Abstract:
BACKGROUND:To prevent the planet from catastrophic global warming a reduction of greenhouse gas emissions to net zero is required. Thus, divestment from fossil fuels must be a strategic interest for health insurers. The aim of this study was to analyse the implementation of environmental, social and governance (ESG) criteria in German private health insurers' investments. METHODS:In 2019 a survey about ESG strategies was sent to German private health insurance companies. The survey evaluated investment strategies and thresholds for the exclusion of sectors and business practices, as well as company strategies for sustainable business development. FINDINGS:Given their business reports, German private health insurers manage assets of more than €350 billion. 11 of 40 insurance companies provided quantitative data, 10 refused to answer. According to quantitative data, €66 billion of assets is managed according to any ESG criteria; this equals an average of 76% of each company's bonds. None of these insurers excluded the production and sale of fossil fuels. All excluded coal mining but only at high thresholds. For €226 billion, no data were provided. INTERPRETATION:The findings are in contrast to the expected intrinsic economic interest of the insurers to stop global warming and improve public health. The majority of assets are managed in a highly problematic manner, especially the absence of capital allocated in fields contrary to medical ethics (eg, firearms, armour) cannot be presumed. Lack of transparency is a major problem that limits clients in choosing the insurer who has the most advanced ESG criteria.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Schneider F,Gogolewska J,Ahrend KM,Hohendorf G,Schneider G,Busse R,Schulz CMdoi
10.1136/medethics-2020-106381subject
Has Abstractpub_date
2020-10-13 00:00:00eissn
0306-6800issn
1473-4257pii
medethics-2020-106381pub_type
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journal_title:Journal of medical ethics
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pub_type: 历史文章,杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1136/medethics-2013-101480
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.27.1.12
更新日期:2001-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/medethics-2016-103511
更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 历史文章,杂志文章
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