Exploiting the introduction of nationwide long-term care insurance (LTCI) in Japan and utilizing a synthetic control (SC) method, we examine how LTCI introduction has altered the trends of public expenditures on in-kind benefits for the elderly, public health expenditure, and female labor force participation. Estimation results using the panel data of OECD countries (1980s-2010s) suggest that LTCI introduction substantially increased in-kind benefits for the elderly, but we do not find any positive effect on female labor force participation for any age cohort. We also provide extended placebo tests based on permuted treatment assignment, resampled donor pools, and several test statistics to verify the above conclusions.
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