Arbeitspapier

Long-Term Care and Lazy Rotten Kids

This paper studies the determination of informal long-term care (family aid) to dependent elderly in a worst case scenario concerning the harmony of family relations. Children are purely selfish, and neither side can make credible commitments (which rules out efficient bargaining). The model is based on Becker's rotten kid specification except that it explicitly accounts for the sequence of decisions. In Becker's world, with a single good, this setting yields efficiency. We show that when family aid (and long-term care services in general) are introduced, the outcome is likely to be inefficient. Still, the rotten kid mechanism is at work and ensures that a positive level of aid is provided as long as the bequest motive is operative. We identify the inefficiencies by comparing the laissez-faire (subgame perfect) equilibrium to the first-best allocation. We initially assume that families are identical ex ante. However, the case where dynasties differ in wealth is also considered. We study how the provision of long-term care (LTC) can be improved by public policies under various informational assumptions. Interestingly, crowding out of private aid by public LTC is not a problem in this setting. With an operative bequest motive, public LTC will have no impact on private aid. More amazingly still, when the bequest motive is (initially) not operative, public insurance may even enhance the provision of informal aid.

Language
Englisch

Bibliographic citation
Series: IZA Discussion Papers ; No. 7565

Classification
Wirtschaft
Household Production and Intrahousehold Allocation
Taxation and Subsidies: Efficiency; Optimal Taxation
Health Insurance, Public and Private
Subject
rotten kids
long-term care
family aid
optimal taxation

Event
Geistige Schöpfung
(who)
Cremer, Helmuth
Roeder, Kerstin
Event
Veröffentlichung
(who)
Institute for the Study of Labor (IZA)
(where)
Bonn
(when)
2013

Handle
Last update
10.03.2025, 11:43 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Cremer, Helmuth
  • Roeder, Kerstin
  • Institute for the Study of Labor (IZA)

Time of origin

  • 2013

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