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长期非正规老年护理的后果和公共长期护理保险的影响。

Long-run consequences of informal elderly care and implications of public long-term care insurance.

机构信息

RWI Leibniz Institute for Economic Research, Germany.

ZEW Mannheim & IZA Bonn, Germany.

出版信息

J Health Econ. 2024 Jun;96:102884. doi: 10.1016/j.jhealeco.2024.102884. Epub 2024 May 3.

Abstract

We estimate a dynamic structural model of labor supply, retirement, and informal caregiving to study short and long-term costs of informal caregiving in Germany. Incorporating labor market frictions and the German tax and benefit system, we find that in the absence of Germany's public long-term insurance scheme, informal elderly care has adverse and persistent effects on labor market outcomes and, thus, negatively affects lifetime earnings and future pension benefits. These consequences of caregiving are heterogeneous and depend on age, previous earnings, and institutional regulations. Policy simulations suggest that while public long-term care insurance policies are fiscally costly and induce negative labor market effects, they can largely offset the personal costs of caregiving and increase welfare, especially for low-income individuals.

摘要

我们构建了一个劳动力供给、退休和非正式护理的动态结构模型,旨在研究德国非正式护理的短期和长期成本。通过纳入劳动力市场摩擦和德国税收和福利制度,我们发现,如果没有德国的公共长期保险计划,非正式的老年人护理对劳动力市场结果有不利和持久的影响,从而对终身收入和未来的养老金福利产生负面影响。这些护理的后果是异质的,取决于年龄、先前的收入和制度规定。政策模拟表明,虽然公共长期护理保险政策在财政上是昂贵的,并产生负面的劳动力市场影响,但它们可以在很大程度上抵消护理的个人成本,并提高福利,特别是对低收入者而言。

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