The Ability to Pay for Long-Term Care in the Netherlands: A Life-cycle Perspective

被引:0
作者
Arjen Hussem
Casper van Ewijk
Harry ter Rele
Albert Wong
机构
[1] PGGM,Department of Statistics, Informatics and Mathematical Modelling
[2] University of Amsterdam,undefined
[3] CPB Netherlands Bureau of Economic Policy Analysis,undefined
[4] National Institute for Public Health and the Environment,undefined
来源
De Economist | 2016年 / 164卷
关键词
Life-cycle; Long-term care costs; Nearest neighbor resampling method; Self-insurance; C33; D12; H53; I13;
D O I
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中图分类号
学科分类号
摘要
This paper uses synthetic life-cycle paths at the individual level to analyze the distribution of long-term care expenditures in the Netherlands. Using a comprehensive set of administrative data 20,000 synthetic life-cycle paths of household income and long-term care costs are constructed using the nearest neighbor resampling method. We show that the distribution of these costs is less skewed when measured over the life-cycle than on a cross-sectional basis. This may provide an argument for self-insurance by smoothing these costs over the life-cycle. Yet costs are concentrated at older ages, which limits the scope for self-insurance. Furthermore, the paper investigates the relation between long-term care expenditures, household composition, and income over the life-cycle. The expenditures on a lifetime basis from the age of 65 are higher for low income households, and (single) women.
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页码:209 / 234
页数:25
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