wage labor costs for unemployment and said that he wanted to stimulate the labor market with his measures. But he seems to know that there will be an imbalance, because in the same breath he announces social compensation from the tax pot for people with low incomes. In addition, it is about the discount contracts. They are intended to save the health insurance companies and with them the insured millions of dollars. This is to change according to the will of the new federal government.

At the planned Head lump sum every legally insured person, i.e. every adult and spouse, should pay the same contribution. Sums between 170 and 260 euros per month are under discussion, with daily sickness benefits having to be insured separately and privately. Low-wage earners should receive a subsidy, but there is a great risk that certain benefits will have to be insured or paid for by the doctor. Low earners and Hartz IV recipients must then be satisfied with a "basic supply". The result would be a two-tier medicine. All-round care for those who can afford it and a very slimmed-down care for patients who have little income.

Black and yellow health policy sufferers will primarily be low-income families and pensioners. But the model also seems extremely questionable from a fiscal perspective. In addition, a decisive component is the dismantling of the welfare state and the resulting social unrest. (Alternative practitioner Thorsten Fischer, November 17th, 2009)

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