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The Long Road to Long-Term Care Insurance in Germany

Author

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  • Götting, Ulrike
  • Haug, Karin
  • Hinrichs, Karl

Abstract

This paper represents a case study in welfare state expansion. It takes an actor-centered point of view and reconstructs the long process which has ultimately led to a compromise solution to the problem of providing long-term care, especially for the elderly. It describes the previously means-tested arrangement of long-term care provision and its shortcomings. Furthermore, it sketches the different stages through which the political debate on this issue has passed during the last twenty years: from the initial phase of defining the “social problem”, to the final stage when the approval of the compromise package became a question of “all or nothing”. The analysis of the politics of long-term care insurance reveals that the difficulties of reaching an agreement mainly resulted from the complex decision-making situation. It was in essence a problem of decision-making under conditions of general uncertainty.

Suggested Citation

  • Götting, Ulrike & Haug, Karin & Hinrichs, Karl, 1994. "The Long Road to Long-Term Care Insurance in Germany," Journal of Public Policy, Cambridge University Press, vol. 14(3), pages 285-309, July.
    • Handle: RePEc:cup:jnlpup:v:14:y:1994:i:03:p:285-309_00
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    Citations

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    Cited by:

    1. 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).
    2. Melanie Arntz & Stephan L. Thomsen, 2010. "The Social Long-term Care Insurance: A Frail Pillar of the German Social Insurance System," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(2), pages 29-34, 07.
    3. 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.
    4. Melanie Arntz & Stephan L. Thomsen, 2010. "The Social Long-term Care Insurance: A Frail Pillar of the German Social Insurance System," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(02), pages 29-34, July.
    5. Lewe Bahnsen & Stefan Fetzer & Fabian Franke & Christian Hagist, 2018. "Gone with the Windfall - Germany‘s Second LTC Strengthening Act and its Intergenerational Implications," WHU Working Paper Series - Economics Group 18-05, WHU - Otto Beisheim School of Management.
    6. Johannes Geyer & Thorben Korfhage, 2018. "Labor supply effects of long‐term care reform in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 27(9), pages 1328-1339, September.
    7. repec:ces:ifodic:v:8:y:2010:i:2:p:14566976 is not listed on IDEAS
    8. Heinicke, Katrin & Thomsen, Stephan L., 2010. "The social long-term care insurance in Germany: origin, situation, threats, and perspectives," ZEW Discussion Papers 10-012, ZEW - Leibniz Centre for European Economic Research.

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