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  • 1
    Online Resource
    Online Resource
    Federalism and public health decentralisation in the time of COVID-19 (2021)
    Paris, France : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (circa 44 Seiten) , Illustrationen
    Series Statement: OECD working papers on fiscal federalism no. 33 (January 2021)
    Keywords: Coronavirus ; fiscal federalism ; intergovernmental coordination ; public health services ; subnational governments ; Governance ; Social Issues/Migration/Health ; Taxation ; Amtsdruckschrift ; Graue Literatur
    Abstract: The Coronavirus pandemic has put extreme pressure on public health services, often delivered at the local and regional levels of government. The paper focuses on how countries made changes to the configuration of federalism during the first wave of the pandemic. These changes typically have involved the centralisation and decentralisation of certain health-related activities, as well as the creation of new coordination and funding mechanisms. Specific tools that have been used include an enhanced role of the executive branch (“executive federalism”), the use of centres of government for vertical coordination, as well as the introduction of unique state-of-emergency laws. New horizontal coordination arrangements have also emerged with the more decentralised approaches. The strengths, weaknesses and implementation risks of various approaches are analysed using country examples.
    DOI: 10.1787/b78ec8bb-en
    URL: lizenzpflichtig
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
  • 2
    Online Resource
    Online Resource
    Ageing and the long-run fiscal sustainability of health care across levels of government (2022)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (37 Seiten) , 21 x 28cm.
    Series Statement: OECD Working Papers on Fiscal Federalism no.38
    Keywords: Social Issues/Migration/Health ; Economics ; Taxation
    Abstract: OECD economies are undergoing a seemingly inevitable process of population ageing that has been changing income and consumption patterns. Notably, the demand for health services is expected to increase, while labour forces are projected to shrink. Both factors are projected to negatively impact the sustainability of health systems – the former through an increase in government expenditures on health and the latter through a decrease in government revenues. As health systems and their funding streams tend to be at least partially decentralised in most OECD countries, this fiscal pressure is expected to be asymmetric across levels of government. The objective of this paper is to provide order-of-magnitude estimates of the possible effects of population ageing on government finances across OECD countries, and to discuss reforms to fiscal federalism and intergovernmental relations with the purpose of funding expenditures at all levels of government.
    DOI: 10.1787/7c184406-en
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
  • 3
    Online Resource
    Online Resource
    The past and future of subnational fiscal rules : An analysis of fiscal rules over time (2022)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (52 p.) , 21 x 28cm.
    Series Statement: OECD Working Papers on Fiscal Federalism no.41
    Keywords: Economics ; Taxation ; Finance and Investment ; Governance
    Abstract: Fiscal rules are increasingly used at state and local levels to promote fiscal sustainability in OECD countries. Following the Global Financial Crisis, multiple reforms to fiscal rule frameworks were made so that governments could better tackle crises and build buffers for future downturns. This paper examines recent trends in the adoption of fiscal rules across levels of government and empirically assesses their effects with the purpose of providing lessons for the post-COVID-19 period. Beyond addressing the deterioration in public finances after the pandemic, the challenges include addressing the impact of population ageing, climate change and the energy transition, as well as growing regional inequalities. Evolution of the rules employed at the central level are contrasted to those at the subnational levels, including design features and institutional elements, together with their goals and limitations.
    DOI: 10.1787/d2798c9e-en
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
  • 4
    Online Resource
    Online Resource
    Funding the future : The impact of population ageing on revenues across levels of government (2022)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (70 p.) , 21 x 28cm.
    Series Statement: OECD Working Papers on Fiscal Federalism no.39
    Keywords: Economics ; Taxation
    Abstract: Government revenues may be affected by economic growth and changes in demographics over time. The effect of economic growth can be captured by long-run buoyancy – responsiveness of government revenues to GDP growth – while the demographic effect can be captured by changes in labour income, asset income and consumption patterns over the life cycle, as well as population growth. This paper attempts to quantify the effect of population ageing on OECD tax revenues across different levels of government, by estimating error correction models of revenue buoyancies over the 1990 to 2018 period, by type of revenue, country and level of government. Multiple scenarios are used for the projections to 2040, which are combined with scenarios for the evolution of revenue bases using newly harmonized EU and UN National Transfer Accounts data as well as OECD Population Projections.
    DOI: 10.1787/2b0f063e-en
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
  • 5
    Online Resource
    Online Resource
    Assessing the future fiscal sustainability of health spending in Ireland (2023)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (50 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.161
    Keywords: Gesundheitskosten ; Öffentliche Ausgaben ; Finanzpolitik ; Irland ; Social Issues/Migration/Health
    Abstract: This working paper uses a new method to assess the fiscal sustainability of the Irish health system by considering the effects of population change and income growth on both government revenue and health spending over time. Spending on healthcare is comparatively high in Ireland, accounting for 8.4% of GNI in 2019. Health spending from public sources is projected to account for 24% of government revenues in 2040 (up from 20% in 2019). The fiscal balance is projected to slightly deteriorate in Ireland by 2040. Population change is projected to be a much greater driver of future health spending in Ireland over the next 20 years as compared to the OECD average. By coupling health spending projections with government revenue projections, our approach provides policymakers with a broader set of whole-of-government policies to consider when addressing financing shortfalls.
    DOI: 10.1787/1f5fadbc-en
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
  • 6
    Online Resource
    Online Resource
    From local to national: Delivering and financing effective long-term care (2023)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 1 Online-Ressource (33 p.) , 21 x 28cm.
    Series Statement: OECD Working Papers on Fiscal Federalism no.45
    Keywords: Social Issues/Migration/Health ; Economics ; Employment ; Governance
    Abstract: This study provides an in-depth examination of the fiscal and governance decentralisation of long-term care (LTC) across OECD countries, offering projections of future fiscal burdens of LTC spending across levels of government. With rapid population ageing and a decrease in the supply of informal care, LTC spending has increased significantly. The paper introduces a novel methodology to estimate LTC expenditures across different government levels, including central and subnational governments. By analysing country cases, it explores the responsibilities assigned to each government level and the implications for service delivery and intergovernmental coordination. The study also discusses the overall anticipated increase of LTC expenditure to 2.3% of GDP by 2040, identifying the most impacted countries. This research contributes to our understanding of LTC systems, highlights the challenges of increasing LTC costs and provides insights for optimising governance and fiscal expenditure.
    DOI: 10.1787/578b296f-en
    URL: lizenzpflichtig
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    Online Resource
    MPI Ethno. Forsch.
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