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Long-term care policy, myopia and redistribution

Listed author(s):
  • Cremer, Helmuth
  • Roeder, Kerstin

This paper examines whether myopia (misperception of the old age dependency risk) and private insurance market loading costs can justify public long-term care (LTC) provision and/or the subsidization of private insurance. Individuals differ in dependency risk, productivity and degree of risk misperception. The former two are positively correlated (because of the longevity factor) and social insurance tends to be regressive. A first-best solution requires subsidization of private insurance and/or public provision of the appropriate level of LTC. The support for these instruments is less strong in a second-best setting, as there may be a conflict between the correction for myopia and redistribution. Public LTC provision is never optimal when private insurance markets are fair (irrespective of the proportion of myopic individuals and their degree of misperception). Under loading costs, the solution may require a combination of private and public insurance or even rely solely on public provision.

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File URL: http://www.sciencedirect.com/science/article/pii/S0047272713001746
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Article provided by Elsevier in its journal Journal of Public Economics.

Volume (Year): 108 (2013)
Issue (Month): C ()
Pages: 33-43

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Handle: RePEc:eee:pubeco:v:108:y:2013:i:c:p:33-43
DOI: 10.1016/j.jpubeco.2013.09.004
Contact details of provider: Web page: http://www.elsevier.com/locate/inca/505578

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  1. Helmuth Cremer & Pierre Pestieau, 2011. "Social Long Term Care Insurance and Redistribution," CESifo Working Paper Series 3452, CESifo Group Munich.
  2. CREMER, Helmuth & PESTIEAU, Pierre, 1995. "Redistributive Taxation and Social Insurance," CORE Discussion Papers 1995054, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  3. JOUSTEN, Alain & LIPSZYC, Barbara & MARCHAND, Maurice & PESTIEAU, Pierre, 2003. "Long-term care in insurance and optimal taxation for altruistic children," CORE Discussion Papers 2003063, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  4. Amy Finkelstein & Kathleen McGarry, 2006. "Multiple Dimensions of Private Information: Evidence from the Long-Term Care Insurance Market," American Economic Review, American Economic Association, vol. 96(4), pages 938-958, September.
  5. Helmuth Cremer & Philippe De Donder & Dario Maldonado & Pierre Pestieau, 2009. "Forced saving, redistribution and non linear social security scheme," Post-Print halshs-00754346, HAL.
  6. Jean-Charles Rochet, 1991. "Incentives, Redistribution and Social Insurance," The Geneva Risk and Insurance Review, Palgrave Macmillan;International Association for the Study of Insurance Economics (The Geneva Association), vol. 16(2), pages 143-165, December.
  7. Sandroni, Alvaro & Squintani, Francesco, 2007. "Overconfidence, Insurance and Paternalism," Economics Discussion Papers 8914, University of Essex, Department of Economics.
  8. Pierre Pestieau & Gregory Ponthiere, 2012. "The Public Economics of Increasing Longevity," Hacienda Pública Española, IEF, vol. 200(1), pages 41-74, March.
  9. Nick Netzer & Florian Scheuer, 2010. "Competitive screening in insurance markets with endogenous wealth heterogeneity," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 44(2), pages 187-211, August.
  10. Johannes Spinnewijn, 2012. "Heterogeneity, Demand for Insurance and Adverse Selection," CEP Discussion Papers dp1142, Centre for Economic Performance, LSE.
  11. Jeffrey R. Brown & Amy Finkelstein, 2004. "The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market," NBER Working Papers 10989, National Bureau of Economic Research, Inc.
  12. Julian P. Cristia, 2009. "Rising Mortality and Life Expectancy Differentials by Lifetime Earnings in the United States," IDB Publications (Working Papers) 6756, Inter-American Development Bank.
  13. Pierre Pestieau & Motohiro Sato, 2008. "Long-Term Care: the State, the Market and the Family," Economica, London School of Economics and Political Science, vol. 75(299), pages 435-454, 08.
  14. 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, vol. 15(3), pages 201-219, December.
  15. Gerdtham, Ulf-G. & Johannesson, Magnus, 1999. "Income-Related Inequality in Life-Years and Quality-Adjusted Life-Years," SSE/EFI Working Paper Series in Economics and Finance 334, Stockholm School of Economics.
  16. W. Kip Viscusi, 1994. "Mortality Effects of Regulatory Costs and Policy Evaluation Criteria," RAND Journal of Economics, The RAND Corporation, vol. 25(1), pages 94-109, Spring.
  17. Brown, Jeffrey R. & Finkelstein, Amy, 2007. "Why is the market for long-term care insurance so small?," Journal of Public Economics, Elsevier, vol. 91(10), pages 1967-1991, November.
  18. JOUSTEN, Alain & LIPSZYC, Barbara & MARCHAND, Maurice & PESTIEAU, Pierre, "undated". "Long-term care insurance and optimal taxation for altruistic children," CORE Discussion Papers RP 1753, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  19. Cremer, Helmuth & Gahvari, Firouz & Ladoux, Norbert, 1998. "Externalities and optimal taxation," Journal of Public Economics, Elsevier, vol. 70(3), pages 343-364, December.
  20. PESTIEAU, Pierre & PONTHIERE, Grégory, 2010. "Long term care insurance puzzle," CORE Discussion Papers 2010023, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  21. Spinnewijn, Johannes, 2012. "Heterogeneity, Demand for Insurance and Adverse Selection," CEPR Discussion Papers 8833, C.E.P.R. Discussion Papers.
  22. Tian Zhou-Richter & Mark J. Browne & Helmut Gründl, 2010. "Don't They Care? Or, Are They Just Unaware? Risk Perception and the Demand for Long-Term Care Insurance," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 77(4), pages 715-747.
  23. Pauly, Mark V, 1990. "The Rational Nonpurchase of Long-term-Care Insurance," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 153-168, February.
  24. Jacobs, Bas, 2011. "The Marginal Cost of Public Funds is One," Working Paper Series, Center for Fiscal Studies 2011:7, Uppsala University, Department of Economics.
  25. repec:esx:essedp:643 is not listed on IDEAS
  26. repec:adr:anecst:y:2006:i:83-84:p:06 is not listed on IDEAS
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