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Long-term Care Insurance and Carers' Labor Supply – A Structural Model

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  • Geyer, J.
  • Korfhage, T.

Abstract

Germany introduced a new mandatory insurance scheme for long-term care in 1995. From a budgetary perspective family care is a cost-saving alternative to formal home care and to stationary nursing care. Thus, one of the goals of the insurance is to support informal care provided by family members. However, the opportunity costs resulting from reduced labor supply of the carer are often overlooked. We focus on the labor supply decision of carers and the incentives set by the long-term care insurance. Care recipients can chose between benefits in kind and benefits in cash. We estimate a structural model of labor supply and the choice of benefits of caring spouses. We find that benefits in kind have positive effects on labor supply, while for benefits in cash elasticities are negative but not statistically significant. If both types of benefits are increased proportionately, demand for formal care increases. Labor supply is only adjusted by men, but not by women.

Suggested Citation

  • Geyer, J. & Korfhage, T., 2014. "Long-term Care Insurance and Carers' Labor Supply – A Structural Model," Health, Econometrics and Data Group (HEDG) Working Papers 14/14, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:14/14
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    References listed on IDEAS

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    Cited by:

    1. repec:eee:jhecon:v:56:y:2017:i:c:p:1-18 is not listed on IDEAS
    2. Victoria Levin & Ana Maria Munoz Boudet & Beth Zikronah Rosen & Tami Aritomi & Julianna Flanagan & Lourdes Rodriguez-Chamussy, 2015. "Why Should We Care about Care?," World Bank Other Operational Studies 29545, The World Bank.
    3. Johannes Geyer & Thorben Korfhage, 2015. "Long-Term Care Reform and the Labor Supply of Household Members: Evidence from a Quasi-Experiment," SOEPpapers on Multidisciplinary Panel Data Research 785, DIW Berlin, The German Socio-Economic Panel (SOEP).
    4. Ziebarth, Nicolas R., 2017. "Social Insurance and Health," IZA Discussion Papers 10918, Institute of Labor Economics (IZA).
    5. Geyer, Johannes & Haan, Peter & Korfhage, Thorben, 2015. "Indirect fiscal effects of long-term care insurance," Ruhr Economic Papers 584, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    6. Geyer, J.; Korfhage, T.;, 2017. "Long-term care reform and the labor supply of informal caregivers – evidence from a quasi-experiment," Health, Econometrics and Data Group (HEDG) Working Papers 17/20, HEDG, c/o Department of Economics, University of York.
    7. Schmitz, Hendrik & Westphal, Matthias, 2017. "Informal care and long-term labor market outcomes," Journal of Health Economics, Elsevier, vol. 56(C), pages 1-18.
    8. Jessen, Robin & König, Johannes, 2018. "Hours risk, wage risk, and life-cycle labor supply," Ruhr Economic Papers 771, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    9. Heger, Dörte & Korfhage, Thorben, 2016. "Care choices in Europe: To each according to his needs?," Ruhr Economic Papers 649, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.

    More about this item

    Keywords

    labor supply; long-term care; long-term care insuranc; structural model;

    JEL classification:

    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • H31 - Public Economics - - Fiscal Policies and Behavior of Economic Agents - - - Household
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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