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Home care allowances: Good for many but not for all

Abstract The author discusses the critical questions that have arisen around the issue of paying cash rather than providing care in kind. These questions include the way recipients use the money, the assessment, the quality of care, the levels of payment and the satisfaction of workers paid with an allowance. She explains how these questions have been handled in five European countries: Austria, France, Germany, the Netherlands and the UK. Although the questions are similar, there is quite a variety in the solutions. Generally speaking, recipients of care allowances are positive about them, because the cash schemes enhance their independence. The author makes some cautionary remarks, concluding that care allowances might not be the best solution for very old, dependent and isolated people