Abstract This paper integrates into public economics a biologically founded, stochastic process of individual aging. The novel approach enables us to quantitatively characterize the optimal joint design of health and retirement policy behind the veil of ignorance for today and in response to future medical progress. Calibrating our model to Germany, our analysis suggests that the current social insurance policy instruments are set close to the (constrained) socially optimal levels, given proportional contribution rates for health and pension finance, the equivalence principle in the pension system, and a common statutory retirement age. Future progress in medical technology calls for a potentially drastic increase in health spending and a higher retirement age without lowering the pension contribution rate. Interestingly, from an ex ante point of view, medical progress and higher health spending are in conflict with the goal to reduce health inequality.

中文翻译：

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最佳社会保险与健康不平等

摘要本文将个体衰老的生物学基础的随机过程整合到公共经济学中。这种新颖的方法使我们能够定量地描述当今无知之幕和对未来医学进步的反应背后的健康和退休政策的最佳联合设计。将我们的模型校准至德国后，我们的分析表明，当前的社会保险政策工具的设定接近（受约束的）社会最优水平，同时要考虑到健康和养老金的缴费比例，养老金制度中的对等原则以及共同的法定条件。退休年龄。医疗技术的未来进步要求在不降低养老金缴费率的情况下，医疗支出可能大幅增加，退休年龄更高。有趣的是，