The demographic ageing process and the associated shortage of the labour force potential place considerable financial burdens on social systems. The current positive economic development cannot stop this trend in the medium and long term. Especially in the period 2020-2035/40, socio-demographic developments will have massive fiscal consequences. Against this background, social security systems have been reformed several times in recent years.
The reform process in the statutory pension insurance system (GRV) has sustainably strengthened the financial stability of the system. In the three-pillar system of old-age provision, the necessary benefit redemptions must be compensated for through company and private provision. Retirement income and earned income are closely related. Due to volatile employment biographies and low participation rates in subsidised old-age provision, the prevention of poverty in old-age represents a central challenge for the next generation of pensioners.
In the statutory health insurance system (GKV) and the social long-term care insurance system (SPV), on the other hand, there is a need for reform. Despite the health fund and the nursing reorientation law, the fiscal situation in the GKV and SPV has not improved sustainably. The health sector must place much more emphasis on the quality of service provision than on "more" services. To what extent the "system" is an obstacle remains unanswered. We calculate the financial requirements and develop financing systems that ensure high-quality care in both the health and care sectors.