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Long-term care: the state, the market and the family

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  • PESTIEAU, Pierre
  • SATO, Motohiro

Abstract

In this paper we study the optimal design of a long term care policy in a setting that includes three types of care to dependent parents: public nursing homes, financial assistance by children and assistance in time by children. The instruments are public nursing homes and subsidies to aiding children, both financed by a flat tax on earnings. The only source of heterogeneity is children's productivity. Parents can influence their children by leaving them gifts before they know whether or not they will need long term care, yet knowing the productivity of the children. We show that the quality of nursing homes and the level of tax-transfer depend on their effect on gifts, the distribution of wages and the various inequalities in consumption. We also consider the possibility of private insurance.

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File URL: http://dx.doi.org/10.1111/j.1468-0335.2007.00660.x
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Bibliographic Info

Paper provided by Université catholique de Louvain, Center for Operations Research and Econometrics (CORE) in its series CORE Discussion Papers RP with number -2150.

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Handle: RePEc:cor:louvrp:-2150

Note: In : Economica, 75, 435-454, 2008
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References

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  1. Frank A. Sloan & Jingshu Wang & Harold H. Zhang, 2002. "Upstream Intergenerational Transfers," Southern Economic Journal, Southern Economic Association, vol. 69(2), pages 363-380, October.
  2. Alain Jousten & Barbara Lipszyc & Maurice Marchand & Pierre Pestieau, 2005. "Long-term Care Insurance and Optimal Taxation for Altruistic Children," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, Mohr Siebeck, Tübingen, vol. 61(1), pages 1-, March.
  3. CREMER, Helmuth & PESTIEAU, Pierre, . "Non-linear taxation of bequests, equal sharing rules and the tradeoff between intra- and inter-family inequalities," CORE Discussion Papers RP, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE) -1495, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  4. Sloan, Frank A. & Thomas J. Hoerger & Gabriel Picone, 1996. "Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions," Working Papers, Duke University, Department of Economics 96-01, Duke University, Department of Economics.
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Citations

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Cited by:
  1. Haizhen Mou & Stanley L. Winer, 2012. "Fiscal Incidence when both Individual Welfare and Family Structure Matter: The Case of Subsidization of Home-Care for the Elderly," CESifo Working Paper Series 3731, CESifo Group Munich.
  2. CREMER, Helmuth & PESTIEAU, Pierre & PONTHIERE, Grégory, . "The economics of long-term care: a survey," CORE Discussion Papers RP, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE) -2466, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  3. Cremer, Helmuth & Roeder, Kerstin, 2013. "Long-term care policy, myopia and redistribution," Munich Reprints in Economics, University of Munich, Department of Economics 20065, University of Munich, Department of Economics.
  4. Marie-Louise Leroux & Grégory Ponthière, 2013. "Optimal prevention when coexistence matters," Journal of Population Economics, Springer, Springer, vol. 26(3), pages 1095-1127, July.
  5. CANTA, Chiara & PESTIEAU, Pierre, 2012. "Long term care insurance and family norms," CORE Discussion Papers, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE) 2012017, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  6. Helmuth Cremer & Pierre Pestieau, 2011. "Social Long Term Care Insurance and Redistribution," CESifo Working Paper Series 3452, CESifo Group Munich.
  7. Kuhn, Michael & Nuscheler, Robert, 2011. "Optimal public provision of nursing homes and the role of information," Journal of Health Economics, Elsevier, Elsevier, vol. 30(4), pages 795-810, July.
  8. Rinaldo Brau & Matteo Lippi Bruni & Anna Maria Pinna, 2010. "Public versus private demand for covering long-term care expenditures," Applied Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 42(28), pages 3651-3668.
  9. Axel Gautier, 2007. "Providing Long-term Care without Crowding-out Family Support and Private Insurance," CREPP Working Papers 0708, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
  10. repec:hal:wpaper:halshs-00622385 is not listed on IDEAS
  11. repec:hal:wpaper:halshs-00575059 is not listed on IDEAS
  12. Ponthiere Gregory, 2012. "Long Term Care, Altruism and Socialization," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 13(2), pages 1-47, November.

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