From local to national: Delivering and financing effective long-term care

This study provides an in-depth examination of the fiscal and governance decentralisation long-term care (LTC) across OECD countries, offering projections future burdens LTC spending levels government. With rapid population ageing a decrease in supply informal care, has increased significantly. The paper introduces novel methodology to estimate expenditures different government levels, including central subnational governments. By analysing country cases, it explores responsibilities assigned each level implications for service delivery intergovernmental coordination. also discusses overall anticipated increase expenditure 2.3% GDP by 2040, identifying most impacted countries. research contributes our understanding systems, highlights challenges increasing costs insights optimising expenditure.