Lessons From Public Long-Term Care Insurance In Germany And Japan
Lessons From Public Long-Term Care Insurance In Germany And Japan
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DOI：
10.1377/hlthaff.2009.0548
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发表时间：
2010-01-01
期刊：
影响因子：
9.7
通讯作者：
Gibson, Mary Jo
中科院分区：
文献类型：
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作者：
Campbell, John Creighton;Ikegami, Naoki;Gibson, Mary Jo
联合S.国会正在考虑社区生活援助服务和支持（CLASS）法案，这是一项自愿保险计划，将有助于支付长期服务和支持美国残疾人。在德国和日本，社会保险计划是普遍的，支持家庭照顾者，并允许个人在获得所需服务方面具有相当大的灵活性。我们探讨了德国和日本在计划目标、资格程序、范围、规模和在美国可能应用的可持续性方面的差异。此外，在比较长期护理的公共支出时发现，即使在CLASS法颁布之前的今天，美国的长期护理支出也高于德国，仅略低于日本。
The U. S. Congress is considering the Community Living Assistance Services and Supports (CLASS) Act, a voluntary insurance program that would help pay for long-term services and supports to disabled Americans. In Germany and Japan, social insurance programs are universal, support family caregivers, and allow individuals considerable flexibility in securing the services they require. We explored differences between Germany and Japan in program goals, eligibility process, scope, size, and sustainability for possible applications in the United States. Moreover, when we compared public spending on long-term care, we found that spending in the United States is actually higher than in Germany even now, prior to enactment of the CLASS Act, and is only slightly lower than in Japan.