Pflege und Sorge – Gleichwertige Lebensbedingungen, Pflegeversicherung und die neue Bedeutung von Kommunen

2020 ◽  
Vol 69 (4) ◽  
pp. 265-277
Author(s):  
Thomas Klie

Zusammenfassung Mit der Einführung der Pflegeversicherung vor 25 Jahren wurde das Ziel verfolgt, zum einen die Bürger*innen vom Risiko der Sozialhilfebedürftigkeit frei zu stellen. Aber auch eine Weiterentwicklung der Infrastruktur in der Langzeitpflege wurde durch die Marktöffnung, die mit der Pflegeversicherung einherging, als zentrales Ziel verfolgt. Gerade letzteres Ziel kann nicht als erreicht gelten: In dem Beitrag wird aufgezeigt, dass von gleichwertigen Lebensbedingungen für auf Pflege angewiesene Menschen in Deutschland nicht die Rede sein kann. Regional gilt es zum Teil eklatante Infrastrukturdefizite zu beklagen. In dem Beitrag werden die alte und neue Rolle der Kommungen für Fragen der Daseinsvorsorge in der Langzeitpflege und mit ihr verbundene Reformperspektiven der Pflegeversicherung diskutiert. Abstract: Long-Term Care Insurance In The Role of The Municipalities For Sustainable Infrastructure With the introduction of long term care insurance 25 years ago one objective was to exempt the citizens from the need of social welfare. A second aim was the development of long term care by opening up the markets in conjunction with long term care insurance. But at least this goal has not been attained. The text contribution will point up that there obviously are no equivalent living conditions for people being dependent on nursing care in Germany. Signicifant regional deficits of infrastrukture are existing. The old and the new role of muni­cipalities in relations of questions of welfare services in long-term care associated with long term care reform perspektives will be also discussed.

Author(s):  
David G. Stevenson ◽  
Richard G. Frank ◽  
Jocelyn Tau

To increase the role of private insurance in financing long-term care, tax incentives for long-term care insurance have been implemented at both the federal and state levels. To date, there has been surprisingly little study of these initiatives. Using a panel of national data, we find that market take-up for long-term care insurance increased over the last decade, but state tax incentives were responsible for only a small portion of this growth. Ultimately, the modest ability of state tax incentives to lower premiums implies that they should be viewed as a small piece of the long-term care financing puzzle.


2019 ◽  
Vol 37 (2) ◽  
pp. 565-578 ◽  
Author(s):  
Tsu-Wei Yu ◽  
Lu-Ming Tseng

PurposeThe purpose of this paper is to explore the role of commercial long-term care insurance (LTCI) in long-term care (LTC) services, and to elucidate the mediating roles of service quality and relationship satisfaction in the relationship between customization and loyalty. In addition, this study offers important recommendations for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships in life insurers in Taiwan.Design/methodology/approachStudy participants were policyholders of life insurance in Taiwan with experience in purchasing commercial LTCI. They were investigated through in-depth interviews and surveys. The hypotheses were tested using the structural equation modeling (SEM) analysis of variance.FindingsThe findings of this study are important for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships.Originality/valueThis study represents the first attempt to investigate the role of LTCI in LTC services in Taiwan. Likewise, this study improves our understanding of the main issues relating to the effect of customization on policyholder loyalty, and the partially mediating role of service quality and relationship satisfaction in the insurance marketing context.


2004 ◽  
Vol 38 (2) ◽  
pp. 101-113 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Yuichiro Masuda ◽  
Kazumasa Uemura ◽  
Masafumi Kuzuya ◽  
Akihisa Iguchi

Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre

This chapter is concerned with the rise in long-term care needs. Long-term care concerns individuals who are no longer able to carry out basic daily activities. Most of the care is currently provided by informal caregivers, mainly the family, while the role of formal care provided by the state or the market remains small. The chapter explains, however, why informal care is expected to decline and analyses the low private insurance development, the so-called long-term care insurance puzzle. These two factors, the decreasing role of the family and a thin insurance market, plead for the development of a full fledge social insurance for long-term care. The chapter then looks at the optimal design of such an insurance.


2013 ◽  
Vol 54 (6) ◽  
pp. 1001-1012 ◽  
Author(s):  
Brian E. McGarry ◽  
Helena Temkin-Greener ◽  
Yue Li

Author(s):  
Bumke Christian ◽  
Voßkuhle Andreas

This chapter discusses the principle of social state as articulated in Art. 20 of the Grundgesetz (GG). In contrast to the democracy principle, GG contains only a few provisions which can be assumed to be specific manifestations of the social-state principle. As a result, interpretation and application of the principle become problematic. As an objective right, the social-state principle requires the state to provide actual benefits. Art. 1 para. 1 GG, in combination with the social-state principle, justifies a claim ‘to the guarantee of a minimum livelihood in accordance with human dignity’. The chapter examines the Federal Constitutional Court's jurisprudence concerning individual social benefits that may be provided by the legislature to fulfill its obligations under the social-state clause, with particular emphasis on long-term care insurance, and the state's obligations under the social-state principle to create and maintain public social-welfare facilities.


Sign in / Sign up

Export Citation Format

Share Document