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Feminization of Ageing and Long Term Care Financing in Singapore

Author

Listed:
  • Chia Ngee Choon

    () (Department of Economics, National University of Singapore)

  • Shawna Lim Shi en

    (Department of Economics, National University of Singapore)

  • Angelique Chan

    () (Department of Sociology, National University of Singapore)

Abstract

Feminization of ageing leads to issues relating to long term healthcare financing since females are more susceptible to chronic illnesses. This paper assesses the current provision of long-term care (LTC) in Singapore by first examining the health status of elderly female; and then estimates the present value of LTC expenses. We calibrate the LTC costs for institutional nursing homes, community homes and informal home-based care with domestic helper. We next evaluate the comprehensiveness of a private disability insurance scheme in Singapore (Eldershield) in capturing the expected share of LTC expenditures. We compare the policy comprehensiveness of Eldershield payouts for different utilizations of LTC at different levels of means-tested government subsidies. With subsidies, the LTC cost can be adequately covered by Eldershield; without any subsidies, Eldershield is able to capture 25% to 40% of the LTC costs. We also evaluate the LTC financing implications after an osteoporotic hip fracture surgery.

Suggested Citation

  • Chia Ngee Choon & Shawna Lim Shi en & Angelique Chan, 2008. "Feminization of Ageing and Long Term Care Financing in Singapore," SCAPE Policy Research Working Paper Series 0806, National University of Singapore, Department of Economics, SCAPE.
  • Handle: RePEc:sca:scaewp:0806
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    Keywords

    health financing; long-term care; ageing; disability insurance; policy comprehensiveness;

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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