[Distributive justice in healthcare during times of change: a medical ethics perspective].

Authors

Urban Wiesing

Published in

Innere Medizin (Heidelberg, Germany). Jun 23, 2026. Epub Jun 23, 2026.

Abstract

This paper examines existing funding structures and options for cost savings in the healthcare sector from the perspective of fairness. Funding via wage-related contributions with an income ceiling is criticised since other forms of income are not taken into account and the wealthy are relatively spared. The separation of statutory and private health insurance creates inequalities. Three options for savings are examined: avoiding unnecessary measures, increasing the efficiency of effective services, and prioritisation based on need, benefit, and cost. The advantages of the first two options over prioritisation are outlined, as are the respective responsibilities.

PMID:
42334614
Bibliographic data and abstract were imported from PubMed on 23 Jun 2026.

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