Rationalisierung und Rationierung im Gesundheitswesen aus ethischer Perspektive

Demographic ageing and technological progress leads to rising health care costs. Under the assumption that the solidarity-based financing of the German Statutory Health Insurance System will reach its limits, the authors discuss how and on which level questions about rationing should be answered. From an ethical point of view, rationing should be based on general and consistent rules at the governance level rather than on case by case decisions by healthcare providers. Moreover, transparency is inevitable to maintain the relationship of trust between physicians and patients and to improve the patient’s wellbeing.     

Subsidiarity in the European Union

Against the backdrop of the highly controversial debate on the future competences of the different European institutions, the principle of subsidiarity, a fundamental principle of European Union law, has recently met with renewed interest. The contributions to this Forum discuss a number of pertinent issues.

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*A longer version of this article is to be found in H. Tomann (ed.): Die Rolle der europ?ischen Institutionen in der Wirtschaftspolitik, Baden-Baden 2006, Nomos, pp. 59-76.     

Smart Homes as a Means to Sustainable Energy Consumption: A Study of Consumer Perceptions

European and national policies are aimed at reducing greenhouse gases and increasing energy efficiency—also in the household sector. For this purpose, new solutions for private homes based on information and communication technologies (ICT) are being developed and tested. However, up to now, hardly anyone has seen, experienced or lived in an environment that offers the full range of ICT-based energy management solutions. In this study, consumer reactions to a fully furnished and equipped smart home are analysed using focus groups (four groups with a total of 29 participants). The analysis looks at consumer perceptions of and reactions to an energy management system which optimizes electricity consumption based on different ICT solutions. The topics that were demonstrated in practice and then discussed with the participants included variable tariffs, smart metering, smart appliances, and home automation. In general, there were positive group reactions to the smart home environment. Consumers saw many advantages for themselves; especially the chance to save money. However, giving up high levels of flexibility and adapting everyday routines to fit in with electricity tariffs were regarded as difficult. Smart appliances and smart meters were therefore considered to be necessary elements by most participants. Concerns regarding data privacy played a major role in one of the groups.     

The Law of One Price—A Case Study

We use retail transaction prices for a multinational retailer to examine the extent and permanence of violations of the law of one price. For identical products, we find typical deviations of 20–50 percent, with some evidence for convergence over time. Such differences might be due to differences in local costs. If so, relative prices of similar products (round versus square mirrors) should be equal across countries. In fact, relative prices vary significantly across very similar goods within a product group. The finding suggests that differences in local distribution costs, local taxes, and probably tariffs do not explain the price pattern, leaving strategic pricing or other factors resulting in varying markups as alternative explanations.
JEL classification : F 41; L 11     

Do Lower Caseloads Improve the Performance of Public Employment Services? New Evidence from German Employment Offices

The caseworker‐to‐clients ratio is an important, but understudied, policy parameter that affects both the quality and cost of public employment services that help job seekers find employment. We exploit a large‐scale pilot by Germany's employment agency, which hired 490 additional caseworkers in 14 of its 779 offices. We find that lowering caseloads caused a decrease in the rate and duration of local unemployment as well as a higher re‐employment rate. Disentangling the mechanisms that contributed to this improvement, we find that offices with lowered caseloads increased monitoring and imposed more sanctions but also intensified search efforts and registered additional vacancies.     

New Technologies for Customer Rating: Integration of Knowledge-Based Systems and Human Judgement

Avoiding incorrect credit decisions and minimizing the required effort are crucial factors for the economic success of a bank. A basic task of credit granting is a correct valuation of a customer's annual account. CUBUS was designed to give general valuation and a first global impression of a company quickly. It also draws the user's attention to the most critical items of the balance sheet. In addition, detailed analysis and valuations of each annual account item is provided. CUBUS goals which have been achieved include increasing decision quality, improving the know-how level of the staff, improving communication among different departments and finally defining and establishing generally accepted guidelines and norms. The system allows very flexible human-computer cooperation. It works as a competent assistant which provides the following functions: autonomous valuations, reactive assistance, active consulting, interactive problem solving, tutoring and supervising. When SBC's (Swiss Bank Corporation) general management decided that all commercial customers had to be rated, an application had to be developed to make CUBUS judgements available to all credit specialists within the existing mainframe database environment. The integration of mainframe databases and transactions, knowledge-based systems running on workstations, and the judgement of human users raised the challenging question of what general principles have to be applied when such diverse components have to be combined in the most efficient way.     

Forward-Looking Tail Risk Exposures at U.S. Bank Holding Companies

This paper develops a simple method for quantifying banks’ exposures to large (negative) shocks in a forward-looking manner. The method is based on estimating banks’ share prices sensitivities to (market) put options and does not require the actual observation of tail risk events. We find that estimated (excess) tail risk exposures for U.S. Bank Holding Companies are negatively correlated with their share price beta, suggesting that banks which appear safer in normal periods are actually more crisis prone than their beta would suggest. We also study the determinants of banks’ tail risk exposures and find that their key drivers are uninsured deposits and non-traditional activities that leave assets on banks’ balance sheets.     

Tear down this wall: on the persistence of borders in trade

Abstract Why do borders still matter for economic activity? The reunification of Germany in 1990 provides a unique natural experiment for examining the effect of political borders on trade. With the fall of the Berlin Wall and the rapid formation of a political and economic union, strong and strictly enforced administrative barriers to trade between East Germany and West Germany were eliminated completely within a very short period of time. Remarkable persistence in intra‐German trade patterns along the former East‐West border suggests that border effects are neither statistical artefacts nor driven by administrative barriers to trade, but arise from economic fundamentals.