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Generational equity and social insurance.

H R Moody1

  • 1Brookdale Center on Aging of Hunter College, New York, NY 10010.

The Journal of Medicine and Philosophy
|February 1, 1988
PubMed
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.

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Gerontology and critical theory.

The Gerontologist·1992

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.
Keywords:
Analytical ApproachHealth Care and Public HealthPhilosophical Approach

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