An aging population, more obese and more mentally ill:Karen Millen Dresses
A comprehensive study by the Robert Koch Institute, highlights the risks in the German health care system. The health economist Jürgen Wasem is explained in the interview, what to policyholders
SPIEGEL ONLINE: A new study by the Robert Koch Institute, shows that chronic diseases have increased dramatically since 1988. More and more German are extremely overweight, diabetes and mental illness increase. What does this mean for our health care system?
Wasem: In Germany, two things come together: we have an aging population, resulting in significantly increased costs - for example by more heart disease. The Robert Koch Institute has now shown that even within age groups are more diseases: obesity,Karen Millen diabetes and depression.
SPIEGEL ONLINE: And that will drive costs up.
Wasem: Yes. But this is true under the condition that nothing changes. The policy has been trying for 30 years to slow the escalating costs of health care system. In 1976, the former health minister has warned Heiner Geissler,Karen Millen Dresses the cost of health care would rise in 2020 to 100 percent of economic output - if things continue going as between 1970 and 1975. In fact, there was an increase, but by then six percent to ten percent of today's gross domestic product.
SPIEGEL ONLINE: The funds currently have billions of surpluses, many have abolished their additional contributions again. However, in view of the risks that you mentioned, an aging population and more chronic diseases: Do expect the insured with higher premiums?
Wasem: Absolutely. Health is more expensive. We will not come because in the years to come it. About the extent is debatable. Even beyond the question of what to bring preventions. I'm rather skeptical. Because much of what is done is preventative,Karen Millen Dress though good for the quality of life of people, but only shifts the cost to the rear end of his life. Money is not saved by it.
SPIEGEL ONLINE: What do you make special contributions to high risk groups? In private health insurance, there are the so-called by the health checks. Provocatively asked: Should obese people pay more?
Wasem: I would never accept our society. Therefore, the welfare state idea is just too strong. The private health insurance can get away with this because people can go to the emergency in the law. In addition, one must consider the risks are not so one-dimensional: Not everyone who is overweight, gets automatically diabetes or heart disease. He only has a significantly higher risk. This is true even for smokers. The risk of getting lung cancer is eight times larger than in nonsmokers. Still gets the majority of smokers do not lung cancer.