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Financing Long-term Care: Some Ideas From Switzerland Comment on "Financing Long-term Care: Lessons From Japan".

Martin Eling1

  • 1Institute of Insurance Economics, School of Finance, University of St. Gallen, St. Gallen, Switzerland.

International Journal of Health Policy and Management
|January 7, 2020
PubMed
Summary

This study examines mandatory long-term care insurance systems. It proposes a multi-pillar financing model combining pay-as-you-go and capital-funded elements for sustainable long-term care.

Keywords:
InsuranceLong-term CareSocial SecuritySwitzerland

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Area of Science:

  • Health Economics
  • Social Policy
  • Insurance Systems

Background:

  • Mandatory long-term care insurance systems in Germany and Japan are primarily pay-as-you-go.
  • Existing systems face challenges in ensuring long-term financial sustainability.
  • The need for innovative financing models for long-term care is growing.

Purpose of the Study:

  • To propose a novel, multi-pillar financing system for long-term care.
  • To explore the integration of pay-as-you-go and capital-funded elements.
  • To adapt successful multi-pillar retirement provision models for long-term care financing.

Main Methods:

  • Review of existing mandatory long-term care insurance systems (Germany, Japan).
  • Analysis of Switzerland's multi-pillar retirement provision system.
  • Conceptualization of a hybrid financing model for long-term care.

Main Results:

  • Pay-as-you-go systems, while common, may not be fully sustainable long-term.
  • A multi-pillar approach offers a more robust and adaptable financing framework.
  • Switzerland's three-pillar retirement system provides a viable model for long-term care financing.

Conclusions:

  • A multi-pillar, mandatory and voluntary long-term care financing system is recommended.
  • Combining pay-as-you-go with capital-funded elements enhances fairness and sustainability.
  • Adapting existing multi-pillar frameworks can create resilient long-term care funding.