In most European countries, a rebalance of the excess of Pay-as-You-Go financing for pension and health expenditure is important, to reduce the current and expected future pressure on public finances. A debate should be promoted on how to achieve an optimal design, which combines PayGo and real...

The Ecofin-Oecd methodology is applied to reconstruct the health care expenditure evolution in Italy and in the Region Emilia Romagna. The reconstructed series can be compared to the historical series, highlighting the different capabilities of the Italian average and of the Region Emilia...

Data from Stability Programs (European Countries) and from Us Congress Budget Office and Us Bureau of Census are collected to investigate the burden each worker will have to bear in the future in order to finance pension and health care provisions. If the private side of the system is based,...

This paper describes the reasons at the basis of the insufficiency of pay-as-you-go systems to provide resources for financing health care in an ageing society with the low rates of growth that will characterise western industrialised economies during next decades. Intuitive arguments are...

The work constructs projections till 2030 for health care expenditures of Italian Regional Health Care Systems. Three different schemes of financing are hypothesised, with three different levels of solidarity between Regions. Financing is always supposed to cover the entire exigency of...

The demographic database of Istat (www.istat.it)is explored and the main facts are extracted and described, both at the aggregate national level as well as at the regional one. This paper is completely self-standing but, at the same time, poses the basis for a more general analysis that will be...

Ecofin-Oecd methodology is applied to investigate the past trends of the public health care expenditure in Basilicata. The expenditure is standardized to take into account the composition of the population in terms of age. Did Basilicata spend too much compared to the Italian average? The answer...

The paper proposes a method to speed up the transition toward the notional contributions pension system in Italy. It seems the most appropriate manner to combine and pursue employment and financial sustainability goals. The method computes percentages for abating the old retributive pensions...

We use the same methodology, that Ecofin-Oecd apply for projecting expenditure in the medium-long term, to reconstruct expenditure in the medium-long past. It is possible to compare the effective expenditure with the reconstructed one. The effective expenditure is of course influenced by policy...

During the last thirty years health care expenditure (HCE) has been growing much more rapidly than GDP in all OECD countries posing increasing concern on the long-term sustainability of current trends. Against this background, we look at the determinants of HCE in European countries, explicitly...