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Policy options for a public long-term care system in Spain: a microsimulation model

Author

Listed:
  • David Casado Marín

    (Universitat Pompeu Fabra)

Abstract

To date, both in Spain as well as in the other Southern European countries, the care for dependent elderly people has been implicitly considered as a problem of a private nature to be solved by the family. Nevertheless, following the passing of the new Dependency Act, the foundations have been laid for the creation in Spain of a public longterm care system with universal coverage. In that context, through the development of a microsimulation model, the main objective of the article is to assess alternative policy designs that consider higher levels of coverage than those in place prior to the Dependency Act.

Suggested Citation

  • David Casado Marín, 2008. "Policy options for a public long-term care system in Spain: a microsimulation model," Hacienda Pública Española / Review of Public Economics, IEF, vol. 186(3), pages 61-90, October.
    • Handle: RePEc:hpe:journl:y:2008:v:186:i:3:p:61-90
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    References listed on IDEAS

    as
    1. Jeffrey R. Brown & Amy Finkelstein, 2004. "Supply or Demand: Why is the Market for Long-Term Care Insurance So Small?," NBER Working Papers 10782, National Bureau of Economic Research, Inc.
    2. Mark B. Stewart, 1983. "On Least Squares Estimation when the Dependent Variable is Grouped," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 50(4), pages 737-753.
    3. Abasolo, Ignacio & Tsuchiya, Aki, 2004. "Exploring social welfare functions and violation of monotonicity: an example from inequalities in health," Journal of Health Economics, Elsevier, vol. 23(2), pages 313-329, March.
    4. Jimeno, Juan F. & Rojas, Juan A. & Puente, Sergio, 2008. "Modelling the impact of aging on social security expenditures," Economic Modelling, Elsevier, vol. 25(2), pages 201-224, March.
    5. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    6. Jeffrey R. Brown & Amy Finkelstein, 2007. "Why Is the Market or Long-term Care Insurance So Small?," NBER Chapters, in: Public Policy and Retirement, Trans-Atlantic Public Economics Seminar (TAPES), pages 1967-1991, National Bureau of Economic Research, Inc.
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    More about this item

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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