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Fair Long-Term Care Insurance

Author

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  • Marie-Louise Leroux
  • Pierre Pestieau
  • Grégory Ponthière

Abstract

The study of optimal long-term care (LTC) social insurance is generally carried out under the utilitarian social criterion, which penalizes individuals who have a lower capacity to convert resources into well-being, such as dependent elderly individuals or prematurely dead individuals. This paper revisits the design of optimal LTC insurance while adopting the ex post egalitarian social criterion, which gives priority to the worst-o¤ in realized terms (i.e. once the state of nature has been revealed). Using a lifecycle model with risk about the duration of life and risk about old-age dependence, it is shown that the optimal LTC social insurance is quite sensitive to the postulated social criterion. The optimal second-best social insurance under the ex post egalitarian criterion involves, in comparison to utilitarianism, higher LTC benefits, lower pension benefits, a higher tax rate on savings, as well as a lower tax rate on labor earnings.

Suggested Citation

  • Marie-Louise Leroux & Pierre Pestieau & Grégory Ponthière, 2019. "Fair Long-Term Care Insurance," CIRANO Working Papers 2019s-23, CIRANO.
  • Handle: RePEc:cir:cirwor:2019s-23
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    File URL: https://cirano.qc.ca/files/publications/2019s-23.pdf
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    References listed on IDEAS

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    1. Martin Boyer & Philippe De Donder & Claude Fluet & Marie-Louise Leroux & Pierre-Carl Michaud, 2017. "Long-Term Care Insurance: Knowledge Barriers, Risk Perception and Adverse Selection," NBER Working Papers 23918, National Bureau of Economic Research, Inc.
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    3. Marie-Louise Leroux & Gregory Ponthiere, 2018. "Working time regulation, unequal lifetimes and fairness," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 51(3), pages 437-464, October.
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    6. Fleurbaey, Marc & Ponthiere, Gregory, 2013. "Prevention against equality?," Journal of Public Economics, Elsevier, vol. 103(C), pages 68-84.
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    9. Marc Fleurbaey & Marie‐Louise Leroux & Pierre Pestieau & Gregory Ponthiere, 2016. "Fair Retirement Under Risky Lifetime," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 57, pages 177-210, February.
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    Cited by:

    1. Philippe De Donder & Marie-Louise Leroux, 2019. "Long Term Care Insurance with State-Dependent Preferences," CESifo Working Paper Series 8017, CESifo.

    More about this item

    Keywords

    Long-Term Care; Social Insurance; Fairness; Mortality; Compensation; Egalitarianism;

    JEL classification:

    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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