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E-raamat: Financing High Medical Risks: Discussions, Developments, Problems and Solutions on the Coverage of the Risk of Long-term Care in Norway, Germany and the Netherlands since 1945 in European Perspective [Taylor & Francis e-raamat]

Edited by , Contributions by (Norwegian Social Research), Contributions by (University of Bremen), Contributions by (University of Bremen)
  • Formaat: 260 pages, 5 Illustrations, color
  • Ilmumisaeg: 13-Jan-2015
  • Kirjastus: Amsterdam University Press
  • ISBN-13: 9781003695707
  • Taylor & Francis e-raamat
  • Hind: 152,33 €*
  • * hind, mis tagab piiramatu üheaegsete kasutajate arvuga ligipääsu piiramatuks ajaks
  • Tavahind: 217,62 €
  • Säästad 30%
  • Formaat: 260 pages, 5 Illustrations, color
  • Ilmumisaeg: 13-Jan-2015
  • Kirjastus: Amsterdam University Press
  • ISBN-13: 9781003695707
Across the member states of the European Union, common problems and challenges have arisen related to the accessibility, quality, and financial sustainability of long-term healthcare services, which represent a new social and medical risk. This book compares national policies in Norway, Germany, and the Netherlands and these countries’ approaches to issues such as old-age insurance, home-help programs, and mental healthcare. The contributions look at different paths of policy development, identify problems faced by public and private parties, and ultimately discuss possible solutions.


Since 1980-1985, the postwar welfare states of Europe have been developing new scenarios for covering the risks of life with stable family structures. The sustainability of services and the financing of care in convalescent homes and residential homes for the elderly, home-help schemes, care for the physically handicapped and mental healthcare is one of the great social and medical problems of the modern welfare states. These forms of care are considered as new social risks. These risks are individually unaffordable because of the long terms of care and the costs involved. Therefore they are also high medical risks.

All member states of the European Union are faced with the same problems and challenges relating to the accessibility, quality and sustainability of long term care. The authors of this book aim to address the cover for high medical risks in the Dutch, German and Norwegian welfare states from the European perspective. The first objective is to explain the different paths of development. The second objective is to understand the problems that the public and private parties have faced, and still face. The third objective is to discuss possible solutions from the public or private domain.
Acknowledgements 5(6)
1 Introduction
11(12)
1 Reforming welfare states and the sustainability of long-term care in the EU
11(2)
2 Organising and financing long-term care: the long-term perspective
13(4)
3 Long-term care as a catch-all term?
17(3)
4 The contents of this book: the EU, case studies and a multi-pillar approach
20(3)
2 Europe and healthcare including long-term care, who cares?
23(20)
Jos G.H. Draijer
1 Introduction
23(2)
2 EU Treaty provisions
25(5)
3 Jurisprudence of the European Court of Justice
30(7)
4 Economic government of the EU
37(2)
5 Coordination of healthcare including long-term care at EU level
39(1)
6 Conclusive summary
40(3)
3 Sustainable Care? Norwegian long-term care in a European perspective
43(20)
Svein O. Daatland
1 Introduction
43(2)
2 Welfare state models
45(3)
3 The Scandinavian model
48(1)
4 Long-term care models
49(6)
5 Recent trends and controversies
55(3)
6 The sustainability issue
58(5)
References
60(3)
4 Fiscal and social policy: financing long-term care in Germany
63(38)
Ralf Gotze
Heinz Rothgang
1 Introduction
63(3)
2 Institutions, actors, and interests in German LTC Policy
66(2)
3 The stony road to long-term care insurance in Germany
68(18)
3.1 An uncontested task of the family (until 1974)
68(3)
3.2 Recognizing the long-term care problem (1974--83)
71(4)
3.3 Setting the political agenda (1984--1989)
75(1)
3.4 Finding consensus in the decisive phase (1990--94)
76(5)
3.5 Features of the LTCI Act
81(5)
4 Effects of the LTCI Act
86(5)
5 Recent developments and unresolved issues
91(5)
6 Conclusion
96(5)
References
98(3)
5 Financing high medical risks in the Netherlands: healthcare, social insurance and political compromises
101(76)
Karel-Peter Companje
1 Introduction
101(2)
2 More than a century of cover for high medical risks: invalidity and old-age insurance in Germany and the Netherlands
103(4)
2.1 Invalidity insurance and medical care
106(1)
3 Problems with insuring high medical risks around 1950
107(3)
4 From problem to solution: the Algemene Wet Zware
Medische Risico's
110(5)
5 On healthcare, insurance and the AW(B)Z
115(6)
6 Foreign provisions for high medical risks
121(2)
7 Coherence between social insurance legislation and the AWZ
123(3)
8 The AWZ debate: hospital care as an insurable problem
126(3)
9 The AWBZ, Veldkamp, and insuring healthcare and security
129(1)
10 The AWBZ in 1968: finance, administration, provisions and recognition
130(5)
11 The AWBZ, structure, cost control and social insurance, 1974--1983
135(8)
12 The AWBZ as an instrument for system reform
143(8)
12.1 The AWBZ -- the binding agent in the reform of the healthcare system?
147(4)
13 The AWBZ after the Simons Plan: demand-driven care in the first compartment
151(4)
14 The AWBZ and personalised care: elderly care and home care
155(5)
14.1 The AWBZ and personalised care: administrative organisation, allocation and waiting lists
157(3)
15 Cash on the nail is not enough to solve the problem of waiting lists
160(1)
16 Modernising the AWBZ: the relationship between forms of healthcare and information problems
161(3)
17 AWBZ and WMO: separating insured provisions and facilities provided
164(2)
18 The AWBZ and the healthcare system: financial manageability and spiralling costs
166(5)
18.1 The AWBZ and the healthcare system -- the end of budgets?
167(4)
19 Conclusions
171(6)
6 Towards multi-pillar financing of Dutch long-term care for the elderly?
177(68)
Lou Spoor
1 Introduction
178(1)
2 Rising healthcare expenditure: what is the problem?
179(11)
2.1 Purpose of this section
179(1)
2.2 The Dutch healthcare system: an overview
180(5)
2.3 Dutch healthcare expenditure: long term estimates
185(2)
2.4 More expensive care: are we willing and able to pay for it?
187(1)
2.5 Risk of crowding-out
188(1)
2.6 Conclusion: sustainable healthcare expenditure is a real challenge
189(1)
3 Healthcare funding and solidarity: where does the Netherlands stand?
190(8)
3.1 Purpose of this section
190(1)
3.2 Healthcare expenditure and personal contributions, international
190(2)
3.3 The Dutch have a strong sense of solidarity
192(3)
3.4 Lifetime healthcare expenditure
195(1)
3.5 Lifetime dynamics of health, income and capital
196(1)
3.6 Conclusions
197(1)
4 Saving for healthcare: for what kind of care, why and how?
198(10)
4.1 Purpose of this section
198(1)
4.2 Saving for healthcare: what kind of care?
198(2)
4.3 Saving for healthcare: why?
200(3)
4.4 Capital formation for healthcare: how? Policy options
203(4)
4.5 Saving: starting at what age?
207(1)
4.6 Conclusions
207(1)
5 Saving: via the pension or in the health insurance domain?
208(17)
5.1 Purpose of this section
208(1)
5.2 Differences between solidarity-based pension saving for care and LTC insurance
209(1)
5.3 Healthcare saving in the second pension pillar: some observations
210(6)
5.4 Capital-funded LTC insurance
216(2)
5.5 LTC insurance policies: examples from practice
218(3)
5.6 LTC insurance in the Netherlands? Practical and political obstacles
221(1)
5.7 A fund for LTC?
222(2)
5.8 Conclusion: weighing the options
224(1)
6 Care, pensions and housing
225(12)
6.1 Purpose of this section
225(1)
6.2 The Dutch housing market
225(3)
6.3 Care and housing: the rental sector
228(1)
6.4 Care and housing: as pension in kind?
229(2)
6.5 Using home equity to purchase care: not yet a success story
231(3)
6.6 Nursing home loan: an option for the Netherlands?
234(2)
6.7 Conclusion regarding care and housing
236(1)
7 What next? Conclusions, expectations and recommendations
237(8)
7.1 Conclusions drawn from the foregoing
237(2)
7.2 Policy expectations
239(2)
References
241(4)
7 Conclusions
245(10)
1 Long-term care at the interface of care and the social domain
245(3)
2 The viability of long-term care 1974--2013
248(3)
3 Final remarks
251(4)
List of contributors 255(2)
List of figures, tables and boxes 257
Karel-Peter Companje manages the Center for the History of Health Insurers at the Medical Center of the VU University Amsterdam.