By: |
Fabiani, Beatrice;
Costa-Font, Joan;
Aranco, Natalia;
Stampini, Marco;
Ibarrarán, Pablo |
Abstract: |
Demographic and social changes Latin America and the Caribbean (LAC) have
called the traditional system of long-term care service provision into
question, prompting many countries to prioritize long-term care reform on
their social policy and fiscal agendas. One of the issues at hand is
determining the expected service costs as well as the financial viability and
sustainability of various funding options. To date, estimating the demand for
care in Latin American countries is limited due to the underdeveloped and
fragmented systems in place. This paper estimates the potential cost of
various long-term care service packages that differ in terms of the extent and
type of government funding. Second, we investigate the financing
sustainability of different coverage scenarios across seventeen countries in
the LAC region. Finally, we assess the feasibility of various funding
mechanisms and discuss the main benefits and drawbacks considering each
country's unique constraints. Our estimates indicate that, while all seventeen
LAC countries have the potential to implement a LAC system based on general
taxation, a social insurance system is only feasible in a handful set of
countries. |
Keywords: |
long-term care; population aging; Latin America and the Caribbean; social insurance; public finance; tax financing |
JEL: |
H50 I18 J14 J18 O54 |
Date: |
2025–03–31 |
URL: |
https://d.repec.org/n?u=RePEc:ehl:lserod:127121 |