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La disponibilità a pagare per la copertura del rischio di non autosufficienza: analisi econometrica e valutazioni di policy

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  • R. Brau

    ()

  • G. Fiorentini
  • M. Lippi Bruni
  • AM. Pinna

    ()

Abstract

In response to the increasing demand for elderly care, Italy has experienced an intense debate on what should be the most appropriate way to extend coverage for long-term care (LTC). This paper bridges a gap into existing literature by analysing household preferences for LTC coverage in light of an ad hoc survey. We present evidence on household stated willingness to pay (WTP) both for tax financed and private LTC insurance schemes. The distribution of WTP across different socio-economic groups provides insights on the political sustainability of the different institutional solutions. Moreover, estimates of the determinants of demand highlights the importance of income levels and opinion indicators in turning consumer preferences either to public or private schemes. We interpret the different patterns of WTP as evidence of the influence of the redistributive effects inherent to public insurance.

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Bibliographic Info

Paper provided by Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia in its series Working Paper CRENoS with number 200305.

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Date of creation: 2003
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Handle: RePEc:cns:cnscwp:200305

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Keywords: health insurance; long term care; willingness to pay;

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References

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  1. Green, Donald & Jacowitz, Karen E. & Kahneman, Daniel & McFadden, Daniel, 1998. "Referendum contingent valuation, anchoring, and willingness to pay for public goods," Resource and Energy Economics, Elsevier, Elsevier, vol. 20(2), pages 85-116, June.
  2. Steven Stern, 1995. "Estimating Family Long-Term Care Decisions in the Presence of Endogenous Child Characteristics," Journal of Human Resources, University of Wisconsin Press, vol. 30(3), pages 551-580.
  3. Jennifer Stewart & Eamon O'Shea & Cam Donaldson & Phil Shackley, 2000. "Do Ordering Effects Matter in Willingness-to-pay Studies of Health Care?," Working Papers, National University of Ireland Galway, Department of Economics 0046, National University of Ireland Galway, Department of Economics, revised 2000.
  4. Sloan, Frank A & Norton, Edward C, 1997. "Adverse Selection, Bequests, Crowding Out, and Private Demand for Insurance: Evidence from the Long-Term Care Insurance Market," Journal of Risk and Uncertainty, Springer, Springer, vol. 15(3), pages 201-19, December.
  5. Propper, Carol, 1993. "Constrained choice sets in the U.K. demand for private medical insurance," Journal of Public Economics, Elsevier, Elsevier, vol. 51(3), pages 287-307, July.
  6. Eckerlund, Ingemar & Johannesson, Magnus & Johansson, Per-Olov & Tambour, Magnus & Zethraeus, Niklas, 1995. "Value for money? A contingent valuation study of the optimal size of the Swedish health care budget," Health Policy, Elsevier, Elsevier, vol. 34(2), pages 135-143, November.
  7. Besley, Timothy & Hall, John & Preston, Ian, 1999. "The demand for private health insurance: do waiting lists matter?," Journal of Public Economics, Elsevier, Elsevier, vol. 72(2), pages 155-181, May.
  8. Johannesson, Magnus & Johansson, Per-Olov & Söderqvist, Tore, 1997. "Time Spent on Waiting Lists for Medical Care: An Insurance Approach," Working Paper Series in Economics and Finance, Stockholm School of Economics 192, Stockholm School of Economics.
  9. Mellor, Jennifer M., 2001. "Long-term care and nursing home coverage: are adult children substitutes for insurance policies?," Journal of Health Economics, Elsevier, Elsevier, vol. 20(4), pages 527-547, July.
  10. Shackley, Phil & Donaldson, Cam, 2002. "Should we use willingness to pay to elicit community preferences for health care?: New evidence from using a 'marginal' approach," Journal of Health Economics, Elsevier, Elsevier, vol. 21(6), pages 971-991, November.
  11. Getzen, Thomas E., 2000. "Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures," Journal of Health Economics, Elsevier, Elsevier, vol. 19(2), pages 259-270, March.
  12. Beltrametti Luca, 1998. "L'assistenza ai non autosufficienti: alcuni elementi per il dibattito," Politica economica, Società editrice il Mulino, Società editrice il Mulino, issue 1, pages 155-186.
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Cited by:
  1. O. Carboni & G. Medda, 2007. "Government Size and the Composition of Public Spending in a Neoclassical Growth Model," Working Paper CRENoS 200701, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
  2. Lippi Bruni Matteo & Ugolini Cristina, 2006. "Assistenza a domicilio e assistenza residenziale: politiche di intervento e analisi empirica," Rivista italiana degli economisti, Società editrice il Mulino, issue 2, pages 241-268.
  3. G. Marletto, 2006. "La politica dei trasporti come politica per l’innovazione: spunti da un approccio evolutivo," Working Paper CRENoS 200605, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.

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