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Social security and subsidiarity

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  • Bea Cantillon
  • Pierre Pestieau
  • Erik SZchokkaert

Abstract

In this paper we deal with the design of three social insurance schemes (old age social security, health insurance an child benefits) in a federal setting such as the Belgian one. We argue that these three programs need to be reformed to be more efficient and more equitable. In none of these cases regional decentralization would be the most important element of the reform. Yet, in all three cases, some inefficiencies can be removed by a careful design of the relative competencies of the regions and the federal state. An open discussion over these issues is urgently needed to avoid a stalemate in which the necessary reforms are blocked.

Suggested Citation

  • Bea Cantillon & Pierre Pestieau & Erik SZchokkaert, 2009. "Social security and subsidiarity," CREPP Working Papers 0904, Centre de Recherche en Economie Publique et de la Population (CREPP) (Research Center on Public and Population Economics) HEC-Management School, University of Liège.
    • Handle: RePEc:rpp:wpaper:0904
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    File URL: http://www2.ulg.ac.be/crepp/papers/crepp-wp200904.pdf
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    References listed on IDEAS

    as
    1. van de Ven, Wynand P.M.M. & Beck, Konstantin & Van de Voorde, Carine & Wasem, Jurgen & Zmora, Irit, 2007. "Risk adjustment and risk selection in Europe: 6 years later," Health Policy, Elsevier, vol. 83(2-3), pages 162-179, October.
    2. van de Ven, Wynand P. M. M. & Beck, Konstantin & Buchner, Florian & Chernichovsky, Dov & Gardiol, Lucien & Holly, Alberto & Lamers, Leida M. & Schokkaert, Erik & Shmueli, Amir & Spycher, Stephan & Van, 2003. "Risk adjustment and risk selection on the sickness fund insurance market in five European countries," Health Policy, Elsevier, vol. 65(1), pages 75-98, July.
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