The Geneva Association, Geneva, Switzerland.
J Health Econ. 2012 Dec;31(6):842-50. doi: 10.1016/j.jhealeco.2012.08.001. Epub 2012 Aug 18.
When adult children are financially responsible for their parents, they can take considerable interest in the amount of their parents' long-term care (LTC) insurance. In this paper, we look at the optimal levels of LTC insurance and of informal care, and at the link between these two decisions when the child, who provides informal care, is also the decision-maker with regard to LTC insurance. Interestingly, results differ depending on the degree of both parental and child altruism and indicate either complementarity or substitutability between insurance and informal care. In particular, we show in the presence of child altruism that insurance stimulates the offer of informal care, contrary to the case where the insurance decision is made by the elderly parent. We also investigate how exogenous shocks with respect to the opportunity cost of informal care, initial wealth levels and bequests modify simultaneously the optimal level of insurance and informal care.
当成年子女对父母的财务负责时,他们可能会对父母的长期护理(LTC)保险金额产生浓厚的兴趣。在本文中,我们研究了 LTC 保险和非正规护理的最佳水平,以及当提供非正规护理的子女也是 LTC 保险决策的决策者时,这两个决策之间的联系。有趣的是,结果因父母和子女利他主义的程度而异,并表明保险和非正规护理之间是互补还是替代关系。特别是,我们在存在子女利他主义的情况下表明,保险会刺激非正规护理的提供,这与保险决策由老年父母做出的情况相反。我们还研究了非正规护理机会成本、初始财富水平和遗赠的外生冲击如何同时改变保险和非正规护理的最优水平。