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The B.E. Journal of Economic Analysis & Policy

Editor-in-Chief: Ludwig, Sandra / Schmitz, Hendrik

Ed. by Auriol, Emmanuelle / Barigozzi, Francesca / Brunner, Johann / Fleck, Robert / Mastrobuoni, Giovanni / Mendola, Mariapia / Requate, Till / de Vries, Frans / Wenzel, Tobias / Zulehner, Christine


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1935-1682
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Volume 14, Issue 2

Issues

Volume 6 (2006)

Volume 4 (2004)

Volume 2 (2002)

Volume 1 (2001)

Endogenous Altruism, Redistribution, and Long-Term Care

Helmuth Cremer / Firouz Gahvari / Pierre Pestieau
Published Online: 2013-07-25 | DOI: https://doi.org/10.1515/bejeap-2012-0065

Abstract

This paper studies public provision of long-term care insurance in a world in which family assistance is (i) uncertain and (ii) endogenous, depending on the time parents spend raising their children. Public benefits will be paid in case of disability but cannot be combined with self-insurance or family aid. The benefits are provided equally to all recipients and financed by a proportional payroll tax. The paper shows that tax distortions imply that full insurance is undesirable. It characterizes the optimal tax and identifies the elements that determine its size. Of crucial importance are the extent of under-insurance, the effect of the tax on the probability of altruism, the distortionary effect of the tax, and, with wage heterogeneity, the covariance between the social marginal utility of lifetime income and (i) earnings (positive effect) and (ii) the probability of altruism default (negative effect).

Keywords: long-term care; uncertain altruism; endogenous probability; opting out; public insurance

JEL Classification: H2; H5

References

  • Bonsang, E. 2009. “Does Informal Care from Children to Their Elderly Parents Substitute for Formal Care in Europe?” Journal of Health Economics 28:143–54.CrossrefWeb of SciencePubMedGoogle Scholar

  • Brown, J., and A. Finkelstein. 2007. “Why Is the Market for LTC Insurance So Small?” Journal of Public Economics 91:1967–91.CrossrefGoogle Scholar

  • Chakrabarti, S., W. Lord, and P. Rangazas. 1993. “Uncertain Altruism and Investment in Children.” The American Economic Review 83(4):994–1002.Google Scholar

  • Cox, D., and O. Stark. 2005. “On the Demand for Grandchildren: Tied Transfers and the Demonstration Effect.” Journal of Public Economics 89:1665–97.CrossrefGoogle Scholar

  • Cremer, H., P. Pestieau, and G. Ponthière. 2012a. The Economics of Long-Term-Care: A Survey. Nordic Economic Policy Review 2:107–48.Google Scholar

  • Cremer, H., F. Gahvari, and P. Pestieau. 2012b. “Uncertain Altruism and the Provision of Long Term Care,” unpublished.Google Scholar

  • Grabowski, D.C., E.C. Norton, and C.H. Van Houtven. 2012. “Informal Care.” In The Elgar Companion to Health Economics, 2nd edition, edited by A.M. Jones, pp. 318–329. Northampton, MA: Edward Elgar.Google Scholar

  • Heisiga, J.-P. 2011. “Who Does More Housework: Rich or Poor? A Comparison of 33 Countries.” American Sociological Review 76:74–99.Web of ScienceCrossrefGoogle Scholar

  • Kotlikoff, L., and A. Spivak. 1981. “The Family as an Incomplete Annuities Market.” Journal of Political Economy 89:372–91.CrossrefGoogle Scholar

  • Leroux, M.-L., and P. Pestieau. 2013. “Social Security and Family Support.” Canadian Journal of Economics (forthcoming).Google Scholar

  • Lipszyc, B., E. Sail, and A. Xavier. 2012. “Long-Term Care: Need, Use and Expenditure in the EU-27,” Economic Papers, 2012.Google Scholar

  • Pestieau, P., and G. Ponthière. 2011. “The Long Term Care Insurance Puzzle.” In Financing Long Term Care in Europe: Institutions, Markets and Models, edited by Joan Costa-Font and Christophe Courbage, pp. 41–52. London: Palgrave Macmillan.Google Scholar

  • Pestieau, P., and M. Sato. 2009. “Social and Private Long Term Care Insurance with Variable Altruism,” unpublished.Google Scholar

  • SHARE. 2005. Health, Ageing and Retirement in Europe. First Results from the Survey of Health, Ageing and Retirement in Europe. Mannheim: MEA.Google Scholar

  • Sheshinski. 1972. The optimal linear income-tax. The Review of Economic Studies 39(3)CrossrefGoogle Scholar

About the article

Published Online: 2013-07-25


Citation Information: The B.E. Journal of Economic Analysis & Policy, Volume 14, Issue 2, Pages 499–524, ISSN (Online) 1935-1682, ISSN (Print) 2194-6108, DOI: https://doi.org/10.1515/bejeap-2012-0065.

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