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Social security issues and elements of reform (English)

This paper documents the main problems many social security systems are currently facing, as well as various elements for their reform suggested in the literature. The current problems are classified into inadequate and inequitable protection, economic and political environment, demographic patterns, labor patterns, administration, other inefficiencies, financial management, and benefits inflation. The paper suggests various constraints and general principles of reform; and proposes a menu of elements of reform that includes fostering private sector and non-governmental organizations; reducing health care costs, administrative costs, benefit costs; enhancing coverage and financing (financing short-term and long-term benefits); and improving portfolio management. The suggestions are primarily intended to generate further discussions on this important topic. Moreover, recognizing that unique conditions require corresponding remedies, the list of reform elements enumerated in this paper is meant to be neither exhaustive nor definite. Rather, it is to suggest a menu of reform options, a frame of reference or, simply, a practical starting point for policy makers who, in the final analysis, will devise a plan of action adaptable to the characteristics of the individual economy in question.

Details

  • Author

    Nguyen,Nguyen X.

  • Document Date

    1994/05/31

  • Document Type

    Human Capital Working Paper

  • Report Number

    13004

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    World,

  • Region

    The World Region,

  • Disclosure Date

    2010/07/01

  • Disclosure Status

    Disclosed

  • Doc Name

    Social security issues and elements of reform

  • Keywords

    social security system;health care cost control;rural water supply and sanitation;real rate of interest;provision of health care;right to social security;public social security system;state support for education;Nutrition and Food Security;income elasticity of demand;delivery of health services;life expectancy at birth;demand for health services;demand for health care;health care service;health care benefit;income generating activity;social security benefit;replacement rate;formal social security;social security coverage;social insurance;number of beneficiaries;social security fund;long-term benefits;social security program;cash benefits system;risk share arrangement;social insurance benefit;social security spending;health care spending;incentives for providers;health care financing;public sector revenue;cost sharing arrangement;common labor market;accumulation of capital;supply of service;Sexually Transmitted Disease;public sector debt;efficient portfolio management;rates of return;health care management;government budget deficit;social security function;social security scheme;social insurance coverage;social security account;social security deficit;Social Safety Nets;defined contribution system;years of service;age of retirement;resource base;access to fund;high growth rate;single parent family;primary education program;social welfare services;small business assistance;essential social services;funded pension systems;unpaid family worker;labor market condition;centrally planned economy;electronic data processing;protection against fraud;social security contribution;health care system;early retirement pension;extended family support;incidence of poverty;extent of coverage;multipillar pension system;delivery of service;social security reform;adequate social security;declining birth rate;cost of living;social security institutions;european economic community;public capital spending;rapid population growth;lack of skill;negative population growth;contribution rate;informal sector;administrative cost;social assistance;short-term benefits;tax base;benefit package;non-governmental organization;payroll tax;real wage;benefit costs;benefit structure;retirement age;family allowance;capital reserve;Socialist economies;private insurance;moral hazard;industrialized country;disability benefit;Industrialized countries;aging population;retirement benefit;vulnerable population;dual system;administrative institution;preventive care;pension benefit;income support;unemployment benefit;financial viability;

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Citation

Nguyen,Nguyen X.

Social security issues and elements of reform (English). Human resources development and operations policy working papers,no. HRO 28 Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/958181468767066587/Social-security-issues-and-elements-of-reform