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Labor supply effects of long‐term care reform in Germany

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  • Johannes Geyer
  • Thorben Korfhage

Abstract

Many informal caregivers are of working age, facing the double burden of providing care and working. Negative labor supply effects can severely reduce the comparative cost advantage of informal over formal care arrangements. When designing long‐term care (LTC) policies, it is crucial to understand the effects not only on health outcomes but also on labor supply behavior of informal caregivers. We evaluate labor supply reactions to the introduction of the German long‐term care insurance in 1995 using a difference‐in‐differences approach. The long‐term care insurance changes the caregivers' trade‐off between labor supply and care provision. The aim of the reform was to strengthen informal care arrangements. We find a strong negative labor supply effect for men but not for women. We argue that the LTC benefits increased incentives for older men to leave the labor market. The results reveal a trade‐off for policy makers that is important for future reforms—in particular for countries that mainly base their LTC system on informal care.

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  • Johannes Geyer & Thorben Korfhage, 2018. "Labor supply effects of long‐term care reform in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 27(9), pages 1328-1339, September.
    • Handle: RePEc:wly:hlthec:v:27:y:2018:i:9:p:1328-1339
    DOI: 10.1002/hec.3663
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    3. Annekatrin Schrenker, 2022. "Do Women Expect Wage Cuts for Part-time Work?," Discussion Papers of DIW Berlin 2024, DIW Berlin, German Institute for Economic Research.
    4. Thomas Rapp & Jérôme Ronchetti & Jonathan Sicsic, 2021. "Are long-term care jobs harmful? Evidence from Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(5), pages 749-771, July.
    5. Karmann, Alexander & Sugawara, Shinya, 2022. "Comparing the German and Japanese nursing home sectors: Implications of demographic and policy differences," CEPIE Working Papers 02/22, Technische Universität Dresden, Center of Public and International Economics (CEPIE).
    6. Schrenker, Annekatrin, 2023. "Do women expect wage cuts for part-time work?," Labour Economics, Elsevier, vol. 80(C).
    7. Ando Michihito & Furuichi Masato & Kaneko Yoshihiro, 2021. "Does universal long-term care insurance boost female labor force participation? Macro-level evidence," IZA Journal of Labor Policy, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 11(1), pages 1-50, May.

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