Yannick Pots
Free University Brussels | Belgium
Title: New fair global intra-generational solidarity & tax model creating sustainable health services & health care
Biography
Biography: Yannick Pots
Abstract
Background: Financing health care is expensive and unsustainable. Based on OECD data1 we could calculate that the 65-109yrs group is responsible for 78.66% on pharmaceutical expenditures. According to present inter-generational solidarity system this has to be paid by the 22-64 yrs generation.
Aim : The study is to describe a new transformational leadership towards sustainable and high-performing health care management and health economics, where economic and personal values are aligned. A fine-tuned balance has to be created between shareholders’ right(s) on material financial value added (VA) maximization, and/resp. optimization of multi-stakeholders’ right(s) on immaterial health-related (HR) quality of life-, functional ability-, intrinsic capacity-, resp. HR life years gained-VA’s.
Methods and results: Increased investments in prevention of health & well-being (he&wb) should create a decrease in health care costs. We calculated that the group 65-109yrs, users of ca80% on pharmaceutical expenditures, possess non-current asset(s) of ca80% and they should be taxed by a real estate tax on their non-current assets to support health expenditures of the same generation. According to the Pareto-principle [80/20-rule], smoking, alcohol, sugar, and meat should to be taxed by an excise tax of ca80%. Fruit and vegetables should to be de-taxed to 0.0%. The he&wb taxes should directly finance a he&wb institution, while he&wb funds should be redistributed as investment in prevention.
Conclusions & Significance: A new fair and global revolutionary "intra-generational" solidarity & tax model will create equity and sustainable health care and consequently will guarantee harmonious relations among generations.