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Title: |
What works abroad?: evaluating the funding if long-term care: international perspectives: report commissioned by BUPA Care Services |
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Publisher: |
Canterbury: Personal Social Services Research Unit, 2011. 46p., bibliog. |
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Abstract: |
This paper explores the most appropriate way to reform the funding system in England, learning from the international experience, and in particular from the recent reforms in Germany, Japan, France and Australia. The experience of these countries is relevant because their starting point for reform was similar to the current situation in England. In its first section, the paper argues that achieving efficiency, equity and sustainability should constitute the main objectives of any reforms. It then provides an overview of the funding systems in the four countries examined. Germany, Japan and France have all implemented state-run social insurance arrangements for long-term care. Under these long-term care insurance arrangements all people covered by the system are required to pay regular contributions either as taxes or mandatory insurance premiums. In return, should the insured person develop a care need they become entitled to support from the system – either as services or cash allowances – regardless of their income. The Australian system is characterised, by a means-tested, tax-funded long-term care programme which targets help on poorer people. These are non-universal systems because wealthier people are not covered by the public system and generally have to make their own arrangements for any care cost. |
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Series: |
(PSSRU Discussion Paper; no. 2794) |
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Format: |
book; |
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Topics: |
financing; health care; health insurance; long term care; social policy; |
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www.scie-socialcareonline.org.uk/profile.asp?guid=acc70c90-4585-479c-8ce0-d0a08634f85f |
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