Rüdiger D, Seiler D
Zentrum für Sozialpolitik, Universität Bremen.
Z Gerontol. 1992 May-Jun;25(3):178-85.
Up to the present time, long-term-care needs in the Federal Republic of Germany have only been covered to a limited extent through health insurance. The needs of the majority of those requiring long-term care must be covered from their pension funds or acquired wealth. This often does not suffice, which results in those needing long-term care becoming recipients of social assistance. The introduction of a long-term-care insurance should bring an end to this situation, which is considered unacceptable. At present, two competing schemes for covering the social risk of long-term care are being discussed: a social security insurance and a private insurance. When comparing the planned benefits under consideration, the social security insurance is more favorable in regards to nursing-home treatment, as well as with at-home care and benefits in kind. The private insurance is more favorable when considering nursing-home treatment and monetary benefits. If the private insurance is adopted, over 31% of those formerly relying on nursing-home care would no longer need social assistance. In the case of social security insurance, almost 46% would no longer require social assistance. Most of the remaining individuals requiring social assistance would be women.
直到目前,德意志联邦共和国的长期护理需求仅在有限程度上通过医疗保险得到满足。大多数需要长期护理者的需求必须从他们的养老基金或既有财富中支付。这往往并不足够,导致需要长期护理者成为社会救助的领取者。引入长期护理保险应能终结这种被认为不可接受的状况。目前,正在讨论两种相互竞争的应对长期护理社会风险的方案:一种是社会保险,另一种是私人保险。在比较所考虑的计划福利时,社会保险在养老院护理、居家护理和实物福利方面更为有利。在考虑养老院护理和货币福利时,私人保险更为有利。如果采用私人保险,超过31%以前依赖养老院护理的人将不再需要社会救助。在社会保险的情况下,近46%的人将不再需要社会救助。其余大多数需要社会救助的人将是女性。