Grundlage der (zahn-)medizinischen Versorgung in Deutschland ist die Zweiteilung in den Bereich der gesetzlich krankenversicherten und den der privat krankenversicherten Bürger. Für den Bereich der gesetzlichen Krankenversicherung war (ist?) der Leitgedanke, durch eine Zwangsmitgliedschaft denjenigen Zugang zu medizinischer Versorgung zu ermöglichen, die durch Beschäftigungsart und Höhe der Einkünfte eine solche Versorgung nicht eigenverantwortlich wirtschaftlich organisieren können ("Subsidiaritätsprinzip"). Der nicht gesetzlich Versicherte hat in eigener wirtschaftlicher Verantwortung inzwischen die Absicherung durch Abschluss einer Versicherung bei einem Unternehmen der PKV nachzuweisen. Ein erheblicher, durch den Schutz vor "moral hazard" begründeter, Einschnitt in die persönlichen Freiheitsrechte, damit niemand dem Staat zur Last fallen hddr.
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