We study health care premium subsidies in the Swiss cantons in order to understand the reasons behind the substantial cross-cantonal variation in households' premium load, i.e., the share of disposable income that is spent on premiums after the subsidy. Cantons' financial situation is of...

This paper analyses the effect of fiscal decentralisation on health outcomes in China using a panel data set with nationwide county-level data. We find that counties in more fiscally decentralised provinces have lower infant mortality rates than counties where the provincial government remains...

Ecofin and Oecd methodology is used to reconstruct the historical evolution of public current health care expenditure for Italy and Lazio (an Italian Region). The reconstructed evolutions allow to detect what have been the per-capita expenditures per age brackets in absolute values (Euro) in...

The main features of China’s current sub-national finance arrangements date back to the 1994 tax reform. China has a multi-level government structure that shares national tax revenues through a system of tax sharing and transfers, and divides spending assignments and responsibilities. Local...

The Czech fiscal position is generally sound and policy making is prudent. However, the fiscal framework was not strong enough to contain spending in the upturn and it would benefit from independent budget oversight. An anchor for the fiscal policy would be helpful, in the form of an explicit...

This paper analyses the main features of Sweden’s public expenditure and addresses some key policy issues. Public spending is high relative to GDP, reflecting the wide support for the Swedish welfare state. The institutional framework within which spending decisions are made has both strengths...

This paper analyses the main features of Iceland’s public expenditure and addresses some key policy issues. While overall public spending is not high compared with Iceland’s Nordic neighbours, other OECD countries have made more progress in reining it in. Budget consolidation efforts and...

The new Spanish autonomous communities (AACC) financing system deepensin stability, co-responsibility and financial integration concepts. The resources that itdistributes are bigger than 90% of the total of the AACC consolidated budgets. Thisdocument approach the new system's configuration, it...