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Facts and Findings

More "Net from Gross"

by Felicitas Schikora

Relief through an allowance in statutory health insurance

In light of demographic changes that inevitably increase pressure on our social security system, an unstoppable rise in social insurance contributions looms unless decisively counteracted with reforms. Especially low-income households, which already bear a disproportionately high financial burden relative to their income, are under this strain. Consequently, there is a need for targeted relief for these households directly within the framework of social insurances, rather than through tax deductions. An allowance in statutory health insurance could significantly reduce the burden for employees subject to social insurance. To keep the costs of the reform manageable, it seems sensible to grant allowances only to a precisely defined target group.

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Demographic change is increasing pressure on the social security system, leading to rising social insurance contributions without reforms. This particularly burdens low-income households, which already have to make high contributions in relative terms.

Since tax reliefs primarily benefit the middle class, low-income households should be relieved within the framework of social security contributions. According to model calculations, a general allowance leads to a significant reduction in the contribution burden.

However, such a measure is costly and could potentially have a counterproductive effect in the long term due to lower payments into the statutory pension insurance. A more promising approach is an allowance on contributions to statutory health insurance, as the financial burden is relatively high, but the principle of equivalence is not violated. To keep the costs of an allowance manageable, it seems sensible to grant allowances only to a targeted, clearly defined group.

Read the Analyses & Arguments: "More 'Net from Gross' – Relief through an Allowance in Statutory Health Insurance" here as a PDF.

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Adobe Stock / Fokussiert
November 8, 2023
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