Thursday 18 December 2014

Are there any other ways to fund adult social care like a private fund?

There is another post about reducing the need for healthcare by making healthy life easier.

Could people club together to fund a trust which pays government (or whoever else) to provide adult social care? This would by-pass elected chancellors and their decision-making-ability-deficits. https://en.wikipedia.org/wiki/Edhi_Foundation has done this in Pakistan and managed to run Accident and Emergency departments and ambulances in a country that has no government budget for healthcare.

A quick google didn't find easy estimates of the cost of adult social care per person.
The figure in England is tens of billions for a population of 53.01 million.
That's from the figures in a big font size on page six of this:
http://www.nao.org.uk/wp-content/uploads/2015/03/Adult-social-care-in-England-overview.pdf

Assuming that a billion is a thousand million, that's a thousand pounds each per person alive per year of life.

Assuming that a trust fund can make 10%, that's £10,000 per year in trust per person.
The 10% figure is based on P2P lending recently on the smaller sites. I don't know if large-scale investment could ever make that much after inflation so call it £20,000 or £40,000 in trust per person.
This american page suggested 6% after inflation is a better rule of thumb if you include admin costs of private funds with their accounting, sales, porsche-driving fund managers and city centre offices to support. A fund would also have to pay admin costs, so a rough-and-ready way of running it cheaply would be good. The picture is from http://www.jeffbevan.co.uk and shows how someone sells eggs in Street in Someset. It also shows what people both love and hate about welfare state compared to private insurance: it may be cheap to admnister but it's hard to get a receipt and prove what you are entitled to.


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