The Long-Term Costs of Public Long-Term Care Insurance in Germany. Some Guesstimates

Schmähl, Winfried; Rothgang, Heinz

doi:10.1007/978-1-4615-4096-0_11

Cited by 31 publications

(7 citation statements)

References 3 publications

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“…To the extent that social insurance provides financial support for formal services, substitution again is likely to be triggered, causing children to curtail their provision of services. However, this effect usually lies far in the future at the time of marriage, and the likelihood of LTC is still low [although increasing, see Strüwe (1996), Schmähl and Rothgang (1996)], causing them to be second-order. ineffective.…”

Section: Social Security Benefits and Number Of Childrenmentioning

confidence: 99%

Life-cycle effects of social security in an open economy: A theoretical and empirical survey

Zweifel

Eugster

2008

ZVersWiss

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Conventional wisdom views demographic change as a set of exogenous shocks impinging on social security, with the economy treated as a closed system. This contribution argues that demographics is nothing but the aggregate of individual decisions, which are influenced by social security. This claim is supported by both theoretical argument and empirical evidence with regard to decisions over the life cycle, ranging from educational effort, marriage, number of children, divorce, retirement, and effort to extend one's life.Distinguishing the effects of contributions and benefits of social security, these feedback relationships are shown to in the main hamper employment and growth, thus undermining the financial viability of today's social security schemes, with increasing openness of the economy ('globalization') exacerbating problems. KURZDARSTELLUNG

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Section: Social Security Benefits and Number Of Childrenmentioning

confidence: 99%

Life-cycle effects of social security in an open economy: A theoretical and empirical survey

Zweifel

Eugster

2008

ZVersWiss

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“…S'agissant du mode de couverture, une simulation des dépenses à consacrer à l'allocation dépendance pour les personnes vivant à domicile a logiquement mis en avant la forte sensibilité du taux de couverture, et donc du montant des dépenses, au seuil d'incapacité donnant accès à l'allocation, à l'éventuel plafond de ressources et au montant minimum et maximum des prestations (Bonastre, 1997). De leur côté, les simulations réalisées en Allemagne à partir de la loi votée en 1994 (Schmähl et Rothgang 1996), mettent surtout en évidence l'impact quantitativement déterminant des modes d'indexation des prestations en liaison avec la dynamique macroéconomique et l'évolution des prix relatifs des services d'aide. Dans tous les cas, on le voit, comme pour toutes les projections des prestations sociales à long terme, il faut se méfier de tout déterminisme démographique puisque les modes de prise en charge, et les comportements qu'ils induisent en réponse, pèseront lourd quant au montant des dépenses à long terme.…”

Section: Chaque Variable a Trois Modalitésunclassified

La réforme de la protection sociale du risque dépendance

Lechevalier¹,

Ullmo²

2001

Revue De l'OFCE

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La prise en charge de la dépendance est un exemple particulièrement significatif des problèmes, anciens et nouveaux, qui se posent à notre système de protection sociale et, plus généralement, à la politique sociale conduite dans notre pays. Après avoir montré que la situation actuelle et les perspectives de la dépendance et de l'action publique en la matière dépendent d'évolutions démographiques et sanitaires incertaines, mais aussi et surtout d'un système d'offre et de financement sur lequel il est souhaitable d'agir, on décrit le dispositif actuel, provisoire, et, en attente d'une réforme annoncée, de la prestation spécifique dépendance (PSD) et l'on établit le bilan négatif de cette expérience. Le projet de réforme qui a été annoncé en mars 2001 par le gouvernement remédie aux insuffisances et aux dysfonctionnements les plus marquants de la PSD. Mais se situant dans la continuation-certes amendée-des dispositifs actuels, il laisse ouvertes un certain nombre de questions de fond qui sont ici analysées.

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“…As a policy for the elderly public long-term care insurance (LTCI) has been operational in Germany since 1995. LTCI was adopted as the fifth social insurance system in Germany (Schmähl and Rothgang 1996). The main goal of LTCI is to improve conditions for home care ( §3 SGB XI) because aged people with care needs traditionally were cared for by family members in their homes (Scharf 2001).…”

Section: Introductionmentioning

confidence: 99%

After the launch of long-term care insurance in Germany: analyzing the transition of LTCI from 1999 to 2005 by state

Sato

2009

J Public Health

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Aims This study focuses on the public long-term care insurance (LTCI) program in Germany, considers the progress of LTCI in view of economic indicators from the 16 inland states (Länder in Germany) from 1999 to 2005, shows transitions by each state, and describes the latest problems concerning the LTCI program. Methods A principal component analysis was conducted using 21 variables related to LTCI. Results Four interpretable significant principal components were found. Component I clearly demonstrated a relationship between individual economic strength and care. It is labeled economics for care. Component II is associated with the availability of home care services. It is labeled tendency to use home care services. Component III is related to the use of nursing homes. It is labeled tendency to use nursing homes. Component IV showed a relationship between aging and needing care. It is labeled aging and needing care. The economics for care component showed the highest scores for Baden-Württemberg and lowest scores for Mecklenburg-Vorpommern. The tendency to use home care services component showed Hamburg demonstrating the highest scores and Bayern the lowest scores. The tendency to use nursing homes component showed Schleswig-Holstein with the highest scores and Bremen with the lowest scores. The aging and needing care showed Schleswig-Holstein and Berlin with the highest scores and Sachsen with the lowest scores.Conclusions LTCI in Germany tended to become popular according to regional needs. The tendency of benefits for each region came to be recognized as fitting each local lifestyle, economic strength, size of population, and so on. City states appeared to use home care services. Other states seemed to prefer care at nursing homes to care at home. Furthermore, people seemed to prefer using professional home care services to using care allowances at home year by year. Finally, this study suggested that the number of people needing care tended to decrease even though aging progressed.

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The Long-Term Costs of Public Long-Term Care Insurance in Germany. Some Guesstimates

Cited by 31 publications

References 3 publications

Life-cycle effects of social security in an open economy: A theoretical and empirical survey

Life-cycle effects of social security in an open economy: A theoretical and empirical survey

La réforme de la protection sociale du risque dépendance

After the launch of long-term care insurance in Germany: analyzing the transition of LTCI from 1999 to 2005 by state

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