Housing Wealth as Self-insurance for Long-Term Care
Housing Wealth as Self-insurance for Long-Term Care
复制标题
住房财富作为长期护理的自我保险
DOI：
--
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Anne Laferrère
中科院分区：
文献类型：
--
作者：
Anne Laferrère
长期护理 (LTC) 保险旨在为因残疾而需要的护理和服务提供资源，通常是在年老时。支付保费，即从当前消费中存入资金，以应对与未来日常生活活动援助需要相关的费用风险。相比之下，住房财富与在一个地方的日常生活、消费住房服务、在称为“家”的特定环境中进行日常活动有关。如果拥有房屋，住房也是一种储蓄形式。它可以在需要时使用，例如 LTC。由于住房的双重性质，即消费性商品和投资性商品，且由于其不可分割性和非流动性，问题是如何提取住房权益来为LTC融资。诸如以房屋出售换取终身年金等金融手段已经存在了几个世纪。各种形式的“反向抵押贷款”是最近才出现的。本章评估了住房所有权在为 LTC 提供自我保险方面的作用。自我保险似乎是一个矛盾，因为保险正在将风险集中到大量人群中，而自我保险似乎并不适合长期护理等高成本风险。然而，对老年面临的风险以及住房作为消费品、提供护理的场所和储蓄工具的独特特征进行更仔细的分析，可能会证明本章标题中的矛盾修辞是合理的。
Long-term care (LTC) insurance is about providing resources for care and services, should they be needed because of a disability, usually in very old age. A premium is paid, that is, money is put aside from current consumption, to face the risk of the expenses linked to the future need of assistance in activities of daily living. Housing wealth, by comparison, is linked to daily living in a place, consuming housing services, performing daily activities, in a particular surrounding called ‘home’. If the home is owned, housing also is a form of saving. It can be used in case of need, for instance, for LTC. Due to the dual nature of housing, both consumption and investment good, and due to its indivisibility and illiquidity, the issue is how to extract housing equity to finance LTC. Financial devices, such as vente en viager, the sale of a home for a life annuity have existed for centuries; various forms of ‘reverse mortgages’ are more recent. This chapter assesses the role of homeownership in providing self-insurance for LTC. Self-insurance seems a contradiction in terms, as insurance is pooling a risk over a large population, and self-insurance does not seem adapted for a high-cost risk such as LTC. However, a more careful analysis of the risks faced in old age, and of the unique characteristics of housing as consumption good, as a place where care can be provided and as a saving vehicle may justify the oxymoron in the title of this chapter.
影响因子：
3.5
作者：
Bonsang, Eric
通讯作者：
Bonsang, Eric