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    Hancock, Ruth Malley, Juliette Wittenberg, Raphael Morciano, Marcello Pickard, Linda King, Derek and Comas-Herrera, Adelina 2013. The role of care home fees in the public costs and distributional effects of potential reforms to care home funding for older people in England. Health Economics, Policy and Law, Vol. 8, Issue. 01, p. 47.


Winners and Losers: Assessing the Distributional Effects of Long-Term Care Funding Regimes

  • Ruth Hancock (a1), Ariadna Juarez-Garcia (a2), Adelina Comas-Herrera (a3), Derek King (a3), Juliette Malley (a3), Linda Pickard (a3) and Raphael Wittenberg (a3)
  • DOI:
  • Published online: 01 July 2007

Using two linked simulation models, we examine the public expenditure costs and distributional effects of potential reforms to long-term care funding in the UK. Changes to the means tests for user contributions to care costs are compared with options for the abolition of these means tests (‘free’ personal care). The latter generally cost more than the former and benefit higher income groups more than those on lower incomes (measuring income in relation to the age-specific income distribution). Reforms to the means tests target benefits towards those on lower incomes. However, the highest income group are net losers if free personal care is financed by a higher tax rate on higher incomes and the effect on the whole population considered.

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Social Policy and Society
  • ISSN: 1474-7464
  • EISSN: 1475-3073
  • URL: /core/journals/social-policy-and-society
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