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Generational equity and social insurance
1Brookdale Center on Aging of Hunter College, New York, NY 10010.
The Journal of Medicine and Philosophy
|February 1, 1988
Summary
Critics argue inter-generational transfer programs like Medicare are unfair due to generational inequity. A deeper defense requires acknowledging risk-sharing and solidarity to limit inequities.
Area of Science:
- Social Gerontology
- Public Policy
- Economics
Background:
- Inter-generational transfer programs, such as Medicare, face criticism regarding generational equity.
- Concerns include future generations' unconsented burdens in pay-as-you-go systems, lack of contractual guarantees, and risks from benefit fluctuations.
Purpose of the Study:
- To evaluate the fairness of inter-generational transfer programs using the standard of generational equity.
- To explore the limitations of existing defenses, like the "lifespan prudential model," in addressing cohort-specific inequities.
- To propose a more robust defense acknowledging risk-sharing and solidarity.
Main Methods:
- Critical analysis of arguments concerning generational equity in social insurance.
- Evaluation of the "lifespan prudential model" for age-group resource allocation.
- Conceptual framework development for inter-generational program defense.
Main Results:
- Existing defenses inadequately address uncertainties and inequities faced by historical birth cohorts.
- Pay-as-you-go systems may impose unconsented burdens and risks on future generations.
- Generational equity concerns highlight potential unfairness in program design and outcomes.
Conclusions:
- A deeper defense of social insurance programs requires acknowledging inherent risk-sharing and solidarity.
- Efforts must focus on limiting inter-generational inequities within acceptable bounds.
- Balancing program sustainability with fairness for all birth cohorts is crucial.