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Long-Term Care Insurance With Family Altruism: Theory and Empirics

Author

Listed:
  • Klimaviciute, Justina
  • Pestieau, Pierre

    (Université catholique de Louvain, LIDAM/CORE, Belgium)

  • Schoenmaeckers, Jérôme

Abstract

This article studies long-term care (LTC) insurance in the presence of family altruism. We first explore whether family solidarity affects the application of Arrow’s (1963) deductible theorem, shown to apply in models without family in earlier work. We find that Arrow’s theorem generally holds, but departures from the standard model exist. Our analysis highlights complex interplay between parents’ insurance and children’s aid, implying that some intuitive conjectures are not always verified. For instance, while one expects deductible to increase with children’s altruism, this is unambiguously confirmed only under certain conditions. We then study empirically the relation between LTC insurance and children’s altruism using data from “Health and Retirement Study” (HRS).

Suggested Citation

  • Klimaviciute, Justina & Pestieau, Pierre & Schoenmaeckers, Jérôme, 2021. "Long-Term Care Insurance With Family Altruism: Theory and Empirics," LIDAM Reprints CORE 3159, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    • Handle: RePEc:cor:louvrp:3159
    DOI: https://doi.org/10.1111/jori.12284
    Note: In: The Journal of Risk and Insurance, 2020, vol. 87(4), p. 895–918
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    Cited by:

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    2. Junhao Liu & Anita Mukherjee, 2021. "Medicaid and long‐term care: The effects of penalizing strategic asset transfers," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 88(1), pages 53-77, March.
    3. Xiaoyu Wang & Wenze Tian & Guohui Zhan & Yiming He, 2025. "The Impact of Long-Term Care Insurance on Intergenerational Interaction Behavior Change in China," Journal of Family and Economic Issues, Springer, vol. 46(2), pages 613-631, June.
    4. Chiara Canta & Pierre Pestieau & Jérôme Schoenmaeckers, 2024. "Blood and gender bias in informal care within the family," Review of Economics of the Household, Springer, vol. 22(2), pages 595-631, June.
    5. Justina Klimaviciute & Pierre Pestieau, 2023. "The economics of long‐term care. An overview," Journal of Economic Surveys, Wiley Blackwell, vol. 37(4), pages 1192-1213, September.
    6. Chi, Yichun & Zhuang, Sheng Chao, 2022. "Regret-based optimal insurance design," Insurance: Mathematics and Economics, Elsevier, vol. 102(C), pages 22-41.

    More about this item

    JEL classification:

    • D64 - Microeconomics - - Welfare Economics - - - Altruism; Philanthropy; Intergenerational Transfers
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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