La dependencia (el quinto riesgo) y los cuidados de larga duración en Francia

This article deals with the supply and fi nuancing of long-term care in France for people aged 60 and more. Since the beginning of the 21st century substantial progress has been made in the institutional design of dependency coverage as well as in the development of specific programmes and benefi ts, but problems of effi cacy and coordination are evident. However, the main concern lies in the foreseeable rise of expenditure devoted to the coverage of dependency as a consequence of population ageing. Although the personalized compensation for autonomy is considered as a universal right, in the context of economic crisis and the need of fiscal discipline the maintenance of the family’s main role in long-term care and the development of the private dependency insurance market seem likely.