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Does universal long-term care insurance boost female labor force participation? Macro-level evidence Cover

Does universal long-term care insurance boost female labor force participation? Macro-level evidence

Open Access
|Jun 2021

Figures & Tables

Table 1

LTC systems in OECD countries

Sources of fundsCoverage and benefits
People with a disabilityAged people with a disability / People with an age-related disability
In kindCash and in kindIn kindCash and in kind
Tax revenuesCanadaCzech Republic, Denmark, Finland, Ireland, Norway, Spain, Sweden, UKGreeceSlovak Republic
LTC insurance (Premiums and taxes)Germany, Luxemboug, NetherlandsJapanKorea
MixedHungary, PortugalAustria, Belgium, France, Italy Poland, Slovenia, SiwitzerlandAustraliaMexico, US

[i] Source: the author's tabulation based on Colombo et al. (2011), Table 7.1.

Table 2

Descriptive statistics

VariableJapanDonor pool countries
Obs.MeanStd. Dev.Min.Max.Obs.MeanStd. Dev.Min.Max.
Outcomes (1980–2013)
Public expenditure on benefits in kind for the elderly (% of GDP)340.610.590.101.745440.570.720.002.86
Public expenditure on benefits in kind for the elderly (per elderly person)341135.71955.26245.762749.345441491.811970.720.008005.41
Total public expenditure on health care (% of GDP)345.410.994.377.685785.431.302.128.72
Total public expenditure on health care (per capita)341839.76578.51971.473031.475782017.54765.16402.754349.87
Female labor force participation rate (age 40–44)3469.632.0064.1173.1151175.5712.8424.1993.54
Female labor force participation rate (age 45–49)3471.533.2464.4476.1451173.2214.7724.2992.73
Female labor force participation rate (age 50–54)3466.814.4058.7675.1351166.3116.6423.7988.54
Female labor force participation rate (age 55–59)3456.874.7549.8666.5052052.2117.9014.4183.41
Predictors other than pre-intervention outcomes (1980–1999)
Per capita real GDP (million US$, PPP, 2005)2022.805.4516.1830.0134022.295.948.2439.61
Child population (%)2018.923.0314.7923.5134020.292.9414.2930.44
Elderly population (%)2012.292.449.1016.7234013.752.089.4117.91
Employment in agriculture (%)207.411.745.1810.423407.524.841.5627.26
Employment in industry (%)2034.080.9731.6635.3334029.444.2821.2740.26
Employment in services (%)2058.512.5854.2463.1534063.037.7636.1274.47
Annual growth rate of per capita real GDP (%)202.833.72−2.539.973402.673.27−9.7211.94
Annual growth rate of population (%)200.440.200.160.803400.530.48−0.733.93
Annual growth rate of child population (%)20−2.350.78−3.64−0.41340−1.081.13−4.151.40
Annual growth rate of elderly population (%)203.220.671.794.033400.851.00−2.493.02

[i] Notes: Original data is unbalanced panel data for 18 OECD countries between 1980 and 2013. In order to implement SC analysis with annual data, we impute some missing values by linear interpolation, but we do not extrapolate any values. The 18 OECD countries are Australia, Austria, Belgium, Canada, Denmark, Finland, France, Ireland, Italy, Japan, New Zealand, Norway, Portugal, Spain, Sweden, Switzerland, the United Kingdom, and the United States. The period for the outcome variables is between 1980 and 2013, but the period for the predictors other than pre-intervention outcomes is between 1980 and 1999, because we use only pre-intervention values for the predictor variables. See Section 3.3 for a detailed explanation of the donor pool selection and Appendix A2 for the variable definitions and sources.

Figure 1

SC estimation for in-kind benefits for the elderly (% of GDP).

Notes: SC 1 is constructed from the original donor pool, SC 2 is constructed from the donor pool that excludes the country that receives the highest weights in the first SC estimation, and SC 3 is constructed from the donor pool that also excludes the country that receives the highest weights in the second SC estimation. Canada is excluded from the original donor pool due to lack of data. For SC estimation we use the synth command in Stata with the nested and allopt options. See Tables A4 and A5 in Appendix A3 for detailed estimation results.

Figure 2

SC estimation of public health expenditure (% of GDP).

Notes: SC 1 is constructed from the original donor pool, SC 2 is constructed from a donor pool that excludes the country that receives the highest weights in the first SC estimation, and SC 3 is constructed from a donor pool that also excludes the country that receives the highest weights in the second SC estimation. Norway is excluded from the original donor pool due to a lack of data. For SC estimation, we use the synth command in Stata with the nested and allopt options. See Tables A6 and A7 in Appendix A3 for detailed estimation results.

Figure 3

SC estimation of female LFP rates by age cohort.

Notes: See the note in Figure 1 for a detailed explanation of the graph. Due to data availability, the first year of our sample is 1986. Austria, Ireland, and Switzerland are excluded from the original donor pool due to lack of data. Except for the age cohort (55–59, lower right graph), Finland is also excluded due to lack of data. For SC estimation, we use the synth command in Stata with the nested and allopt options. See Tables A8–A11 in Appendix A3 for detailed estimation results.

Figure 4

SC estimation for the difference in female LFP rates by age cohort.

Notes: See the note in Figure 1 for a detailed explanation of the graph. Due to data availability, the first year of our sample is 1986. Austria, Finland, Ireland, New Zealand, and Switzerland are excluded from the original donor pool due to lack of data. For SC estimation, we use the synth command in Stata with the nested and allopt options, but in cases in which there is an optimization error (due to a poor pre-intervention fit), we implement synth without nested and allopt. See Tables A12 and A13 in Appendix A3 for detailed estimation results.

Figure 5

SC estimation of demeaned outcomes.

Notes: See the note and the legend in Figure 1 for detailed explanations of the graph. Due to data availability, the first year of our sample for the outcomes of female LFP rates is 1986. Due to lack of data, Canada is excluded from the donor pool for the outcome of in-kind benefits for the elderly, Norway for the outcome of public health expenditure, and Austria, Ireland, and Switzerland for the outcome of female LFP rates. Note that we use only pre-intervention demeaned outcomes as predictors. For SC estimation, we use the synth command in Stata with the nested and allopt options.

Figure 6

Placebo results.

Notes: Thick lines are Japan's SC estimates and the other lines are placebo SC estimates. We calculate placebo SC estimates by assigning the “label” of the intervention status to each control unit, using all the other control units as a donor pool. Note that the composition of donor pools (control units) is different depending on the outcome variables due to data constraints. For baseline SC estimates (bold black line), we use the synth command in Stata with the nested and allopt options. For placebo SC estimates (colored line), we implement synth without nested and allopt, because nested and allopt options sometimes result in optimization errors in some placebo trials.

Table A1

Institutional settings of LTCI programs in Germany and Japan, 2008 (Campbell et al., 2010)

GermanyJapan
Policy objectiveSupport family caregiversDecrease burden of family caregivers
Policy designContain spending to within the premium level set by lawIncrease expenditures as services become more available
Organized and managedSickness funds (but LTC is managed separately)LTC insurance section of the municipal government or their coalitions
FinancingPremiumsHalf by premiums, half by taxes
1.95% of income up to a ceiling1/3 of premium revenue from those age 65+, with 6 premium levels based on income
2/3 from those ages 40–64 at 1% of income, up to a ceiling
Regional differencesNo difference in premium levelsFor those age 65+, premiums linked to local spending level
For those ages 40–64, pooled at national level and redistributed; municipalities having low income levels and more residents age 75+ receive more
Population coveredAll agesUnconditional for those age 65+
Limited to age-related diseases for those ages 40–64
Percentage of those age 65+ who are eligible10.50%17%
Percentage of those age 65+ who are receiving benefits10.5% (all of those eligible receive benefits)13.5% (20% of those eligible have not chosen to receive benefits)
Eligibility levelsThree (plus a limited additional hardship level in HCBS)Two for the “preventive care” program, five for regular LTC insurance
Benefit ceilings per month ($ PPP)No copayment or deductible10% copayment (included below)
Cash: $250–$794 plus caregiver pension premiumsServices only
HCBS: $490–$1,730 (hardship: $2,260)HCBS preventive care: $430–$950
Institutional care: $1,200–$1,730HCBS regular program: $1,440–$3,400
Room-and-board costs not covered; low income covered under public assistanceInstitutional care: $1,680–$3,670
One-third of room-and-board costs covered, up to all costs paid by LTC insurance if income level is low
Fee schedule for servicesNegotiated regionally between sickness funds and providersNegotiated nationally, conversion factor for regional cost differences

[i] Source: Exhibit 3 of Campbell et al. (2010). HCBS is home and community-based services.

Table A2

LTC spending on the elderly per person aged 65 and older (USD, PPP, 2005)

graphic/j_izajolp-2021-0004_tab_001.jpg

[i] Source: Exhibit 2 of Campbell et al., (2010).

Table A3

Variable definitions and sources

Outcomes (1980–2013)DefinitionSource
Public expenditure on benefits in kind for the elderly (% of GDP)Public expenditure on benefits in kind for the elderly as percentages of GDPOECD Database
Public expenditure on benefits in kind for the elderly (per elderly person)Public expenditure on benefits in kind for the elderly per aged 65 and older, at constant prices (2010) and constant PPPs (2010) in USDOECD Database
Total public expenditure on health care (% of GDP)Total public expenditure on health care, as a percentage of GDPOECD Database
Total public expenditure on health care (per capita)Total public expenditure on health care per head, at constant prices (2010) and constant PPPs (2010) in USDOECD Database
Female labour force participation rate by age cohortRatio of women in the labor force in an age cohort to the female population of the same age cohortOECD Database
Predictors other than pre-intervention outcomes (1980–1999)DefinitionSource
Per capita real GDPExpenditure-side real GDP (million US$, 2005, PPP) divided by populationPWT8.1
Child population (%)Population aged under 15 as % of population.OECD Database
Elderly population (%)Population aged 65 and older as % of populationOECD Database
Employment in agriculture (%)Employment in agriculture as % of civilian employmentCWS
Employment in industry (%)Employment in industry as % of civilian employmentCWS
Employment in services (%)Employment in services as % of civilian employmentCWS
Annual growth rate of per capita real GDP (%)Annual growth rate of per capita real GDP (%)PWT8.1
Annual growth rate of population (%)Annual growth rate of population (%)OECD Database
Annual growth rate of child population (%)Annual growth rate of child population (%)OECD Database
Annual growth rate of elderly population (%)Annual growth rate of elderly population (%)OECD Database

[i] Notes: CWS and PWT 8.1 indicate “Comparative Welfare State Dataset” (Brady et al. (2014) and “Penn World Table 8.1” (Feenstra et al. (2015), respectively. Expenditure data based on the OECD database are from the OECD Social Expenditure Database (SOCX). Demographic data based on OECD databases are from the OECD Employment and Labour Force Statistics.

Table A4

Outcome: in-kind benefits for the elderly (% of GDP)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.0660.0880.076
Austria0.497--
Belgium0.15500.515
Denmark000.023
Finland000
France000
Ireland000
Italy00.489-
NewZealand000
Norway000
Portugal00.1340.349
Spain0.2800
Sweden0.0020.0370.037
Switzerland000
UnitedKingdom00.0830
UnitedStates00.1690
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1980)0.1010.1080.1010.099
Lagged outcome (1981)0.1040.1080.1010.102
Lagged outcome (1982)0.1100.1080.0980.102
Lagged outcome (1983)0.1100.1080.0950.101
Lagged outcome (1984)0.1090.1080.0940.097
Lagged outcome (1985)0.1090.1080.0900.099
Lagged outcome (1986)0.1220.1060.0890.099
Lagged outcome (1987)0.1150.1300.1240.131
Lagged outcome (1988)0.1140.1320.1330.136
Lagged outcome (1989)0.1200.1320.1300.138
Lagged outcome (1990)0.1270.1620.1630.161
Lagged outcome (1991)0.1380.1700.1760.170
Lagged outcome (1992)0.1530.1620.1910.187
Lagged outcome (1993)0.1670.1690.2040.197
Lagged outcome (1994)0.1820.1870.2040.195
Lagged outcome (1995)0.2140.2000.2040.217
Lagged outcome (1996)0.2210.2270.2130.229
Lagged outcome (1997)0.2410.2250.2200.221
Lagged outcome (1998)0.1860.2750.2780.279
Lagged outcome (1999)0.4310.2880.2620.269
GDP per capita22.80520.62222.33519.252
Share of children (%)18.91919.09519.27919.638
Share of the elderly (%)12.29414.26114.09214.207
Share of agriculture (%)7.4098.4738.3548.533
Share of industry (%)34.08233.07031.54330.437
Share of service (%)58.50958.43960.07961.009
GDP per capita (growth rate)2.8273.0072.8102.880
Population (growth rate)0.4360.3870.4290.306
Share of children (growth rate)−2.351−1.447−1.667−1.286
Share of the elderly (growth rate)3.2190.7551.2741.173
Table A5

Outcome: in-kind benefits for the elderly (per elderly person)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia00.0430.01
Austria0.591--
Belgium000.549
Denmark00.0270.034
Finland000
France000
Ireland000
Italy00.586-
NewZealand000
Norway0.0080.0030.007
Portugal00.1480.137
Spain0.400.233
Sweden00.0340.028
Switzerland000.001
UnitedKingdom000
UnitedStates00.1590
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1980)245.8246.6258.9243.3
Lagged outcome (1981)254.4252.9258.5248.3
Lagged outcome (1982)269.5260.4254.3254.7
Lagged outcome (1983)273.9266.9247.9254.4
Lagged outcome (1984)276.4273.3249.0251.0
Lagged outcome (1985)276.9280.4244.5259.9
Lagged outcome (1986)312.2287.3246.9272.9
Lagged outcome (1987)298.9298.0297.5297.5
Lagged outcome (1988)305.5309.0324.9316.5
Lagged outcome (1989)324.6312.7320.4321.4
Lagged outcome (1990)344.0364.3397.9384.3
Lagged outcome (1991)366.8371.6411.0389.7
Lagged outcome (1992)393.5395.9442.5439.5
Lagged outcome (1993)412.0406.4455.3448.8
Lagged outcome (1994)438.7454.6461.5458.1
Lagged outcome (1995)509.5479.7481.7524.8
Lagged outcome (1996)519.4556.6504.2544.2
Lagged outcome (1997)548.3560.8520.0534.3
Lagged outcome (1998)404.8597.0601.3582.7
Lagged outcome (1999)909.2675.8606.2599.0
GDP per capita22.80519.62822.13119.639
Share of children (%)18.91919.00218.90019.252
Share of the elderly (%)12.29414.32214.23114.435
Share of agriculture (%)7.40910.0379.2107.436
Share of industry (%)34.08234.31432.06030.174
Share of service (%)58.50955.54858.71962.287
GDP per capita (growth rate)2.8273.2042.8292.653
Population (growth rate)0.4360.3470.3620.252
Share of children (growth rate)−2.351−1.695−1.857−1.423
Share of the elderly (growth rate)3.2190.7781.3641.174
Table A6

Outcome: public health expenditure (% of GDP)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.2460.278-
Austria000
Belgium000
Canada000
Denmark0.1550.2640.253
Finland000
France0.140.1460.289
Ireland0.050.110.09
Italy000
NewZealand000
Portugal0.0530.0830.23
Spain000
Sweden000
Switzerland000.123
UnitedKingdom0.357--
UnitedStates00.1180.016
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1980)4.3744.4804.4774.533
Lagged outcome (1981)4.4384.5434.4844.599
Lagged outcome (1982)4.5484.4674.4874.555
Lagged outcome (1983)4.6954.5524.4884.487
Lagged outcome (1984)4.5664.5874.5284.413
Lagged outcome (1985)4.5274.5864.5714.506
Lagged outcome (1986)4.5934.5564.5554.501
Lagged outcome (1987)4.6194.5424.5544.520
Lagged outcome (1988)4.5104.4994.5384.594
Lagged outcome (1989)4.4344.4374.4844.511
Lagged outcome (1990)4.3964.5004.5424.558
Lagged outcome (1991)4.4954.7064.7264.722
Lagged outcome (1992)4.7074.8814.8224.807
Lagged outcome (1993)4.9995.0134.9925.056
Lagged outcome (1994)5.1474.9444.9474.984
Lagged outcome (1995)5.0984.9945.1055.119
Lagged outcome (1996)4.9825.0245.1345.194
Lagged outcome (1997)5.1805.2175.1305.149
Lagged outcome (1998)5.3145.3015.1535.150
Lagged outcome (1999)5.5605.5625.4485.420
GDP per capita22.80521.77122.99521.197
Share of children (%)18.91920.63621.33020.261
Share of the elderly (%)12.29413.85312.91413.982
Share of agriculture (%)7.4095.5387.3049.272
Share of industry (%)34.08228.95727.64330.068
Share of service (%)58.50965.53964.87860.761
GDP per capita (growth rate)2.8272.6342.6512.644
Population (growth rate)0.4360.5390.6970.384
Share of children (growth rate)−2.351−0.885−1.011−1.213
Share of the elderly (growth rate)3.2190.6890.7750.767
Table A7

Outcome: public health expenditure (per capita)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.3030.313-
Austria000
Belgium000
Canada00.0250.227
Denmark0.03100.065
Finland000
France0.0950.090
Ireland000
Italy000
NewZealand00.0260
Portugal0.0020.1890.278
Spain0.323--
Sweden000
Switzerland0.0550.1170.03
UnitedKingdom000.169
UnitedStates0.1920.2390.231
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1980)971.51012.01016.21011.5
Lagged outcome (1981)1017.41031.61050.41060.0
Lagged outcome (1982)1070.31044.41045.21079.2
Lagged outcome (1983)1139.11119.51090.11106.8
Lagged outcome (1984)1152.21168.31159.31123.9
Lagged outcome (1985)1189.61191.11202.71175.7
Lagged outcome (1986)1244.91226.91253.51227.1
Lagged outcome (1987)1312.11276.71296.21274.8
Lagged outcome (1988)1356.21340.81341.51336.5
Lagged outcome (1989)1393.21395.31391.51372.4
Lagged outcome (1990)1438.51458.71452.01461.5
Lagged outcome (1991)1505.31529.21539.11559.8
Lagged outcome (1992)1578.71613.31603.81622.4
Lagged outcome (1993)1669.81670.61668.11679.8
Lagged outcome (1994)1741.11712.41717.51705.3
Lagged outcome (1995)1769.01735.91712.61709.3
Lagged outcome (1996)1769.51782.31771.71756.6
Lagged outcome (1997)1844.71831.81829.21831.5
Lagged outcome (1998)1870.61890.51894.81906.1
Lagged outcome (1999)1963.11983.61981.52000.0
GDP per capita22.80523.06724.30122.647
Share of children (%)18.91921.11121.30920.602
Share of the elderly (%)12.29412.69112.43013.094
Share of agriculture (%)7.4097.4767.4377.694
Share of industry (%)34.08228.45228.30629.255
Share of service (%)58.50964.09164.07463.051
GDP per capita (growth rate)2.8272.4992.5332.730
Population (growth rate)0.4360.8070.8960.650
Share of children (growth rate)−2.351−1.423−1.037−1.072
Share of the elderly (growth rate)3.2191.2481.0911.072
Table A8

Outcome: female labor force participation rate (ages 40–44)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.07400.754
Belgium000
Canada000
Denmark000
France000
Italy0.3540.581-
NewZealand0.519--
Norway000
Portugal000
Spain000.103
Sweden0.0530.4190
UnitedKingdom000.143
UnitedStates000
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)68.79367.96766.71163.126
Lagged outcome (1987)68.38668.24167.13064.465
Lagged outcome (1988)68.07668.50667.80266.657
Lagged outcome (1989)68.75068.93669.39369.099
Lagged outcome (1990)69.58269.88670.12270.940
Lagged outcome (1991)70.37770.01970.17671.123
Lagged outcome (1992)70.51370.39670.89471.455
Lagged outcome (1993)70.29168.68069.97970.692
Lagged outcome (1994)69.79270.02369.59571.663
Lagged outcome (1995)69.46969.42069.42172.359
Lagged outcome (1996)69.46469.84670.23972.987
Lagged outcome (1997)70.87470.04870.47072.935
Lagged outcome (1998)70.17571.15871.90072.357
Lagged outcome (1999)69.54371.72872.06072.441
GDP per capita25.47922.04023.94724.747
Share of children (%)17.31520.24816.89521.091
Share of the elderly (%)13.41913.19516.53012.396
Share of agriculture (%)6.5118.5056.0215.403
Share of industry (%)33.69227.65930.67025.484
Share of service (%)59.79663.82163.30968.954
GDP per capita (growth rate)4.1263.1513.4133.273
Population (growth rate)0.3260.7390.2201.049
Share of children (growth rate)−2.637−1.090−1.185−0.974
Share of the elderly (growth rate)3.5211.3831.3351.277
Table A9

Outcome: female labor force participation rate (ages 45–49)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia000
Belgium000.23
Canada000
Denmark0.1570.3150
France000
Italy0.378--
NewZealand000
Norway000
Portugal0.00200
Spain00.346-
Sweden0.3270.3380
UnitedKingdom000.77
UnitedStates0.13600
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)68.09568.34566.70466.679
Lagged outcome (1987)68.44569.24368.22166.829
Lagged outcome (1988)69.31869.97269.17667.203
Lagged outcome (1989)70.65269.84668.56068.895
Lagged outcome (1990)71.71171.18070.68270.238
Lagged outcome (1991)72.12071.29270.97870.137
Lagged outcome (1992)72.00971.60871.32372.161
Lagged outcome (1993)71.91571.52172.21572.580
Lagged outcome (1994)71.19771.09171.39373.261
Lagged outcome (1995)71.31971.97373.06873.384
Lagged outcome (1996)71.60971.87273.02674.470
Lagged outcome (1997)72.24371.86673.18473.988
Lagged outcome (1998)72.37472.28273.22774.962
Lagged outcome (1999)71.81673.24374.41576.385
GDP per capita25.47925.47722.21322.777
Share of children (%)17.31517.72818.08718.943
Share of the elderly (%)13.41915.84315.72615.664
Share of agriculture (%)6.5115.2706.3462.179
Share of industry (%)33.69229.19828.75529.087
Share of service (%)59.79665.53364.79968.734
GDP per capita (growth rate)4.1263.1733.8473.653
Population (growth rate)0.3260.3670.3280.264
Share of children (growth rate)−2.637−0.781−1.044−0.097
Share of the elderly (growth rate)3.5210.9000.7710.540
Table A10

Outcome: female labor force participation rate (ages 50–54)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia000
Belgium000
Canada000
Denmark0.1890.250.345
France000
Italy0.1760.0790.107
NewZealand000
Norway000.129
Portugal0.1910.1630.199
Spain000
Sweden0.232--
UnitedKingdom00.461-
UnitedStates0.2120.0480.22
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)61.67161.80662.11561.415
Lagged outcome (1987)61.80062.52562.45661.892
Lagged outcome (1988)63.35063.40663.03863.346
Lagged outcome (1989)64.21664.01164.25864.147
Lagged outcome (1990)65.52665.49265.35365.553
Lagged outcome (1991)66.50666.62166.22866.634
Lagged outcome (1992)67.60666.53666.74866.651
Lagged outcome (1993)66.89767.10767.57667.535
Lagged outcome (1994)67.40166.60566.94166.325
Lagged outcome (1995)67.11166.92966.57066.209
Lagged outcome (1996)66.90066.79066.53566.492
Lagged outcome (1997)67.88267.83167.75467.683
Lagged outcome (1998)67.81167.91868.42568.606
Lagged outcome (1999)67.89469.00769.36869.911
GDP per capita25.47924.42922.43024.880
Share of children (%)17.31518.64218.67218.848
Share of the elderly (%)13.41915.09615.23114.593
Share of agriculture (%)6.5116.6635.4896.994
Share of industry (%)33.69229.09129.79628.320
Share of service (%)59.79664.24664.81564.687
GDP per capita (growth rate)4.1263.5803.8173.491
Population (growth rate)0.3260.4280.2710.446
Share of children (growth rate)−2.637−0.838−0.588−0.758
Share of the elderly (growth rate)3.5210.8610.6510.676
Table A11

Outcome: female labor force participation rate (ages 55–59)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.160.473-
Belgium000
Canada000.017
Denmark0.04700
Finland0.150.1980.291
France000
Italy000
NewZealand000.12
Norway000
Portugal0.08500.376
Spain000
Sweden0.0940.3290.196
UnitedKingdom000
UnitedStates0.464--
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)49.86350.18750.48950.848
Lagged outcome (1987)50.80650.64051.52250.685
Lagged outcome (1988)50.91951.55052.01752.105
Lagged outcome (1989)52.20852.93252.89753.244
Lagged outcome (1990)53.94454.06654.15254.459
Lagged outcome (1991)55.50054.72554.97955.372
Lagged outcome (1992)55.55655.26954.81155.271
Lagged outcome (1993)56.40455.28355.09754.865
Lagged outcome (1994)56.35956.60255.98855.646
Lagged outcome (1995)56.96557.05356.94556.623
Lagged outcome (1996)58.08857.86958.61758.233
Lagged outcome (1997)58.67057.94957.48657.383
Lagged outcome (1998)59.07058.63558.12157.892
Lagged outcome (1999)58.66759.95859.52960.042
GDP per capita25.47927.68424.74419.337
Share of children (%)17.31520.60420.13419.541
Share of the elderly (%)13.41913.28113.95014.310
Share of agriculture (%)6.5115.2665.30810.276
Share of industry (%)33.69226.47925.95929.771
Share of service (%)59.79668.22268.63459.953
GDP per capita (growth rate)4.1262.9683.0214.243
Population (growth rate)0.3260.8580.8300.389
Share of children (growth rate)−2.637−0.424−0.437−1.097
Share of the elderly (growth rate)3.5210.7170.8791.296
Table A12

Outcome: difference in female LFP rate (ages 50–54 and ages 45–49)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia000
Belgium000
Canada000
Denmark0.1890.250.345
France000
Italy0.1760.0790.107
NewZealand000
Norway000.129
Portugal0.1910.1630.199
Spain000
Sweden0.232--
UnitedKingdom00.461-
UnitedStates0.2120.0480.22
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)61.67161.80662.11561.415
Lagged outcome (1987)61.80062.52562.45661.892
Lagged outcome (1988)63.35063.40663.03863.346
Lagged outcome (1989)64.21664.01164.25864.147
Lagged outcome (1990)65.52665.49265.35365.553
Lagged outcome (1991)66.50666.62166.22866.634
Lagged outcome (1992)67.60666.53666.74866.651
Lagged outcome (1993)66.89767.10767.57667.535
Lagged outcome (1994)67.40166.60566.94166.325
Lagged outcome (1995)67.11166.92966.57066.209
Lagged outcome (1996)66.90066.79066.53566.492
Lagged outcome (1997)67.88267.83167.75467.683
Lagged outcome (1998)67.81167.91868.42568.606
Lagged outcome (1999)67.89469.00769.36869.911
GDP per capita25.47924.42922.43024.880
Share of children (%)17.31518.64218.67218.848
Share of the elderly (%)13.41915.09615.23114.593
Share of agriculture (%)6.5116.6635.4896.994
Share of industry (%)33.69229.09129.79628.320
Share of service (%)59.79664.24664.81564.687
GDP per capita (growth rate)4.1263.5803.8173.491
Population (growth rate)0.3260.4280.2710.446
Share of children (growth rate)−2.637−0.838−0.588−0.758
Share of the elderly (growth rate)3.5210.8610.6510.676
Table A13

Outcome: difference in female LFP rate (ages 55–59 and ages 45–49)

Weights
CountrySynthetic control 1Synthetic control 2Synthetic control 3
Australia0.160.473-
Belgium000
Canada000.017
Denmark0.04700
Finland0.150.1980.291
France000
Italy000
NewZealand000.12
Norway000
Portugal0.08500.376
Spain000
Sweden0.0940.3290.196
UnitedKingdom000
UnitedStates0.464--
Predictor values
PredictorTreatedSynthetic control 1Synthetic control 2Synthetic control 3
Lagged outcome (1986)49.86350.18750.48950.848
Lagged outcome (1987)50.80650.64051.52250.685
Lagged outcome (1988)50.91951.55052.01752.105
Lagged outcome (1989)52.20852.93252.89753.244
Lagged outcome (1990)53.94454.06654.15254.459
Lagged outcome (1991)55.50054.72554.97955.372
Lagged outcome (1992)55.55655.26954.81155.271
Lagged outcome (1993)56.40455.28355.09754.865
Lagged outcome (1994)56.35956.60255.98855.646
Lagged outcome (1995)56.96557.05356.94556.623
Lagged outcome (1996)58.08857.86958.61758.233
Lagged outcome (1997)58.67057.94957.48657.383
Lagged outcome (1998)59.07058.63558.12157.892
Lagged outcome (1999)58.66759.95859.52960.042
GDP per capita25.47927.68424.74419.337
Share of children (%)17.31520.60420.13419.541
Share of the elderly (%)13.41913.28113.95014.310
Share of agriculture (%)6.5115.2665.30810.276
Share of industry (%)33.69226.47925.95929.771
Share of service (%)59.79668.22268.63459.953
GDP per capita (growth rate)4.1262.9683.0214.243
Population (growth rate)0.3260.8580.8300.389
Share of children (growth rate)−2.637−0.424−0.437−1.097
Share of the elderly (growth rate)3.5210.7170.8791.296
Figure A1

Placebo results for demeaned outcomes.

Notes: Thick lines are Japan's SC estimates and the other lines are placebo SC estimates. We calculate placebo SC estimates by assigning the “label” of the intervention status to each control unit, using all the other control units as a donor pool. Note that the composition of donor pools (control units) is different depending on the outcome variables due to data constraints. For baseline SC estimates (bold black line), we use the synth command in Stata with the nested and allopt options. For placebo SC estimates (colored line), we implement synth without nested and allopt, because nested and allopt options sometimes result in optimization errors in some placebo trials.

Figure A2

Extended placebo tests for in-kind benefits for the elderly (% of GDP).

Notes: The definitions of test statistics 1–4 are based on Eqs. (A.3) and (A.4). In each graph, the X-axis shows the values of test statistics and the Y-axis indicates the cumulative probability density of placebo-based test statistics. The large circle shows the value of a baseline test statistic for Japan and the small circles show the values of leave-one-out test statistics for Japan. Note that the nested and allopt options in the synth command in Stata are not used in all estimations, including baseline and leave-one-out estimations for Japan.

Figure A3

Extended placebo tests for the female LFP rate of ages 50–54.

Notes: The definitions of test statistics 1–4 are based on Eqs. (A.3) and (A.4). In each graph, the X-axis shows the values of test statistics and the Y-axis indicates the cumulative probability density of the placebo-based test statistics. The large circle shows the value of a baseline test statistic for Japan and the small circles show the values of leave-one-out test statistics for Japan. Note that the nested and allopt options in the synth command in Stata are not used in all estimations, including baseline and leave-one-out estimations for Japan.

Figure A4

Extended placebo tests for the female LFP rate of ages 55–59.

Notes: The definitions of test statistics 1–4 are based on Eqs. (A.3) and (A.4). In each graph, the X-axis shows the values of test statistics and the Y-axis indicates the cumulative probability density of placebo-based test statistics. The large circle shows the value of a baseline test statistic for Japan and small circles show the values of leave-one-out test statistics for Japan. Note that the nested and allopt options in the synth command in Stata is not used in all estimations, including baseline and leave-one-out estimations for Japan.

Figure A5

Extended placebo tests for in-kind benefits for the elderly per elderly person.

Note: see the note in Figure A2 for the estimation procedure.

Figure A6

Extended placebo tests for public health expenditure (% of GDP).

Note: see the note in Figure A2 for the estimation procedure.

Figure A7

Extended placebo tests for public health expenditure per capita.

Note: see the note in Figure A2 for the estimation procedure.

Figure A8

Extended placebo tests for Female labor force participation rate (ages 40–44).

Note: see the note in Figure A2 for the estimation procedure.

Figure A9

Extended placebo tests for female labor force participation rate (ages 45–49).

Note: see the note in Figure A2 for the estimation procedure.

Figure A10

Extended placebo tests for female labor force participation rate (ages 50–54).

Note: see the note in Figure A2 for the estimation procedure.

Table A14

Changes in in-kind benefits for the elderly (% of GDP)

Change in in-kind benefits for the elderly (% of GDP)
Country1999–2005 (% point)Country1999–2010 (% point)
Japan0.713Japan1.096
Netherlands0.243Spain0.469
Spain0.183Finland0.354
United Kingdom0.160Netherlands0.343
Finland0.152France0.261
France0.148Austria0.216
Austria0.108United Kingdom0.158
Australia0.043Denmark0.129
Denmark0.035Switzerland0.081
Portugal0.013Belgium0.079
Switzerland0.010Portugal0.061
Italy0.004Italy0.033
Germany0.002Germany0.007
United States0.000New Zealand−0.001
New Zealand−0.001Ireland−0.009
Belgium−0.016United States−0.010
Sweden−0.067Sweden−0.104
Ireland−0.110Norway−0.192
Norway−0.410Australia−0.444

[i] Notes: Calculated by the authors based on OECD Database. See also Table A3 in Appendix A2 for the definition of in-kind benefits for the elderly (% of GDP).

Figure A11

SC estimation with limited donor pool countries 1.

Notes: See the note and the legend in Figure 1 for detailed explanations of the graph. Due to data availability, the first year of our sample for the outcome of female LFPs is 1986. Countries with relatively high growth in the in-kind benefits for the elderly in the periods 1999–2005 or 1999–2010 (i.e., Austria, Finland, France, Spain, and the United Kingdom) are excluded from the donor pool. In addition, due to lack of data, Canada is excluded from the donor pool for the outcome of in-kind benefit for the elderly, Norway for the outcome of public health expenditure, and Ireland and Switzerland for the outcome of female LFP rates. For SC estimation, we use the synth command in Stata with the nested and allopt options.

Figure A12

SC estimation with limited donor pool countries 2.

Notes: See the note and the legend in Figure 1 for detailed explanations of the graph. Due to data availability, the first year of our sample for the outcome of female LFP rates is 1986. Italy, Belgium, and Portugal are excluded from the donor pool due to zero values of in-kind benefits for the elderly in the period 1980–1989 and Australia and Sweden are also dropped from the donor pool because of fluctuating values in in-kind benefits for the elderly in the pre-intervention period. In addition, due to lack of data, Canada is excluded from the donor pool for the outcome of in-kind benefit for the elderly, Norway for the outcome of public health expenditure, and Austria, Ireland, and Switzerland for the outcome of female LFP rates. For SC estimation, we use the synth command in Stata with the nested and allopt options.

Figure A13

In-time placebo SC estimation with a backdated intervention year.

Notes: See the note and the legend in Figure 1 for detailed explanations of the graph. Due to data availability, the first year of our sample for the outcome of female LFP is 1986. In this SC estimation, the backdated intervention year is set as 1993 (solid vertical line) and therefore the period 1993–1999 is interpreted as the in-time placebo period. Due to lack of data, Canada is excluded from the donor pool for the outcome of in-kind benefit for the elderly, Norway for the outcome of public health expenditure, and Austria, Ireland, and Switzerland for the outcome of female LFP rates. For SC estimation, we use the synth command in Stata with the nested and allopt options.

Language: English
Accepted on: Jan 4, 2021
Published on: Jun 14, 2021
Published by: Sciendo
In partnership with: Paradigm Publishing Services
JEL:

© 2021 Michihito Ando, Masato Furuichi, Yoshihiro Kaneko, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 License.