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Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions

Author

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  • Sloan, Frank A.
  • Thomas J. Hoerger
  • Gabriel Picone

Abstract

This study investigates the effects of Medicaid and strategic behavior on (1) the probability of entering a nursing home, (2) amounts of formal and informal care provided elderly persons in the community, and (3) asset accumulation. We find that Medicaid subsidies increase the probabilyt of entry into the nursing home and use of formal care of elderly who remain in the community. However, Medicaid subsidies have not "crowded out" informal care provided by relatives and friends of the elderly. Nor has Medicaid reduced wealth accumulation by the elderly. Overall, we find little empirical support for the hypothesis that caregiving by children is motivated by the prospect of receiving bequests from their parents.

Suggested Citation

  • Sloan, Frank A. & Thomas J. Hoerger & Gabriel Picone, 1996. "Effects of Strategic Behavior and Public Subsidies on Families' Savings and Long-Term Care Decisions," Working Papers 96-01, Duke University, Department of Economics.
  • Handle: RePEc:duk:dukeec:96-01
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    Citations

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    Cited by:

    1. Mohamed Jellal & François-Charles Wolff, 2003. "Solidarités familiales par la démonstration," Revue économique, Presses de Sciences-Po, vol. 54(4), pages 785-810.
    2. Iwamoto, Yasushi & Kohara, Miki & Saito, Makoto, 2010. "On the consumption insurance effects of long-term care insurance in Japan: Evidence from micro-level household data," Journal of the Japanese and International Economies, Elsevier, vol. 24(1), pages 99-115, March.
    3. Wolff, Francois-Charles, 2006. "Microeconomic models of family transfers," Handbook on the Economics of Giving, Reciprocity and Altruism, Elsevier.
    4. Pestieau, Pierre & Ponthiere, Gregory, 2016. "The public economics of long term care," CEPR Discussion Papers 11365, C.E.P.R. Discussion Papers.
    5. Ariizumi, Hideki, 2008. "Effect of public long-term care insurance on consumption, medical care demand, and welfare," Journal of Health Economics, Elsevier, vol. 27(6), pages 1423-1435, December.
    6. Pierre Pestieau & Motohiro Sato, 2008. "Long-Term Care: the State, the Market and the Family," Economica, London School of Economics and Political Science, vol. 75(299), pages 435-454, August.
    7. Roméo Fontaine & Agnès Gramain & Jérôme Wittwer, 2007. "Les configurations d'aide familiales mobilisées autour des personnes âgées dépendantes en Europe," Post-Print hal-01391611, HAL.
    8. repec:crs:ecosta:es403-404f is not listed on IDEAS
    9. Agnès Gramain, 1997. "Décisions de recours au système de soins dans la prise en charge des personnes âgées dépen­ dantes : un modèle de choix discret dynamique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 239-254.
    10. Yasushi Iwamoto & Miki Kohara & Makoto Saito, 2006. "On the Consumption Insurance Effects of Long-term Care Insurance In Japan: Evidence from Micro Household Data," CARF F-Series CARF-F-081, Center for Advanced Research in Finance, Faculty of Economics, The University of Tokyo.
    11. Roméo Fontaine & Agnès Gramain & Jérôme Wittwer, 2007. "Les configurations d'aide familiales mobilisées autour des personnes âgées dépendantes en Europe," Économie et Statistique, Programme National Persée, vol. 403(1), pages 97-115.

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