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Policy dilemmas in financing long-term care in Europe

Costa-Font, Joan ORCID: 0000-0001-7174-7919, Courbage, Christophe and Zweifel, Peter (2017) Policy dilemmas in financing long-term care in Europe. Global Policy, 8 (S2). pp. 38-45. ISSN 1758-5880

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Identification Number: 10.1111/1758-5899.12213


Long-term care (LTC) is the largest insurable risk facing the elderly in most western societies. Paradoxically, institutional responses to the need to insure ex-ante (before the contingency occurs) the financial risks of needing LTC (by means of social and private insurance and self-insurance) exhibit limited development. In contrast, mechanisms to finance LTC ex-post continue to develop, primarily those supported by the public sector (by means of subsidies or tax deductions) and the family (by means of intergenerational transfers). Both ex-ante and ex-post types of financing mechanisms are found to be subject to shortcomings which give rise to dilemmas for public policy. Governments confront these dilemmas in different ways, causing a great deal of heterogeneity in the financing and provision of LTC services across Europe.

Item Type: Article
Official URL:
Additional Information: © 2016 University of Durham and John Wiley & Sons, Ltd
Divisions: European Institute
Social Policy
Centre for Economic Performance
Subjects: H Social Sciences > HJ Public Finance
H Social Sciences > HN Social history and conditions. Social problems. Social reform
Date Deposited: 20 Feb 2015 16:48
Last Modified: 15 Apr 2024 05:36

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