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Long-Term Care and Births Timing

Authors :
Gregory Ponthiere
Pierre Pestieau
UCL - SSH/IMMAQ/CORE - Center for operations research and econometrics
Bauer, Caroline
Center for Economic Policy Research (CEPR)
CEPR
Center of Operation Research and Econometrics [Louvain] (CORE)
Université Catholique de Louvain = Catholic University of Louvain (UCL)
Paris-Jourdan Sciences Economiques (PSE)
École normale supérieure - Paris (ENS Paris)
Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Recherche Agronomique (INRA)-École des hautes études en sciences sociales (EHESS)-École des Ponts ParisTech (ENPC)-Centre National de la Recherche Scientifique (CNRS)
Paris School of Economics (PSE)
École des Ponts ParisTech (ENPC)-École normale supérieure - Paris (ENS Paris)
Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris 1 Panthéon-Sorbonne (UP1)-Centre National de la Recherche Scientifique (CNRS)-École des hautes études en sciences sociales (EHESS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
Equipe de Recherche sur l’Utilisation des Données Individuelles en lien avec la Théorie Economique (ERUDITE)
Université Paris-Est Marne-la-Vallée (UPEM)-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)
École normale supérieure - Paris (ENS-PSL)
École des Ponts ParisTech (ENPC)-École normale supérieure - Paris (ENS-PSL)
Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Université Paris-Est Marne-la-Vallée (UPEM)
Université Catholique de Louvain (UCL)
Centre National de la Recherche Scientifique (CNRS)-École des Ponts ParisTech (ENPC)-École des hautes études en sciences sociales (EHESS)-Institut National de la Recherche Agronomique (INRA)-École normale supérieure - Paris (ENS Paris)
Paris Jourdan Sciences Economiques (PJSE)
Université Panthéon-Sorbonne (UP1)-École normale supérieure - Paris (ENS Paris)-Institut National de la Recherche Agronomique (INRA)-École des hautes études en sciences sociales (EHESS)-École des Ponts ParisTech (ENPC)-Centre National de la Recherche Scientifique (CNRS)
Université Paris 1 Panthéon-Sorbonne (UP1)-École normale supérieure - Paris (ENS Paris)
Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-École des hautes études en sciences sociales (EHESS)-École des Ponts ParisTech (ENPC)-Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
Université Paris 1 Panthéon-Sorbonne (UP1)-École normale supérieure - Paris (ENS-PSL)
Source :
Journal of Health Economics, Journal of Health Economics, Elsevier, 2016, 50, pp.340-357. ⟨10.1016/j.jhealeco.2016.08.009⟩
Publication Year :
2015

Abstract

Due to the ageing process, the provision of long-term care (LTC) to the dependent elderly has become a major challenge of our epoch. But at the same time, our societies are characterized, since the 1970s, by a significant postponement of births. This paper aims at examining the impact of those demographic trends on the optimal family policy. We develop a four-period OLG model where individuals, who receive children's informal LTC at the old age, must choose, when being young, how to allocate births along their lifecycle. It is shown that early children provide more LTC to their elderly parents than late children, because of the lower opportunity cost of providing LTC when being retired. In comparison with the social optimum, individuals have, at the laissez-faire, too few children early in their life, and too many later on in their life. The decentralization of the first-best optimum requires thus to subsidize early births. We study also the design of the optimal subsidy on early births in a second-best setting. Its level depends on efficiency and equity issues, as well as on its incidence on the long-run population composition and on LTC provision.

Details

Language :
English
ISSN :
01676296
Database :
OpenAIRE
Journal :
Journal of Health Economics, Journal of Health Economics, Elsevier, 2016, 50, pp.340-357. ⟨10.1016/j.jhealeco.2016.08.009⟩
Accession number :
edsair.doi.dedup.....eb63c5e378fa9c02c5f684cf6b6cc9c7
Full Text :
https://doi.org/10.1016/j.jhealeco.2016.08.009⟩