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EN
The law on Long-Time Care Insurance, which is in force since 1995, was in 2008 subjected to a thorough revision. As a result, the catalog of the financial benefits has been extended and the amount of part of these benefits was raised. These changes are intended to adjust the benefits to the actual needs of dependent people. Furthermore, more attention is paid to ensuring the quality of benefits. For this aim, the scope of the audit by the care insurance fund has been extended. One of the effects of the availability of nursing services is the fact that pace of transition of the nursed people in the higher groups of dependency has been slowed down. This fact favors the reduction of expenditures of the insurances, which in recent years are forced to cover the accumulated deficit from the earlier provisions. There is no change in financing of the Long-Term Care Insurance.
EN
The increasing number of the oldest people increases the number of people who need Long-Term Care. Since the ability to provide such benefits by the household is smaller than in the past, and an increasing share of the elderly leads single households, health care and social assistance increasingly have to participate in the organization of proper care for these dependents. Currently, public funds spent for these benefits are false allocated and do not fulfill their assignments. The Long-Time Care Insurance should provide adequate coverage and service quality. The premiums for the insurance should be paid by everyone who receives incomes. Benefits may be awarded in the form of care for people in their homes or in institutions or in the form of allowances, from which the dependent can finance the help provided by the families and informal groups.
EN
The paper synthetically shows the role and tasks of social assistance on a local level, here primarily understood as the lowest level of local administration - 'gmina' (commune). The text first presents a brief summary of legal basis for social assistance as well as explains gmina's tasks. Next the paper describes available social security benefits. Finally those issues which can challenge and undermine the whole system are discussed, for example integration of social assistance initiatives, labour market and national health service.
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