Friday 19 October 2018

Subsidising long-term care: Lessons from subsidy expansions and cuts

a column by Joan Costa-i-Fon for VOX: CEPR’s Policy Portal

Many European countries are revisiting how best to finance long-term care, balancing financial sustainability and the economic welfare of households.

Using examples of Spain and Scotland, this paper demonstrates that an expansion of public funding for long-term care has an effect on caregiving choices, household finances, and hospital care. Unconditional or cash subsidies may entail a ‘caregiving moral hazard’, but both cash and care subsidies can bring savings to the health system by reducing the frequency and intensity of hospitalisation.

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