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Policy dilemmas in financing long-term care in Europe

Costa-Font, Joan and 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

Abstract

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: http://onlinelibrary.wiley.com/journal/10.1111/(IS...
Additional Information: © 2016 University of Durham and John Wiley & Sons, Ltd
Subjects: H Social Sciences > HJ Public Finance
H Social Sciences > HN Social history and conditions. Social problems. Social reform
Sets: Departments > European Institute
Departments > Social Policy
Research centres and groups > Centre for Economic Performance (CEP)
Research centres and groups > LSE Health and Social Care
Date Deposited: 20 Feb 2015 16:48
Last Modified: 23 Jun 2017 11:18
URI: http://eprints.lse.ac.uk/id/eprint/61032

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