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Long-Term Care: Is There Crowding Out of Informal Care, Private Insurance as Well as Saving?

Author

Listed:
  • Zweifel Peter

    (Department of Economics, University of Zurich, Rämistr 71, Zurich 8006, Switzerland)

  • Courbage Christophe

    (Geneva School of Business Administration, University of Applied Sciences Western Switzerland (HES-SO))

Abstract

Publicly provided long-term care (LTC) insurance with means-tested benefits is suspected to crowd out either private LTC insurance (Brown and Finkelstein 2008. The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market. American Economic Review 98(3):1083–102), private saving (Gruber and Yelowitz 1999. Public Health Insurance and Private Saving. Journal of Political Economy 107(6):1249–74; Sloan and Norton 1997. Adverse Selection, Bequests, Crowding Out, and Private Demand for Insurance: Evidence from the Long-term Care Insurance Market. Journal of Risk and Uncertainty 15:201–19), or informal care (Pauly 1990. The Rational Non-purchase of Long-term Care Insurance. Journal of Political Economy 95:153–68; Zweifel and Strüwe 1998. Long-term Care Insurance in a Two-generation Model. Journal of Risk and Insurance 65(1):13–32). This contribution predicts crowding-out effects for both private LTC insurance and informal care on the one hand and private saving and informal care on the other. These effects result from the interaction of a parent who decides about private LTC insurance before retirement and the amount of saving in retirement and a caregiver who decides about effort devoted to informal care. Some of the predictions are tested using a recent survey from China.

Suggested Citation

  • Zweifel Peter & Courbage Christophe, 2016. "Long-Term Care: Is There Crowding Out of Informal Care, Private Insurance as Well as Saving?," Asia-Pacific Journal of Risk and Insurance, De Gruyter, vol. 10(1), pages 107-132, January.
    • Handle: RePEc:bpj:apjrin:v:10:y:2016:i:1:p:107-132:n:6
    DOI: 10.1515/apjri-2015-0012
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    References listed on IDEAS

    as
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    long-term care; insurance; saving; crowding out; means testing; China;
    All these keywords.

    JEL classification:

    • D19 - Microeconomics - - Household Behavior - - - Other
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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