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KMID : 1001320070310010369
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Social Welfare Policy
2007 Volume.31 No. 1 p.369 ~ p.396
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A Study on Long Term Care System in Germany and the Netherlands: Focusing on Cash Payment and Family Caregiver
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Kim Mee-Hye
Lee Seok-Mee
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Abstract
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Recently, many developed countries have newly introduced or extended cash payments for long term care that allow care users to be able to plan themselves for their cares instead of receiving direct care services from the state. Cash payments are thought to be very positive policy in the fact that care users’ choices are extended, their satisfaction for care is promoted and it becomes possible to establish demand-centered care. And so, it is useful that it is possible for the state to regulate welfare cost to the side of cut-off. Korea is going to introduce long term care system for the elderly as the social risk in 2008. But cash payments are excluded in the long term care system for the elderly. There are two main reasons. The first reason is the resistance of feminists and the second is the resistance of the state because of increasing welfare cost. Feminists are against cash payment because it contributes to consist care work by family(especially woman) by low-price. The state are against cash payment because it contributes to increase welfare cost. However, the design and administration of cash for long term care varies across Germany and the Netherlands. Although Germany and the Netherlands have all strong traditions of family as a care giver, their policy design and administration is quite different. Care work by family members(mainly woman) is still informal in Germany. But in the Netherlands, care work by family members is formal. As for as welfare cost, it depends on the system whether it is feminist regime or not. Welfare cost in the Netherlands is much more than the Germany. But cash payment itself doesn’t affect the amount of welfare cost. On the contrast, Germany and the Netherlands introduce cash payment for the respect of welfare cost cut-off.
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KEYWORD
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Long-term care for the elderly, cash payment, informal family caregiver, Germany, the Netherlands
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