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Häcker, J., Hackmann, T., Moog, S. Demenzkranke und Pflegebedürftige in der Sozialen Pflegeversicherung – Ein intertemporaler Kostenvergleich. Journal of Contextual Economics – Schmollers Jahrbuch, 129(3), 445-471. https://doi.org/10.3790/schm.129.3.445
Häcker, Jasmin; Hackmann, Tobias and Moog, Stefan "Demenzkranke und Pflegebedürftige in der Sozialen Pflegeversicherung – Ein intertemporaler Kostenvergleich" Journal of Contextual Economics – Schmollers Jahrbuch 129.3, 2009, 445-471. https://doi.org/10.3790/schm.129.3.445
Häcker, Jasmin/Hackmann, Tobias/Moog, Stefan (2009): Demenzkranke und Pflegebedürftige in der Sozialen Pflegeversicherung – Ein intertemporaler Kostenvergleich, in: Journal of Contextual Economics – Schmollers Jahrbuch, vol. 129, iss. 3, 445-471, [online] https://doi.org/10.3790/schm.129.3.445

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Demenzkranke und Pflegebedürftige in der Sozialen Pflegeversicherung – Ein intertemporaler Kostenvergleich

Häcker, Jasmin | Hackmann, Tobias | Moog, Stefan

Journal of Contextual Economics – Schmollers Jahrbuch, Vol. 129 (2009), Iss. 3 : pp. 445–471

3 Citations (CrossRef)

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Article Details

Author Details

Jasmin Häcker, Forschungszentrum Generationenverträge, Albert-Ludwigs-Universität Freiburg, 79085 Freiburg.

Tobias Hackmann, Forschungszentrum Generationenverträge, Albert-Ludwigs-Universität Freiburg, 79085 Freiburg.

Stefan Moog, Albert-Ludwigs-Universität Freiburg, Institut für Volkswirtschaftslehre u. Finanzwissenschaft, 79085 Freiburg.

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Abstract

One major aspect of the recent reform of the German statutory long-term care insurance („Gesetz zur strukturellen Weiterentwicklung der Pflegeversicherung") was the implementation of additional benefits for dementia patients. This reform was the outcome of a tedious debate concerning the question whether long-term care patients suffering from dementia were discriminated by the old regulations of the statutory long-term care insurance compared to non-dementia patients as benefits only applied to physical disabilities. Taking into account the differences in remaining life expectancy and costs of (different forms) of long-term care, this paper discloses the funding gaps of the two groups of benefit recipients. Using the concept of the absolute and relative equal burden, the paper analyzes the magnitude of the additional benefits equalizing relative and absolute costs in long-term care. Due to population aging and the resulting (financial) non-sustainability of the statutory long-term care insurance, the paper adopts a neutral expenditure approach by redistributing the existing transfers between these two groups thus making them equally well-off.

Received: January 25, 2008

Accepted: November 26, 2008