Help Wanted?

Providing and Paying for Long-Term Care

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This book examines the challenges countries are facing with regard to providing and paying for long-term care. With populations ageing and the need for long-term care growing rapidly, this book looks at such issues as: future demographic trends, policies to support family carers, long-term care workers, financing arrangements, long-term care insurance, and getting better value for money in long-term care. 


“WHO recognizes that long-term care represents a major challenge for all countries in the world, with important implications for economic development and for the health and well-being of older people. This well-documented book provides a comparative analysis of the common challenges and diverse solutions OECD countries are adopting to respond to the growing demand for long-term care services, and particularly its implications for financing and labour markets.  It provides much needed evidence to guide policy makers and individuals.”

-Dr John Beard, Director, Department of Ageing and Life Course,

World Health Organization


“This carefully researched book offers invaluable data and insights into the organization and financing of long-term care in OECD countries.  The book is an indispensable resource for anyone interested in international long-term care”.

-Dr. Joshua M. Wiener, Distinguished Fellow and Program Director

of RTI’s Aging, Disability, and Long-Term Care Program, United States

English Also available in: French

Private Long-term Care Insurance

A Niche or a “Big Tent

Given the expected increase in total long-term care (LTC) expenditure, there is interest in some OECD countries in the potential role of private LTC insurance. Indeed, financial planning for retirement may include the subscription to a private LTC coverage product to protect one’s income and assets against the risk of needing long-term care, in order to reduce the burden it would create on the family and provide more choices regarding the care received. But, there are very different views regarding the merit of private LTC coverage. For some, this could leverage new financial resources towards long-term care, thereby alleviating future potential pressures for governments to increase their support. For others, it could represent a less efficient and more costly way to ensure universal and comprehensive coverage, relative to public pooling. However, private long-term care coverage arrangements represent small markets in OECD countries. This chapter describes and analyses the role and size of private LTC coverage arrangements across OECD countries. It examines the potential factors affecting the size of LTC insurance markets and countries’ initiatives to encourage its development. It then discusses the role that private insurance arrangements could play in LTC systems in the future.

English Also available in: French

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