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Private financing of elder care in Sweden: Arguments for and against.
University of Sydney.
Stockholm University, Faculty of Social Sciences, Department of Social Work. (Omsorg i omvandling)
2010 (English)Report (Other academic)
Abstract [en]

The idea that there is a need to increase the share of private financing of the costs of elder care is expressed by several actors attempting to influence the direction of social policy Swedenthese days. This idea fundamentally challenges established ways of financing and organising delivery of elder care services in Sweden. Underlying proposals for increasing private financing is the claim that the future scope of public elder care provision must contract, both vertically and horizontally. Underlying this claim is the assumption that both the quantity and quality of services demanded will increase, while the supply of public funds cannot. Vertical contraction aims to draw new funds from users willing to pay more to get higher quality services. Horizontal contraction aims to reduce the scope of public sector’s responsibility in service provision. This paper outlines recent developments in private provision of elder care services and examines arguments and actors for increasing private financing. Although the proposals have been put forward by influential actors, opposition to increasing private financing has been expressed, and support for solidaristic funding of elder care remains strong. Accordingly, we also consider these dissenting arguments and actors. Our purpose is to set out and evaluate the arguments, evidence and interests behind the proposals, and the likely outcomes of their implementation.

Abstract [sv]

I dagens Sverige finns ett antal starka röster som argumenterar för att öka den privata finansieringen av den svenska äldreomsorgen. Förslagen innebär ett drastiskt avsteg från äldreomsorgens nuvarande finansiering, organisering och fördelning. Bakom förslagen ligger antaganden om att medborgarnas anspråk på äldreomsorg kommer att öka i takt med välståndsökningen i samhället, samtidigt som de offentliga resurserna inte kan öka. Den offentliga äldreomsorgen måste därför avgränsas i höjd- och sidled. Vissa tjänster föreslås helt tas bort från äldreomsorgen, medan andra tjänster endast ska erbjudas på en basnivå och kompletteras med privat köpt hjälp. På så sätt förväntas en större del av äldreomsorgen finansieras av de äldre själva. I denna rapport granskas problemdefinitionerna, argumenten och aktörerna bakom kraven på ökad privat finansiering. Även om förslagen förs fram av inflytelserika aktörer finns samtidigt ett starkt stöd för en fortsatt solidariskt finansierad äldreomsorg. I rapporten presenteras även dessa röster: aktörer och argument mot ökad privat finansiering. Avslutningsvis diskuteras de troliga konsekvenserna av en ökad privat finansiering av äldreomsorgen.

Place, publisher, year, edition, pages
2010.
Series
Institute for Futures Studies, Working Paper, ISSN 1652-120X ; 2010:1
National Category
Social Work
Identifiers
URN: urn:nbn:se:su:diva-71202ISBN: 978-91-85619-61-0 (print)OAI: oai:DiVA.org:su-71202DiVA: diva2:484054
Projects
Omsorg i omvandling
Available from: 2012-02-02 Created: 2012-01-26 Last updated: 2012-02-02Bibliographically approved

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06b9b02c946038aeb86be7b4d16efcbf6ff8e152dd4e33a0a97c1b10b4961a940a9bdf24e268f632285d8aa3c84ba875f2a0719a8e7f15547ed814dee0d8f8e4
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CiteExportLink to record
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Citation style
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