Financing long-term care for frail elderly in France: The ghost reform

Abstract Like many welfare states, France is faced with increasing demand for long term care (LTC) services. Public LTC coverage has evolved over the past 15 years, reaching a coverage depth of 70%. Nonetheless, it does not provide adequate and equitable financial protection for the growing number o...

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Bibliographic Details
Published inHealth policy (Amsterdam) Vol. 111; no. 3; pp. 213 - 220
Main Authors Chevreul, Karine, Berg Brigham, Karen
Format Journal Article
LanguageEnglish
Published Amsterdam Elsevier Ireland Ltd 01.08.2013
Elsevier
Subjects
Aged
Biological and medical sciences
Care of the aged
Coverage
Financing
Financing, Government - organization & administration
Frail
Frail Elderly
France
Health administration
Health Care Reform
Health Services for the Aged - economics
Health Services for the Aged - trends
History
Humans
Insurance
Internal Medicine
Long term care
Long-Term Care - economics
Long-Term Care - trends
Medical sciences
Miscellaneous
National Health Programs
Old age
Politics
Public finance
Public financing
Public health. Hygiene
Public health. Hygiene-occupational medicine
Public welfare
Reform
Reforms
Residential Facilities
Risk
Social insurance
Social policy
Social security
Subsidies
Welfare state
France
Europe
Politics
Reform
France
Insurance
Public financing
Long-term care
Human
Political aspect
Financing
Frailty in elderly
Elderly
Public health
Long term care
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Summary:Abstract Like many welfare states, France is faced with increasing demand for long term care (LTC) services. Public LTC coverage has evolved over the past 15 years, reaching a coverage depth of 70%. Nonetheless, it does not provide adequate and equitable financial protection for the growing number of frail elderly individuals, who are expected to constitute 3% of the population by the year 2060. Since 2005, various financing reform proposals have been debated, ranging from a newly covered risk under the social security system to targeted subsidies for private LTC insurance. However, to date no reform measure has been enacted. This article provides a brief history of publicly financed LTC in France in order to provide a context for the ongoing debate, including the positions and relative political power of the various stakeholders and the doubtful short-term prospect for reform.
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ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2013.05.013