Finanziamento della Sanità - Limiti del PayGo e proposta di sistema multipilastro con Welfare Fund

Salerno, Nicola Carmine (2013): Finanziamento della Sanità - Limiti del PayGo e proposta di sistema multipilastro con Welfare Fund.

Abstract

This paper describes the reasons at the basis of the insufficiency of pay-as-you-go systems to provide resources for financing health care in an ageing society with the low rates of growth that will characterise western industrialised economies during next decades.

Intuitive arguments are provided for supporting the diversification of pillars, with the public pay-as-you-go pillar combined with the private pillar functioning with real accumulation of resources on markets.

Finally, an innovative proposal is presented: The Welfare Funds. Long-term investors offering both pension and health care benefist, and connected with insurance policies for the covering of inability/disability risks.

nicola c. salerno - [e-mail] - 0039 347-9023927

• Item Type: MPRA Paper
• English Title: Health Care Financing - PayGo Insufficiency and Advantages of Multipillar Systems based on new Welfare Funds
• Language: Italian
• Keywords: pay-as-you-go, monopillar, multipillar, pension, health care, welfare, pensioni, sanità, assistenza, acute, longterm, long term, proiezioni, sostenibilità, proiezioni, welfare fund, fondo welfare, programmi di stabilità, Awg, ageing working group, ecofin, FMI, international monetary fund, Oecd, Ocse, welfare reforming, welfare reforming papers, ncs papers, structural reforms, riforme strutturali, diversificazione tra pilastri, diversificazione tra istituti
• Subjects: H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health; H - Public Economics > H5 - National Government Expenditures and Related Policies > H55 - Social Security and Public Pensions; H - Public Economics > H6 - National Budget, Deficit, and Debt > H68 - Forecasts of Budgets, Deficits, and Debt; I - Health, Education, and Welfare > I0 - General > I00 - General; I - Health, Education, and Welfare > I1 - Health > I13 - Health Insurance, Public and Private; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health; J - Labor and Demographic Economics > J1 - Demographic Economics > J11 - Demographic Trends, Macroeconomic Effects, and Forecasts; J - Labor and Demographic Economics > J1 - Demographic Economics > J18 - Public Policy

References

Awg-Ecofin, The 2012 Ageing Report - Economic and budgetary projections for the 27 EU Member States (2010-2060), edition 2012

Nicola C. Salerno, Il presente e il futuro del Pay-as-you-go nel finanziamento del welfare, volume in corso di pubblicazione

Fmi, Long-Term Trends in Public Finances in the G-7 Economies, Fiscal Affairs Department, Settembre 2010 (http://www.imf.org/external/pubs/ft/spn/2010/spn1013.pdf)

European Commission, Programmi di Stabilità / Programmi di Convergenza, varie edizioni sino a quella del 2012

Ocse, Projecting OECD health care and long term care expenditures: what are the main drivers?, 2006