IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/51682.html
   My bibliography  Save this paper

Finanziamento della Sanità - Limiti del PayGo e proposta di sistema multipilastro con Welfare Fund
[Health Care Financing - PayGo Insufficiency and Advantages of Multipillar Systems based on new Welfare Funds]

Author

Listed:
  • Salerno, Nicola Carmine

Abstract

This paper describes the reasons at the basis of the insufficiency of pay-as-you-go systems to provide resources for financing health care in an ageing society with the low rates of growth that will characterise western industrialised economies during next decades. Intuitive arguments are provided for supporting the diversification of pillars, with the public pay-as-you-go pillar combined with the private pillar functioning with real accumulation of resources on markets. Finally, an innovative proposal is presented: The Welfare Funds. Long-term investors offering both pension and health care benefist, and connected with insurance policies for the covering of inability/disability risks. nicola c. salerno - nicola.salerno@tin.it - 0039 347-9023927

Suggested Citation

  • Salerno, Nicola Carmine, 2013. "Finanziamento della Sanità - Limiti del PayGo e proposta di sistema multipilastro con Welfare Fund [Health Care Financing - PayGo Insufficiency and Advantages of Multipillar Systems based on new We," MPRA Paper 51682, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:51682
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/51682/1/MPRA_paper_51682.pdf
    File Function: original version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Oecd, 2006. "Projecting OECD Health and Long-Term Care Expenditures: What Are the Main Drivers?," OECD Economics Department Working Papers 477, OECD Publishing.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. DE DONDER, Philippe & PESTIEAU, Pierre, 2011. "Private, social and self insurance for long-term care: A political economy analysis," LIDAM Discussion Papers CORE 2011053, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    2. Massimo Baldini & Carlo Mazzaferro & Marcello Morciano, 2008. "Assessing the implications of long-term care policies in Italy: a microsimulation approach," Politica economica, Società editrice il Mulino, issue 1, pages 47-72.
    3. Błażej Łyszczarz, 2018. "Determinanty wydatków na zdrowie w gospodarstwach domowych w Polsce," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 1, pages 137-157.
    4. Torben M. Andersen & Marias H. Gestsson, 2010. "Longevity, Growth and Intergenerational Equity - The Deterministic Case," Economics wp52, Department of Economics, Central bank of Iceland.
    5. repec:dau:papers:123456789/13361 is not listed on IDEAS
    6. de Meijer, Claudine & Koopmanschap, Marc & d' Uva, Teresa Bago & van Doorslaer, Eddy, 2011. "Determinants of long-term care spending: Age, time to death or disability?," Journal of Health Economics, Elsevier, vol. 30(2), pages 425-438, March.
    7. Karolina Lagiewka & Jorge Pinto Antunes, 2011. "European innovation partnership on active and healthy ageing: how is the EU connecting the dots between smart innovation and ageing boom," Review of Applied Socio-Economic Research, Pro Global Science Association, vol. 1(2), pages 95-103, December.
    8. Daron Acemoglu & Amy Finkelstein & Matthew J. Notowidigdo, 2013. "Income and Health Spending: Evidence from Oil Price Shocks," The Review of Economics and Statistics, MIT Press, vol. 95(4), pages 1079-1095, October.
    9. International Monetary Fund, 2006. "Republic of Korea: Selected Issues," IMF Staff Country Reports 2006/381, International Monetary Fund.
    10. Colombier, Carsten, 2012. "Drivers of health care expenditure: Does Baumol's cost disease loom large?," FiFo Discussion Papers - Finanzwissenschaftliche Diskussionsbeiträge 12-5, University of Cologne, FiFo Institute for Public Economics.
    11. M. Collado & Iñigo Iturbe-Ormaetxe, 2010. "Public transfers to the poor: is Europe really much more generous than the United States?," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 17(6), pages 662-685, December.
    12. repec:aia:ginidp:dp53 is not listed on IDEAS
    13. Chakroun, Mohamed, 2009. "Health care expenditure and GDP: An international panel smooth transition approach," MPRA Paper 14322, University Library of Munich, Germany.
    14. Sam Peltzman, 2014. "Socialized medicine and mortality," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 179-205, September.
    15. Jaromir Cekota & Claudia Trentini, 2012. "Demographic pressures and the sustainability of social security in Emerging Europe and Central Asia," ECE Discussion Papers Series 2012_2, UNECE.
    16. Marc Pomp & Suncica Vujic, 2008. "Rising health spending, new medical technology and the Baumol effect," CPB Discussion Paper 115.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    17. Walter Ricciardi & Silvia Longhi & Antonio Giulio de Belvis & Roberto Falvo & Tiziana Sabetta & Andrea Silenzi & Pessina Eugenio Anessi, 2012. "Scelte di spesa e trend epidemiologici: un modello di simulazione," PRISMA Economia - Societ? - Lavoro, FrancoAngeli Editore, vol. 2012(3), pages 14-25.
    18. Fan, Victoria Y. & Savedoff, William D., 2014. "The health financing transition: A conceptual framework and empirical evidence," Social Science & Medicine, Elsevier, vol. 105(C), pages 112-121.
    19. Wren, Maev-Ann & FitzPatrick, Aoife, 2020. "How does Irish healthcare expenditure compare internationally?," Research Series, Economic and Social Research Institute (ESRI), number RS114, August.
    20. repec:dau:papers:123456789/13160 is not listed on IDEAS
    21. -, 2017. "Challenges to the autonomy and interdependent rights of older persons," Libros y Documentos Institucionales, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 41643 edited by Eclac, March.
    22. Gonand, Frédéric & Jouvet, Pierre-André, 2015. "The “second dividend” and the demographic structure," Journal of Environmental Economics and Management, Elsevier, vol. 72(C), pages 71-97.
    23. Murphy, Michael & Martikainen, Pekka, 2013. "Use of hospital and long-term institutional care services in relation to proximity to death among older people in Finland," Social Science & Medicine, Elsevier, vol. 88(C), pages 39-47.

    More about this item

    Keywords

    pay-as-you-go; monopillar; multipillar; pension; health care; welfare; pensioni; sanità; assistenza; acute; longterm; long term; proiezioni; sostenibilità; proiezioni; welfare fund; fondo welfare; programmi di stabilità; Awg; ageing working group; ecofin; FMI; international monetary fund; Oecd; Ocse; welfare reforming; welfare reforming papers; ncs papers; structural reforms; riforme strutturali; diversificazione tra pilastri; diversificazione tra istituti;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
    • H68 - Public Economics - - National Budget, Deficit, and Debt - - - Forecasts of Budgets, Deficits, and Debt
    • I00 - Health, Education, and Welfare - - General - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pra:mprapa:51682. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Joachim Winter (email available below). General contact details of provider: https://edirc.repec.org/data/vfmunde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.