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ESCAPING THE DISABILITY BENEFIT TRAP Disability policy trends and lessons from OECD countries

National Disability Council Copenhagen, Denmark, 7 September 2005. ESCAPING THE DISABILITY BENEFIT TRAP Disability policy trends and lessons from OECD countries. Monika Queisser*. * OECD, Social Policy Division Directorate for Employment, Labour and Social Affairs.

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ESCAPING THE DISABILITY BENEFIT TRAP Disability policy trends and lessons from OECD countries

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  1. National Disability Council Copenhagen, Denmark, 7 September 2005. ESCAPING THEDISABILITY BENEFIT TRAPDisability policy trends and lessonsfrom OECD countries Monika Queisser* * OECD, Social Policy Division Directorate for Employment, Labour and Social Affairs

  2. Outline of the presentation • Disability policy is becoming a key issue for economic, social and employment analysis • Empirical evidence across the OECD: Understanding the problems • A comparative policy analysis: In most OECD countries, more needs to be done • The OECD’s work on disability issues

  3. The growing importance of disability policy • Maybe the key unsolved social policy problem • High public spending, but only limited and unsuccessful attempts to change this • Increasingly becoming the “benefit of last resort” in many OECD countries • Key issue in the context of pension reform • Key issue in the context of ageing and low employment rates of older workers • Major waste of human resources – people become healthier but less work-able ?

  4. HIGH PUBLIC CASH SPENDING Public incapacity- and unemployment-related spending in % of GDP, 2001 Source: OECD (2004), Social Expenditure Database, Paris.

  5. HIGH DISABILITY BENEFIT RECIPIENCY Disability benefit recipients in per cent of the working-age population, 1999 Source: OECD (2003), Transforming Disability into Ability, Paris.

  6. RAPID BUT DECLINING GROWTH Growth in disability benefit recipiency 1980-90 and 1990-99 (percentages) Source: OECD (2003), Transforming Disability into Ability, Paris.

  7. LOW OUTFLOW FROM BENEFITS Annual rates of outflow from disability benefits (percentages) Source: OECD (2003), Transforming Disability into Ability, Paris.

  8. MANY APPLICANTS ARE REJECTED Rejected benefit applicants and successful appeals (percentages) Source: OECD (2003), Transforming Disability into Ability, Paris.

  9. PUZZLING AGE VARIANCE ACROSS COUNTRIES Age-specific disability benefit recipiency rates (per 1000 of population), 1999 Source: OECD (2003), Transforming Disability into Ability, Paris.

  10. Different countries seem to havedifferent problems • Countries with disability benefit as the benefit of last resort (e.g. UK, US) • Countries with disability benefit as another early retirement pathway (e.g. Austria, Germany, Portugal) • Countries with disability benefit as the benefit of last resort and as early retirement pathway (e.g. Netherlands, Norway)

  11. DISABILITY POLICY TYPOLOGY 2000 Source: OECD (2003), Transforming Disability into Ability, Paris

  12. Why disability policy reform is needed in OECD countries • Other social protection systems are gradually maturing • Demands at work, especially psychological demands, continue to increase • Continued ageing of the population of working-age • Too little focus on avoiding IB/SB inflow • Large age-bias in rehabilitation and vocational training

  13. How to escape?Transform the disability benefit schemeinto a flexible labour market programme • Assess needs and, if necessary, intervene earlier: Avoid IB benefit inflow through job search, training, rehabilitation and prevention • Disentangle eligibility for support from work ability and work status: Make cash benefits a flexible (in-work) tool that covers extra costs and the labour market disadvantage KEY ELEMENTS IN THIS:

  14. KEY ELEMENTS IN THIS (continued): • Break the link from temporary sickness to permanent disability • Implement a mutual obligations approach • Provide individualised, tailor-made pre- and post-placement support, thereby emphasising abilities and opportunities • Integrate employers into the process, and design proper financial incentives for them • Monitor outcomes carefully

  15. The situation in Denmark in international comparison • Strong reduction of disability inflows since 1990s despite comparatively high benefit levels • High but declining costs of disability benefits but high unemployment expenditures • Strong emphasis on integration policy • Importance of flexjobs • Good financial incentives in administrative structure • Decentralisation and client-friendly one-stop-shops • Suppression of partial disability benefits  Denmark could provide interesting lessons for other OECD countries

  16. OECD work on disability policy in member countries • Publication of Transforming Disability into Ability in 2003 (covering 20 countries) • Start of country reviews of disability policy • First round: Norway, Poland, Switzerland • Second round: Australia, UK, Spain • Possibly: Finland, Luxembourg, France, NL, US and Denmark ? • Update of comparative country data

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