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The intergenerational impact of long-term care financing alternatives in Spain

Costa-i-Font, Joan ORCID: 0000-0001-7174-7919 and Patxot, Concepció (2004) The intergenerational impact of long-term care financing alternatives in Spain. Geneva Papers on Risk and Insurance: Issues and Practice, 29 (4). pp. 599-619. ISSN 1018-5895

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Identification Number: 10.1111/j.1468-0440.2004.00305.x


This paper examines the financial sustainability of long-term care funding options in Spain. We employ the generational accounting ("GA") methodology to evaluate the intertemporal impact of funding policies for long-term care services in the face of demographic change. Our findings suggest first that, although at present the system seems actuarially fair, the resources currently employed will be clearly insufficient to fund future needs, due to the demographic dependency of expenditures; second, that the specific tax instrument used to fund long-term care plays a less significant role. Conversely, the role of co-payment turns out to be key in offsetting the adverse effect of demography on the finances of the system.

Item Type: Article
Official URL:
Additional Information: © 2004 Palgrave Macmillan
Divisions: LSE Health
Subjects: H Social Sciences > H Social Sciences (General)
Date Deposited: 18 Aug 2008 08:58
Last Modified: 12 Nov 2023 22:21

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