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This book offers a unique; evidence-based overview of the significance and development of personal responsibility in the German healthcare system – an essential work for experts; practitioners and people interested in politics. In addition to clear analyses of historical and current reforms; it addresses central questions on the effectiveness and acceptance of personal responsibility as an instrument of control. The author evaluates legal texts and large population surveys; analyses media reports and compares the preferences of various stakeholders; ranging from insured persons to service providers. The book provides practical guidance; highlights opportu-nities and limits and makes recommendations for the future design of the healthcare system.

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