The role of regions and municipalities in the Italian multilevel governance of eldercare. Recenttrends in a context of increasing needs and budgetary constraints.: Panel 4
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Marco Arlotti [1]
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[1] Marche Polytechnic University
Marche Polytechnic University
Ancona, Italia
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- Localización: Actas oficiales del V congreso de la Red Española de Política Social (REPS): Desigualdad y democracia: políticas públicas e innovación social / coord. por Alessandro Gentile, 2015, ISBN 978-84-942706-6-6, págs. 613-633
- Idioma: inglés
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Resumen
The aim of this paper is to analyze the role of regions and municipalities in the multilevel governance of long term care (LTC) for dependent elderly people, focusing on the Italian case.Despite the growing needs of dependent elderly people, Italy has failed to structurally reform LTC while, at the same time, an increasing privatization of care has taken place over the years, largely based on migrant (mainly irregular) workers. In this context, sub-national levels of government have not pressed for a structural reform of LTC opting, instead, for a market shift solution. In thispaper we will further investigate this aspect, in particular suggesting that in the frame of a “vicious” layering which characterizes the multi-level governance of the LTC in Italy, specific mechanisms of “cost-shifting” have been adopted by regions and municipalities in order to cope with increasing financial pressure due to growing LTC needs.