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Vorarlberg
Vorarlberg is the westernmost state (Land) of Austria. Though it is the second smallest in terms of area (Vienna is the smallest), it borders three countries: • Germany (Bavaria) • Switz...
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Tyrol, or Tirol, is a historical region in Western Central Europe, which includes the Austrian state of Tyrol (consisting of North Tyrol and East Tyrol) and the Italian region known as Trentino-Alto A...
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Styria (German: Steiermark; Slovenian: Štajerska) is a state or Land, located in the southeast of Austria. In area, it is the second largest of the nine Austrian states, covering 16,388 km²...
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Salzburg (Austro-Bavarian: Såizburg) is the fourth-largest city in Austria and the capital of the federal state of Salzburg. Salzburg's "Old Town" with its world famous baroque archite...
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Upper Austria (German: Oberösterreich) is one of the nine states or Bundesländer of Austria. Its capital is Linz. Upper Austria borders on Germany and the Czech Republic, as well as on the o...
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Lower Austria (German: Niederösterreich) is one of the nine states or Bundesländer in Austria. The capital of Lower Austria (since 1986) is Sankt Pölten — the most recent capital ...
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Carinthia (German: Kärnten) is the southernmost Austrian state or Land; it is chiefly famous for its mountains and lakes. It consists mostly of a basin inside the Alps, with the Carnian Alps an...
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Burgenland (Croatian Gradišće, Slovenian Gradiščansko, Hungarian Várvidék, Őrvidék or Felsőőrvidék) is the easternmost and least popu...
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Vienna State            AT-9 (ISO) Capitol         Vienna Governor    Michae...
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Public Health in Austria Print E-mail
Article Index
Public Health in Austria
Introduction of Social Security
Health Care Reform
Health Care Services
Health Care Structural Planning
Pharmaceuticals and Pharmacies
Preventive Health Measures
Specific Statutory Legislation
Professions in the Public Health Services
Social Security Services, costs and financing
Social health insurance
Private health insurance
Hospital costs and financing
Patients' Rights
Conclusions


The introduction of Social Insurance

In 1887/1888, the industrial accident and health insurance scheme for workers was introduced following the model of Bismarck’s social policy programme. The scheme would become the foundation of today’s social security system. These measures were first considered as early as 1882 and led to a new, previously unknown path being taken in Austrian legislation: the introduction of statutory mandatory insurance.

Social health insurance provided for free medical treatment, medicines and appropriate sick pay, while work accident insurance provided for injured persons’ and survivors’ benefits. Workers themselves funded two thirds of the costs of the system (mandatory insurance), while the other third was financed by employers. The social and health insurance scheme was administered by self-governing bodies and did not receive any government subsidies. In 1889, a law on miners’ associations was adopted which established health insurance and pension insurance schemes for workers in the mining industry. This law also fulfilled the demand for the separate management of the financial accounting of the two insurance branches. A further measures ensured that members were allowed to have their shares of the reserves of the previous fund transferred to the new fund when moving from own miners’ associations to another one.

One of the reasons for the introduction and the necessity of social insurance was the poor state of health of conscripts and the social situation of wage earners. The 1887 Workers’ Accident Insurance Act created for the first time a statutory insurance institution. This insurance institution was structured territorially and was run by a board of management under state supervision. In the same year, the Workers’ Health Insurance Act of 30 March 1888 was proclaimed. The organization of health insurance funds was in accordance with German law until the end of the First World War.

In the second half of the 19th century, private white-collar workers (private officials) - owing to the increasing number of large companies with bureaucratic organizations - started to constitute a separate social group. In two petitions to the Imperial Parliament, the introduction of mandatory pension, invalidity and surviving dependant’s was demanded and in 1906 the Act regarding Pension Insurance for Private White-collar Workers and some Public Employees received the Emperor’s official approval. It did not include either a payment guarantee on the part of the state or government subsidies. Notable aspects of this law are the principles of mandatory insurance and unlimited independent registration. Those liable for mandatory insurance were divided into six salary groups and contributions were paid as fixed premiums of varying amounts according to the salary groups. In the lower four salary groups, the liability to pay contributions was divided between employer and employee in a ratio of two thirds to one third; in groups 5 and 6 it was halved.

In 1918 there were a total of more than 600 health, pension and work accident insurance institutions in the territory of modern Austria alone. Hundreds of these were health insurance funds or blue-collar workers, white-collar workers in agriculture, commerce and trade, etc. This fragmentation was also reflected in a range of umbrella organizations which were organized according to professions, regions or other criteria. In comparison to today’s organizations, they only assumed a small number of common tasks.

 
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