{"title":"Obstacles to regulating the private sector: The case of Korean long-term care","authors":"Chang Lyul Jung, Alan Walker","doi":"10.1111/aswp.12245","DOIUrl":null,"url":null,"abstract":"<p>This paper examines the attempts to improve public accountability in the private-led Korean Long-Term Care (LTC) insurance system, illustrating their characteristics and limitations. Korea introduced universal LTC insurance in 2008, but with the purposeful exclusion of public provision, for-profit providers were able to take part without regulation, which caused problems such as low-quality services and widespread corruption. In response, the government tried to improve public accountability through various regulations such as new accounting/finance rules, but when such regulations had negative effects on their profits, they were met with stout resistance from providers. This case study of Korean LTC insurance illustrates the difficulty of implementing regulations to improve public accountability in a private welfare system.</p>","PeriodicalId":44567,"journal":{"name":"Asian Social Work and Policy Review","volume":"16 1","pages":"33-42"},"PeriodicalIF":1.3000,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aswp.12245","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Social Work and Policy Review","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/aswp.12245","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL WORK","Score":null,"Total":0}
引用次数: 1
Abstract
This paper examines the attempts to improve public accountability in the private-led Korean Long-Term Care (LTC) insurance system, illustrating their characteristics and limitations. Korea introduced universal LTC insurance in 2008, but with the purposeful exclusion of public provision, for-profit providers were able to take part without regulation, which caused problems such as low-quality services and widespread corruption. In response, the government tried to improve public accountability through various regulations such as new accounting/finance rules, but when such regulations had negative effects on their profits, they were met with stout resistance from providers. This case study of Korean LTC insurance illustrates the difficulty of implementing regulations to improve public accountability in a private welfare system.
期刊介绍：
There is a growing recognition that major social trends, such as the process of globalization, rapidly changing demography, increasing psycho-social difficulties in individuals and families, growing economic disparities within and between the nations, and international migration, present important challenges for social policies and social work practices in Asia. It also has become evident that social policy strategies and social work methods must be developed and implemented in the context of Asian region''s own histories, cultures, and unique developmental trajectories in order to respond effectively to those emerging challenges. The Asian Social Work and Policy Review seeks to encourage exchanges of original ideas, rigorous analysis of experiences, innovative practice methods founded on local knowledge and skills of problem solving in the areas of social work and social policy between various countries in Asia.
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