Family ties and the crowding out of long-term care insurance
Family ties and the crowding out of long-term care insurance
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DOI：
10.1093/oxrep/grq040
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发表时间：
2010-12-01
影响因子：
6.8
通讯作者：
Costa-Font, Joan
中科院分区：
文献类型：
--
作者：
Costa-Font, Joan
与其他福利领域相比，长期护理保险(LTC)的发展只是适度的，市场失灵、公众对LTC需求风险的误解以及代际合同对此有不同的解释。本文对欧洲LTC保险发展有限的原因进行了文化解释。它认为，家庭纽带通过加强非正式的照顾责任，限制了个人预期的(公共和私人)保险覆盖范围。这篇论文的实证分析利用了一个具有代表性的欧盟成员国数据库的跨国和分组变异性，该数据库包含了长期培训覆盖率和家庭结构的记录。通过两种家庭文化或家庭纽带的测量，我们发现在不同的子样本中，家庭纽带与LTC的预期覆盖率之间存在负相关。对于对家庭关系和控制的不同定义，以及对第一代和第二代移民的子样本进行的一系列检查，这些结果是可靠的。政策含义表明，长期保险覆盖面的广泛扩大可能需要适应现有的家族主义文化规范，以避免保险挤出。
Insurance for long-term care (LTC) has developed only moderately compared to other areas of welfare, which has been explained variously as the result of market failures, public misconceptions of the risk of LTC needs, and intergenerational contracts. This paper offers a cultural explanation for the limited LTC insurance development in Europe. It argues that family ties, by enhancing informal care-giving duties, inhibit individuals' expected (public and private) insurance coverage. The empirical analysis of the paper exploits cross-country and sub-group variability of a representative database of European Union member states, containing records on LTC coverage and family structure. Drawing upon two measures of familistic culture or family ties, we find a negative association between family ties and expected coverage of LTC for different sub-samples. These results are robust to a set of checks for different definitions of family ties and controls, and for a sub-sample of first- and second-generation migrants. Policy implications suggest that widespread expansion of LTC coverage might need to accommodate existing familistic cultural norms to avoid insurance crowding out.