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Private financing of long-term care: income, savings and reverse mortgages

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  • Carole Bonnet
  • Sandrine Juin
  • Anne Laferrère

Abstract

To what extent would older Europeans be able to pay for their long-term care needs, out of their income and assets, if they had no access to informal care or public insurance? To answer this question, we build a microsimulation model and estimate the disability trajectories of those currently aged 65 or older in nine European countries using the Survey of Health, Ageing and Retirement in Europe. We focus on the potential role of reverse mortgages in home equity liquidation. According to the simulations, 57% of people 65 and over will experience disability. Conditional on need, care will be required for 4.4 years on average. Of those with no partner, 6% of dependent individuals could pay for their long-term care out of their income alone, 22% if they used all their savings except their home. The proportion would double to 49% if they took out reverse mortgages on their main residence. However, one-quarter would be able to finance less than 10% of their long-term care expenses.

Suggested Citation

  • Carole Bonnet & Sandrine Juin & Anne Laferrère, 2019. "Private financing of long-term care: income, savings and reverse mortgages," Working Papers 14, French Institute for Demographic Studies.
    • Handle: RePEc:idg:wpaper:awqmwb5mxmqcvuzmm_sd
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    1. Benítez-Silva, Hugo & Eren, Selçuk & Heiland, Frank & Jiménez-Martín, Sergi, 2015. "How well do individuals predict the selling prices of their homes?," Journal of Housing Economics, Elsevier, vol. 29(C), pages 12-25.
    2. Wu, Stephen, 2001. "Adapting to heart conditions: a test of the hedonic treadmill," Journal of Health Economics, Elsevier, vol. 20(4), pages 495-507, July.
    3. Roméo Fontaine & Manuel Plisson & Nina Zerrar, 2014. "Dans quelle mesure les préférences individuelles contraignent‑elles le développement du marché de l’assurance dépendance ?," Économie et Statistique, Programme National Persée, vol. 474(1), pages 35-68.
    4. Venti, Steven F. & Wise, David A., 1991. "Aging and the income value of housing wealth," Journal of Public Economics, Elsevier, vol. 44(3), pages 371-397, April.
    5. Les Mayhew & Martin Karlsson & Ben Rickayzen, 2010. "The Role of Private Finance in Paying for Long Term Care," Economic Journal, Royal Economic Society, vol. 120(548), pages 478-504, November.
    6. Carin van der Cruijsen & David-Jan Jansen & Maarten van Rooij, 2014. "The rose-colored glasses of homeowners," DNB Working Papers 421, Netherlands Central Bank, Research Department.
    7. Arjen Hussem & Casper Ewijk & Harry Rele & Albert Wong, 2016. "The Ability to Pay for Long-Term Care in the Netherlands: A Life-cycle Perspective," De Economist, Springer, vol. 164(2), pages 209-234, June.
    8. Steven F. Venti & David A. Wise, 2004. "Aging and Housing Equity: Another Look," NBER Chapters, in: Perspectives on the Economics of Aging, pages 127-180, National Bureau of Economic Research, Inc.
    9. Jan Rouwendal & Fleur Thomese, 2013. "Homeownership and Long-Term Care," Housing Studies, Taylor & Francis Journals, vol. 28(5), pages 746-763, July.
    10. Hui Shan, 2011. "Reversing the Trend: The Recent Expansion of the Reverse Mortgage Market," Real Estate Economics, American Real Estate and Urban Economics Association, vol. 39(4), pages 743-768, December.
    11. Oswald, Andrew J. & Powdthavee, Nattavudh, 2008. "Does happiness adapt? A longitudinal study of disability with implications for economists and judges," Journal of Public Economics, Elsevier, vol. 92(5-6), pages 1061-1077, June.
    12. Rachel Ong, 2008. "Unlocking Housing Equity Through Reverse Mortgages: The Case of Elderly Homeowners in Australia," European Journal of Housing Policy, Taylor and Francis Journals, vol. 8(1), pages 61-79.
    13. Bernheim, B Douglas & Shleifer, Andrei & Summers, Lawrence H, 1986. "The Strategic Bequest Motive," Journal of Labor Economics, University of Chicago Press, vol. 4(3), pages 151-182, July.
    14. Forder, Julien & Fernández, José-Luis, 2009. "Analysing the costs and benefits of social care funding arrangements in England: technical report," LSE Research Online Documents on Economics 24977, London School of Economics and Political Science, LSE Library.
    15. Norma B. Coe & Courtney Harold Van Houtven, 2009. "Caring for mom and neglecting yourself? The health effects of caring for an elderly parent," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 991-1010, September.
    16. Rachel Ong, 2008. "Unlocking Housing Equity Through Reverse Mortgages: The Case of Elderly Homeowners in Australia," European Journal of Housing Policy, Taylor and Francis Journals, vol. 8(1), pages 61-79.
    17. Todd Sinai & Nicholas S. Souleles, 2007. "Net Worth and Housing Equity in Retirement," NBER Working Papers 13693, National Bureau of Economic Research, Inc.
    18. Albrecht, Gary L. & Devlieger, Patrick J., 1999. "The disability paradox: high quality of life against all odds," Social Science & Medicine, Elsevier, vol. 48(8), pages 977-988, April.
    19. Rickayzen, B.D. & Walsh, D.E.P., 2002. "A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly," British Actuarial Journal, Cambridge University Press, vol. 8(2), pages 341-393, June.
    20. Rik Dillingh & Henriette Prast & Mariacristina Rossi & Cesira Urzì Brancati, 2013. "The psychology and economics of reverse mortgage attitudes: evidence from the Netherlands," CeRP Working Papers 135, Center for Research on Pensions and Welfare Policies, Turin (Italy).
    21. Fornero, Elsa & Rossi, Mariacristina & Urzí Brancati, Maria Cesira, 2016. "Explaining why, right or wrong, (Italian) households do not like reverse mortgages," Journal of Pension Economics and Finance, Cambridge University Press, vol. 15(2), pages 180-202, April.
    22. Leora Friedberg & Wenliang Hao & Wei Sun & Anthony Webb & Zhenyu Li, 2014. "New Evidence on the Risk of Requiring Long-Term Care," Working Papers, Center for Retirement Research at Boston College wp2014-12, Center for Retirement Research.
    23. Arjen Hussem & Casper Ewijk & Harry Rele & Albert Wong, 2016. "The Ability to Pay for Long-Term Care in the Netherlands: A Life-cycle Perspective," De Economist, Springer, vol. 164(2), pages 209-234, June.
    24. Ludovico Carrino & Cristina Elisa Orso, 2014. "Eligibility and inclusiveness of Long-Term Care Institutional frameworks in Europe: a cross-country comparison," Working Papers 2014:28, Department of Economics, University of Venice "Ca' Foscari".
    25. Mackenbach, Johan P., 2012. "The persistence of health inequalities in modern welfare states: The explanation of a paradox," Social Science & Medicine, Elsevier, vol. 75(4), pages 761-769.
    26. Tim Muir, 2017. "Measuring social protection for long-term care," OECD Health Working Papers 93, OECD Publishing.
    27. Roméo Fontaine & Nina Zerrar, 2013. "Comment expliquer la faible disposition des individus à se couvrir face au risque dépendance," Post-Print halshs-01232230, HAL.
    28. Barbara Stucki, 2006. "Using Reverse Mortgages to Manage the Financial Risk of Long-Term Care," North American Actuarial Journal, Taylor & Francis Journals, vol. 10(4), pages 90-102.
    29. Vincenzo Atella & Federico Belotti & Ludovico Carrino & Andrea Piano Mortari, 2017. "The future of Long Term Care in Europe. An investigation using a dynamic microsimulation model," CEIS Research Paper 405, Tor Vergata University, CEIS, revised 08 May 2017.
    30. Joan Costa-Font & Christophe Courbage (ed.), 2012. "Financing Long-Term Care in Europe," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-34919-3, December.
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    Cited by:

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    2. Koon Shing Kwong & Jing Rong Goh & Ting Lin Collin Chua, 2024. "Enhancing Sell-Type Home Reversion Products for Retirement Financing," Risks, MDPI, vol. 12(2), pages 1-13, January.

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    More about this item

    Keywords

    long-term care; housing; reverse mortgage; microsimulation; INEGALITE SOCIALE / SOCIAL INEQUALITY; VIEILLISSEMENT / AGEING; DEPENDANCE / DEPENDENCY; COMPARAISON INTERNATIONALE / INTERNATIONAL COMPARISON; INCAPACITE / DISABILITY; FINANCEMENT / FINANCING; EUROPE / EUROPE; MICROSIMULATION / MICROSIMULATION; LOGEMENT / HOUSING; PROPRIETE / OWNERSHIP;
    All these keywords.

    JEL classification:

    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • D14 - Microeconomics - - Household Behavior - - - Household Saving; Personal Finance
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • C53 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Forecasting and Prediction Models; Simulation Methods

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