142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Who Gets Benefits Most from the Public Long-Term Care Insurance System in Japan?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Tadashi Yamada, Ph.D , Institute of Policy and Planning Sciences, University of Tsukuba, Tsukuba, Japan
Weihong Zeng, Ph.D , Center for Aging and Health Research, School of Public Policy and Administration,, Xian Jiaotong University, China, Xian, Shaanxi Province, China
Tetsuji Yamada, PhD , Department of Economics, Rutgers University, the State University of New Jersey, Camden, NJ
Chia-Ching Chen, EdD, MA, MS, CHES, SRAS , Department of Epidemiology & Community Health, New York Medical College School of Health Sciences & Practice, Valhalla, NY
In this paper, we focused on the issue of welfare changes in the society after the public Long-Term Care Insurance (LTCI) system was implemented in Japan since April 1st, 2000,and, consequently, try to find who gets benefits most among different age cohorts in this period. We present a structural model to estimate welfare changes of individuals and to estimate monetary gains for different age groups as well. Using the pooled cross section data of the National Survey on Life Insurance: Fiscal Year 1997, 2000 and 2003, we find the absolute risk aversion (ARA) of all age groups decreases and their welfare gains are substantial due to the public LTCI. One of our surprised findings is that, the most beneficiary cohort is the group aged less than 40 years, who is neither subject to the LTCI tax nor generally entitled for the benefits.

Learning Areas:

Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public
Public health or related research

Learning Objectives:
Evaluate and compare the monetary gains in different age cohort after the implement of the public Long Term Care Insurance in Japan in 2000.

Keyword(s): Long-Term Care, Welfare

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I got my Ph.D degree in Health Economic in University of Tsukuba in Japan several years ago, after that I followed my scientific interests on Long-term Care Insurance area all the time and also do the comparative work with Japan and China.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.