Impact of Demographic Trends on Sustainability of Healthcare Financing in the Czech Republic

The paper deals with the revenues and expenditures of Czech health system related to selected groups of state insured persons (pensioners and children) and maps the trends in healthcare system solidarity (i.e. in the transfer of expenditures on working people). The solidarity grew continuously in the monitored period (with the exception of some years, when the assessment base increased). The difference between revenues and expenditures grew during the years 2000 and 2017 in an annual average of 6.7%. It was found out (based on calculations with different annual growth rates of assessment base in the period 2018 to 2029), that for the same annual growth of difference (6.7%) while maintaining demographic conditions and predicted expenditure growth, it is necessary to increase the assessment base about the value from the interval between 6 % and 7.5 % (exactly 6.5 %) yearly.