Long-run consequences of informal elderly care and implications of public long-term care insurance

Elsevier

Available online 3 May 2024, 102884

Journal of Health EconomicsAuthor links open overlay panel, Abstract

We estimate a dynamic structural model of labor supply, retirement, and informal caregiving to study short and long-term costs of informal caregiving in Germany. Incorporating labor market frictions and the German tax and benefit system, we find that in the absence of Germany’s public long-term insurance scheme, informal elderly care has adverse and persistent effects on labor market outcomes and, thus, negatively affects lifetime earnings and future pension benefits. These consequences of caregiving are heterogeneous and depend on age, previous earnings, and institutional regulations. Policy simulations suggest that while public long-term care insurance policies are fiscally costly and induce negative labor market effects, they can largely offset the personal costs of caregiving and increase welfare, especially for low-income individuals.

JEL classification

I18

I38

J14

J22

J26

Keywords

Long-term care

Informal care

Long-term care insurance

Labor supply

Retirement

Pension benefits

Dynamic structural model

© 2024 The Author(s). Published by Elsevier B.V.

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