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Reforming Long-term Care Funding Arrangements in England: International Lessons


  • Jose-Luis Fernandez
  • Julien Forder


Ever since the failed 1999 Royal Commission, England has been attempting to reform its long-term care funding system. More than a decade later, significant changes to the means tested arrangements are yet to be introduced, whilst the pressure to achieve long-term reform mounts linked to increases in public expenditure and ever growing demand for better services. This paper examines the pros and cons of alternative options for reforming the English long-term care funding arrangements by examining the rationale for and consequences of the recent long-term care developments in Germany, Japan and France. In particular, the paper examines the implications of the reform options adopted in the different countries examined for equity and efficiency in the use of long-term care resources and for the sustainability of the long-term care system as a whole. Copyright 2012, Oxford University Press.

Suggested Citation

  • Jose-Luis Fernandez & Julien Forder, 2012. "Reforming Long-term Care Funding Arrangements in England: International Lessons," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 34(2), pages 346-362.
  • Handle: RePEc:oup:apecpp:v:34:y:2012:i:2:p:346-362

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    1. -, 2013. "Social Panorama of Latin America 2012," Panorama Social de América Latina, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 1248 edited by Eclac, December.
    2. Wildman, John & McMeekin, Peter, 2014. "Health care and social care: complements, substitutes and attributes," MPRA Paper 54425, University Library of Munich, Germany.

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