名目積立方式による介護保険制度改革

概要

論文の詳細を見る
Ministry of Health, Labour and Welfare (MHLW) is reforming the long-term care insurance (LTCI) progressively. MHLW forced the major LTCI reform in 2005. Both LTCI and the disabled person support have financial weakness. Two systems were expected to be combined into one in 2005. The merger was thought to solve financial problems. However, the merger plan was postponed. This paper shows the MHLW's reform plan and the financial simulation of LTCI reform. The reform plan would not solve financial problems with two systems. The simulation results points out the difficulty to satisfy the expenditure of LTCI by the new premium income from the younger generations. Alternative solution emphasizes on the burden of premium. LTCI should change from the pay-as-you-go system to the partially funded system. Only a funded system can realize fairness among the generations. It is not needed an individual funded system, but a notional funded system. The next trial is in 2008.
2007-03-17