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Social Science > Demography

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Cover IMF Working Papers
Migration and Remittances in Latin America and the Caribbean: Engines of Growth and Macroeconomic Stabilizers?
Ms. Kimberly Beaton
,
Ms. Svetlana Cerovic
,
Misael Galdamez
,
Metodij Hadzi-Vaskov
,
Franz Loyola
,
Zsoka Koczan
,
Mr. Bogdan Lissovolik
,
Mr. Jan Kees Martijn
,
Ms. Yulia Ustyugova
, and
Joyce Wong
Outward migration has been an important phenomenon for countries in Latin American and the Caribbean (LAC), particularly those in Central America and the Caribbean. This paper examines recent trends in outward migration from and remittances to LAC, as well as their costs and benefits. For the home country, the negative impact from emigration on labor resources and productivity seems to outweigh growth gains from remittances, notably for the Caribbean. However, given emigration, remittance flows play key financing and stabilizing roles in Central America and the Caribbean. They facilitate private consumption smoothing, support financial sector stability and fiscal revenues, and help reduce poverty and inequality, without strong evidence for harmful competitiveness effects through shifts in the real exchange rate.
Keywords:
WP; remittance inflow; economic migration; cost of remittance; remittance flow; remittances emigrant; International Migration; Remittances; Latin America; Caribbean; GDP ratio; remittances-recipient country; remittance sender; remittance transaction; remittance corridor; Gini coefficient; Migration; Income; Consumption; South America; Central America; Global
Cover IMF Working Papers
National Insurance Scheme Reforms in the Caribbean
Koffie Ben Nassar
,
Mr. Joel Chiedu Okwuokei
,
Mike Li
,
Timothy Robinson
, and
Mr. Saji Thomas
Weighed down by population aging, slow economic growth, and high unemployment, National Insurance Schemes in the Caribbean are projected to run substantial deficits and deplete their assets in the next decades, raising the prospects of government intervention. With the region highly indebted, this paper quantifies the impact of three parametric reforms—freezing pension benefits for two years, raising the retirement age and increasing the contribution rate by one percentage point—that, if implemented, would put the pension schemes on a stronger financial footing. While the appropriate combination of reforms necessary to eliminate the actuarial deficits varies depending on each country’s circumstances, most countries need to undertake reforms now or risk even higher taxes, lower growth and unsustainable debt dynamics.
Keywords:
WP; retirement age; pension scheme; Jamaica; economic growth; rate; Social Security; Old Age Pensions; Public Debt; Contingent Liabilities; contribution rate; NIS viability; Jamaica NIS; contribution income; Pensions; Pension spending; Aging; Retirement; Income; Caribbean; Asia and Pacific; Europe; Global
Cover IMF Working Papers
Universal Health Care 101: Lessons for the Eastern Caribbean and Beyond
Ms. Evridiki Tsounta
Despite the increasing interest in universal health care, little is known about the optimal way to finance, design, and implement it. This paper attempts to fill this gap by providing some general policy recommendations on this important issue. While most of the paper addresses the Eastern Caribbean Currency Union (ECCU) countries, its policy implications are applicable to any country. The paper finds that the best financing option is country-specific depending on a country’s economic, cultural, institutional, demographic and epidemiological characteristics, as well as political economy considerations. However, taxation should be the primary financing source. It also concludes that an appropriate and realistic benefit package would need to be designed to ensure the system’s financial viability. Regarding the optimal way to implement universal health care, certain preconditions are needed, including sound public administration, a small informal economy, and a transparent health financing system that builds social consensus.
Keywords:
WP; health cost; health system; government Health spending; health financing goal; country authorities; Health economics; government expenditure; financing system; health financing; ECCU country; ECCU health system; health card; health outcome; health system attainment; health affair; health system performance; Health care spending; Health care; Social security contributions; Aging; Caribbean