adb wp011 assar lindbeck - the european social model
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ECONOMICS AND RESEARCH DEPARTMENT
ERD WORKING PAPER SERIES NO. 11
Assar Lindbeck
May 2002
Asian Development Bank
The European Social Mod
Lessons for Developing
Countries
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ERD Working Paper No. 11
THE EUROPEAN SOCIAL MODEL:LESSONSFOR DEVELOPING COUNTRIES
Assar Lindbeck
May 2002
Assar Lindbeck is a Professor of International Economics at the Institute for International Economic Studies,
Stockholm University. The author acknowledges Jakob Svensson and Peter Svedberg for useful comments
on a draft of the paper, and Christina Lnnblad for improving the language. This paper was delivered as
a keynote speech at the Conference on Poverty, Growth, and the Role of Institutions, 10-12 October 2001,
Asian Development Bank.
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Asian Development Bank
P.O. Box 789
0980 Manila
Philippines
2002 by Asian Development Bank
May 2002
ISSN 1655-5252
The views expressed in this paper
are those of the author(s) and do not
necessarily reflect the views or policies
of the Asian Development Bank.
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Foreword
The ERD Working Paper Series is a forum for ongoing and recently
completed research and policy studies undertaken in the Asian Development Bank
or on its behalf. The Series is a quick-disseminating, informal publication meant
to stimulate discussion and elicit feedback. Papers published under this Series
could subsequently be revised for publication as articles in professional journals
or chapters in books.
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Contents
Abstract vii
I. General Lessons 1
II. Childhood 4
III. Income and Job Security during Working Age 5
IV. Sick-pay Insurance and Health Care 7
V. Pensions and Old Age Care 9
VI. Conclusion 11
References 12
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Abstract
Developing countries, in particular the least developed ones, probably
have more to learn from social policies in Europe during the early 20th century
than from the elaborate welfare-state arrangements after World War II. In
addition to macroeconomic growth and stability, the main ambitions must be
to fight human deprivation, including illiteracy, malnutrition, and poor access
to water and sanitation; in some cases, also weak, incompetent, and/or corrupt
governments. It is also important that informal systems in the fields of transfersand social services are not destroyed when developing countries embark on more
formal systems in these fields in the future. The European experience also warns
against the creation of social systems that are so generous that disincentives,
moral hazard, and receding social norms seriously distort the national economy,
including the labor market
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I. GENERAL LESSONS
In the early 20th century, many European countries still relied heavily on the family both for
income protection and personal (human) services, such as child care and care for the elderly,
and, to some extent, also for health care. Civil society, including so-called friendly societies,
also contributed to income insurance, for instance in connection with sickness, old age, and
unemployment (the latter often with the help of union-run insurance systems). Occupational
pensions also played an important part for government employees. Besides this, government-createdsocial arrangements consisted mainly of selective poverty relief (social assistance) and basic services
in the fields of elementary education and health. In the late 19th and early 20th centuries,
legislation was, however, also introduced for work injury compensation and basic, though quite
modest (lump-sum or means-tested) pensions. In some countries, mainly on the European continent,
the government was also involved in the organization of occupational pensions in the private
sector, primarily in the case of large industrial firms.
Comprehensive systems for income maintenancein the case of childbirth, single
motherhood, unemployment, sickness, old age, etc.were not introduced in Western Europe
(henceforth Europe) until the first decades after World War II, however. Secondary and tertiary
mass education and comprehensive health care for the entire population were built up at about
the same time. It is thus only from the 1960s and 1970s that it makes sense to talk about a welfare
state in Europe. In other words, Europe was already quite rich, as compared to most contemporary
developing countries, when elaborate welfare-state arrangements were created.
Since welfare-state arrangements differ among European countries, talking about a common
European social model is somewhat misleading. Naturally, this observation constitutes the
background to the habit among scholars to classify European countries in terms of different welfare
regimes. The most important difference among countries probably concerns the relative role of the
state, the family, and the market for the provision of income protection and social services. Countries
also differ in terms of the relative roles of universal benefits tied to citizenship, occupational
benefits tied to work, and selective means-tested income support. There is also a considerable
difference in the generosity of benefits and welfare services.As a result of the far-reaching social reforms after World War II, the social arrangements
in Europe are today clearly more comprehensive than in other parts of the world. The achievements
of these arrangements are well known: high-income security for the individual over the life cycle,
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considerably mitigated poverty, and ample provision of various types of social services. The
weaknesses of these social arrangements are also well known today. It turned out that some of
these arrangements were not very financially robust to various types of shocks, for instance, in
terms of demography, productivity growth, and macroeconomic disturbances. The architects of the
welfare state also neglected, or at least underestimated, undesirable behavior adjustments in
response to changes in economic incentives, as a result of explicit and implicit marginal tax wedges
and moral hazard in connection with various benefit systems.
What, then, are the general lessons for developing countries of social policies in Europe?
These countries, in particular the least developed ones, probably have more to learn from social
policies in Europe during the early 20th century than from the elaborate welfare-state arrangements
after World War II. The reason is, of course, that economic resources, socioeconomic structures,
and informal welfare arrangements in the earlier period were more similar to the situation in
todays developing countries than contemporary conditions. In most developing countries, trying
to imitate contemporary welfare-state arrangements in Europe would be a serious mistake. In
particular, this would be the case for transfer payments designed to provide protection againstincome losses for the population as a whole, since such protection is very expensive and also requires
a highly developed administration. Instead, it is reasonable to give priority to the creation of an
environment conducive to entrepreneurship, long-term economic growth, basic health and primary
and (at least in some developing countries) secondary educationas was the case in Europe a
century ago. The fine tuning of welfare-state arrangements in Europe today are often far from
what is needed in developing countries. We have also learned how important macroeconomic stability
is for social conditions. In addition to macroeconomic growth and stability, the main ambitions
must be to fight human deprivation, including illiteracy, malnutrition, poor access to water and
sanitation, and, in some cases, also weak, incompetent, and/or corrupt governments.
It is also important to look at social policies in a broad context, and then identify the
interaction among different types of economic and social variables. Myrdal (1944, appendix 3)
often emphasized processes of cumulative causation, with vicious circles among various poverty-
creating forces: malnutrition damaging health, which in turn results in social exclusion and reduces
the possibilities of acquiring education, which further lowers productivity and political influence,
which goes back to square one by exacerbating malnutrition and social exclusion, etc. Dynamic
processes of this type are well understood today among professional observers of poverty in deve-
loping countries. It is equally important to understand such processes when we try to turn vicious
circles into virtuous ones.
There are, of course, other important similarities among developing countries than their
poverty. Most of these countries are also rural, and they have a young population. It is, however,
also important to emphasize their differences in terms of socioeconomic conditions, administrativecapacities, the role of informal welfare arrangements and economic and social policies. Presumably,
the most important difference is the level of development and the degree of modernization which,
to a considerable extent, is a result of the governments past emphasis on, or neglect of, long-term
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Section IGeneral Lessons
economic growth. For instance, governments and ethnic and social groups in some developing
countries, not least in Africa, have clearly been more engaged in power struggles and rent seeking
than in growth enhancing policies. In several South East Asian countries, by contrast, it is fair to
say that concern for economic growth has indeed dominated, also over issues of income security. As
we know, this has been reflected in a heavy emphasis on capital formation. Some of these countries
have, however, also succeeded in combining fast economic growth with a fairly even distribution of
income and wealth, thanks to early land reform and widespread elementary education. The emphasis
on economic growth also shows up in the composition of infrastructure investment, which has been
heavily concentrated on production-oriented structures such as harbors and roads and railways,
rather than facilities directly servicing households, such as housing, sanitation and the environment
in cities and the countryside. This emphasis on growth, of course, reflects an understanding among
policymakers that mass poverty can never be replaced by mass affluence without sustained economic
growth during many decades.
This said, we should not forget that some social arrangements, not just spending on primary
education, might be conducive to long-term economic growth, the most important examples perhapsbeing policies improving the nutrition status and the general health conditions of the poor, in
particular children. Safety nets and systems for income protection may also, up to a point, be
conducive to economic efficiency, since they may enhance political and social stability (Alesina and
Rodrik 1994). But, in particular, we have learned over the years that highly selective social policies
can make a big difference in the living conditions among the poorest sections of a society, also at a
given level of per capita GDP (Sen 1983).
I argued above that it is mainly the European experience of social policies before World
War II, and even before World War I, that should be of interest for social policies in todays developing
countries. For the more affluent ones, however, there are also lessons to be learned from the
contemporary experience of social policies in developed countries. For other developing countries,
the European experience after World War II is probably of interest mainly for contemporary
discussions of social policies far ahead in the future. The latter observation is of some importance
since it often takes a long time before social policy arrangements are in place and functioning
properly. An extreme example is funded social insurance systems, including so-called provident
funds la Malaysia and Singapore, since such systems mature very slowly. However, the most
important message of the paper for developing countries is probably to avoid destroying existing
informal systems. Empirical research suggests that these risks are real (Townsend 1994, Udry
1994).
I will organize my discussion as a sightseeing tour in the welfare landscape, following the
individual from the womb (and hence not just from the cradle) to the tomb.1
1 For a more detailed account of the role of welfare state arrangements over the individuals life cycle, though
without discussion of the lessons for developing countries, see Lindbeck (2002).
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II. CHILDHOOD
Before World War II, the family and other relatives were in charge of most child care in
Europe, though high- and middle-class families also hired helpers (usually girls) in the market.
The main example of government intervention was mandatory and subsidized primary education.
After World War II, three additional government interventions were launched, or greatly expanded:
prenatal care, income transfers (or tax deductions) to families with children and, in some countries,
also subsidized child care outside the family either in institutions (kindergarten) or in the homes of
others (family daycare).
It is generally agreed that the sharp drop in birth rates during the last two decades threatens
the financial viability of various welfare-state arrangements in the long run. An obvious policy
response would be to stimulate child bearing by redistributing income to families with children, in
particular those with many children. Somewhat surprisingly, this has, so far, not occurred to any
large extent, perhaps because families with children are today a highly heterogeneous minority
among voters.There are, however, at least two arguments for more interventionist policy measures in the
case of families with children. First, there is a second-best argument to subsidize child care outside
the family, because of the existence of distortionary taxes favoring tax-free household work at the
expense of taxed work in the labor market. Indeed, government policies in the Nordic countries
have recently followed this second-best route through strong subsidies of child care outside the
family, which is one important explanation for the high labor force participation of women in these
countries.
The other argument for government intervention in the lives of families with small children
is, of course, that schooling has important implications for economic efficiency and the future
distribution of factor income. It is controversial whether the same argument is relevant for child
care of preschool children. In the case of poor families with little education, in particular families
with severe social problems, it is, however, widely believed that child care outside the family enhances
human capital formation and hence the future factor income of such children. This, of course, is
the traditional head-start argument.
Is any of this relevant for developing countries? The fertility problem is, of course, usually
the reverse of the European one; about 40 per cent of the population in many developing countries
are children. It is, however, hazardous (to say the least) to use this observation as an argument for
turning the policy recommendation for Europe upside down for developing countries, hence
recommending redistributions of income to the disadvantage of families with (many) children! We
probably have to rely on traditional birth control policies and compulsory education to convince
families in developing countries to restrict their number of children.As in Europe before World War II, it is natural to expect that child care in developing
countries, for a long time to come, will be pursued by the family and other relativescombined
with privately hired helpers in the case of high- and middle-class families. The most urgent policy
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Section IIIIncome and Job Security during Working Age
interventions in child raising in developing countries must be improved nutrition, fights against
infective diseases for pregnant woman and small children, and primary education. The relevant
methods are commonplace: information about high-nutrition food intake, subsidies of such food for
the poorest section of the population, obstetric care, clean water, sanitation, immunization, and
subsidized compulsory primary education. Indeed, studies in medicine and bio-demography have
shown the importance of these factors for the physical and intellectual development of children
(Behrman 1993, Scrimshaw 1996, United Nations 1997). In particular, the interaction between
infectious diseases and malnutrition for children has turned out to be highly damaging; deficiencies
in these respects are even transmitted to grandchildren. Usually, such policies are not very expensive
as compared to many other types of government spending, for example infrastructure investment
and military spending. It is also an area where technical and economic assistance from the outside
world may be particularly useful. The head-start argument for child care outside the biological
family is probably relevant mainly for orphans and street children in developing countries.
What about education? In the poorest developing countries, there are both efficiency and
distributional reasons to concentrate educational resources on primary schooling, as was the casein Europe during the first decades of the 20th century. There is, however, also an emerging
consensus that a number of developing countries, for instance in Southeast Asia and Latin America,
have reached a level of development where it is appropriate to allocate more resources to secondary
and tertiary education. European experiences during the 20th century suggest that it then makes
sense to put a strong emphasis on a combination of theoretical and vocational trainingalong the
lines of the apprenticeship systems in Austria, Germany, and Switzerland. These countries have
been successful both in creating a skillful labor force, at least in manufacturing, and in keeping
down the level of youth unemployment.
III. INCOME AND JOB SECURITY DURING WORKING AGE
Only very few policy interventions directly designed to enhance income security and job
security existed in Europe before the 1930s; modest unemployment benefits and limited public
works programs during depressions being the main exceptions. Two reasonable explanations are
perhaps that the main beneficiaries of such policies had little political power and that macroeconomic
theories for rationalizing such policies did not exist before the Keynesian revolution.
By contrast, macroeconomic policies have dominated the political agenda in Europe after
World War II. Such policies were also quite successful for a while in the sense that the macroeconomic
performance in Europe was excellent from the economic recovery during the early 1950s to the
mid-1970s. The subsequent situation may be characterized as a continuation of good income securitycombined with dismal employment performance and hence, deteriorating job security for part of
the labor force. An appropriate policy package to improve employment performance would have to
include not only measures strengthening the attractiveness ofoutsiders in the labor market and
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activating their job search, but also measures reducing the market powers ofinsiders (Lindbeck
1996).
What are the lessons, if any, for developing countries from the experience of employment
policies and income protection in Europe? In most developing countries, unemployment benefits
hardly exist, simply because some 60-80 percent of the population are in informal sectors (largely
agriculture). In some of the more affluent developing countries, certain unemployment benefits do
exist, but these are usually neither comprehensive nor generous. In some of the most advanced
developing countries, including some countries in East Asia, there is, however, a quite detailed
labor market legislation, including both minimum wages and job security legislation. But the
implementation of the laws is usually weak or even nonexistent, which is, of course, a disadvantage
for employees who would keep their jobs also with stricter implementation. However, poor imple-
mentation is an advantage for workers who would not have been hired if minimum wages and job
security legislation had been strictly enforced.
As a result of all this, European-type insider-outsider division has largely been avoided in
developing countries, and highly persistent unemployment after negative macroeconomic shocksdo not seem to be prevalent. There is, instead, often considerable segmentation between privileged
employees in the public sector, and in some cases also in large firms, on the one hand, and less
privileged employees in smaller firms, on the other hand.
Moreover, some of the more affluent developing countries seem to be strongly exposed to
negative macroeconomic shocks. This problem can probably be mitigated to some extent by floating
exchange rates or, in some case, by membership in a large monetary union where the countrys
trade is concentrated. Another macroeconomic problem is that both financial institutions and
production firms have often neglected their balance sheets, which appears in low equity capital
and much short-term borrowing (often also in the form of uncovered loans in foreign currencies).
I understand this to have been an important factor behind the financial crisis in East Asia in the
late 1990s. Tougher authorities in the field of financial inspection are thus called for. In view of
the severe social problems in connection with recurring macroeconomic crises in developing countries,
the first, and perhaps most important, line of defense for job and income security must be good
macroeconomic institutions, well-consolidated firms, and a reasonably good macroeconomic policy,
including an appropriate exchange rate system.
Sooner or later, the population in developing countries will certainly demand a second line
of defense, in the form of income protection. It is well known that systems of unemployment insurance
do not easily spontaneously emerge via voluntary market transactions due to problems of adverse
selection. Either the state or unions must intervene to create comprehensive unemployment benefit
systems. It is then, of course, important to realize that the generosity and the duration for the
benefits must be kept within certain bounds to mitigate moral hazard problems.In countries with a particularly low per capita income and quite a small formal production
sector, ethical considerations probably point to a safety net solution, rather than comprehensive
unemployment insurance, designed to provide income protection in proportion to previous income.
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Section IVSick-pay Insurance and Health Care
The purpose would be to secure elementary entitlements such as food, shelter, clothing, and basic
health. Such safety nets could, of course, operate by quite different methods: public work programs;
subsidized work in the private sector for unemployed workers; needs-based cash transfers (social
assistance or welfare) to poor people in general; selective transfers in kind (food programs such
as food stamps); or subsidies to basic consumption. Administrative feasibility, including the precision
of targeting, is presumably a crucial aspect in the choice of method.
The administrative difficulties in running such programs in developing countries are
accentuated by the problem of knowing when the family is able and willing to provide income
security to its members and when this is not the case. There may be some experiences from Southern
Europe, for example Italy, on how to handle, or not handle, safety nets in societies with weak
government administration and frequent cohabitation of parents and adult children.
Moreover, considering the dominating role of agriculture in most developing countries,
crop insurance programs are often more important than unemployment insurance. Local, so-called
micro- and area-based, protection for small farmers is another example of income protection
programs that should perhaps be relied on to a larger extent today and in the near future.
IV. SICK-PAY INSURANCE AND HEALTH CARE
In Europe before World War II, personal savings, support from relatives and friends, and
individual insurance schemes dominated as methods for mitigating economic setbacks in connection
with health problems. Mandatory sick-pay insurance, usually administrated by government
agencies, is basically a post World War II phenomenon. Since these systems are quite generous
today, with replacement rates often in the interval of 70-100 percent, governments in Europe
have no doubt succeeded in reallocating income to periods when the individual is temporarily sick,
and hence to protect consumption during such periods. In a considerable part of Europe, sick-pay
benefits, like unemployment benefits, are, however, tied to previous earnings, which favors
individuals with stable employment. This means that the insider-outsider division of the labor
market is transmitted to periods of bad health.
In several European countries, the sick-pay insurance systems have recently run into serious
financial difficulties. One reason is moral hazard, for instance, when an individual calls sick when
feeling tired on a Monday morning. The consequences of moral hazard may be accentuated by
receding social norms against exploiting the systems, when individuals observe that others do this.
To the extent that these factors explain the rising costs of sick-pay insurance, more waiting days,
coinsurance, and stricter administration of the benefit system would be rational policy responses.
In some countries, including Sweden, higher costs for sick-pay insurance are, however,more related to long-term than to short-term sick leave. Double work by women is probably a
reason, since they still do the bulk of household work, including child care in the home,
simultaneously with work in the labor market. In this sense, women have paid a high psychological
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price for their increased labor market participation. There is also some speculation in the general
discussion to the effect that reorganization of work, with increased requirements of efficiency and
individual responsibility, has contributed to the stress at work.
If these are important explanations, the problems might be mitigated both by improvements
in the work environment and by a greater responsibility for household work, including child care,
among men. The first may be achieved by experience-rated insurance fees for firms (higher fees
for firms with many sick days). It is more difficult to design policies that shift household work from
women to men, since this would require that the government intervene in the lives of families.
Such policies, however, already exist to some extent in Denmark and Sweden, since men are
offered nontransferable rights to stay at home to take care of small children, without much loss of
income.
What about developing countries? In most of these, sick leave is basically financed as in
Europe during the first decades of the 20th century, i.e., via relatives and civil society. In countries
with more formal systems of health insurance, i.e., mainly the most affluent among developing
countries, these systems are usually highly fragmented, with separate arrangements for differentindustries, professions and firms. If more elaborate sick-pay insurances are created in developing
countries in the future, the European experience illustrates the importance of watching out for
moral hazard and changes in social norms. For that reason, it is important to keep the generosity
of the system within bounds, and make the administrative controls tight, not least to prevent
physicians from being overly generous in certifying the needs for sick leave.
What, then, is the experience ofhealth care services in Europe? In general terms, the basic
problem is how to combine insurance, incentives, and freedom of choice. All health care systems
are today exposed to serious cost problems, since the third party pays. Insuranceschemes, in
particular when based on cost-plus financing, tend to generate particularly rapid increases in
costs, which is strikingly illustrated by the experience in Germany and the United States. Canada
has succeeded better in containing costs in its health care insurance systems by relying on fixed
budgets for health providers and price control of services. Tax-financed health services of the UK
National Health Service (NHS) type have typically been better at containing health care costs.
But this has been achieved by strict rationing, i.e., queues and waiting lists (which also is a problem
in Canada), and high stress levels at work for the personnel.
Are there any lessons for developing countries from health care in developed countries?
Most well informed observers probably agree that it makes sense for developing countries to
emphasize fights against infectious diseases and malnutrition, not least for pregnant women and
small children. This may mean that comprehensive treatments of heart disease, cancer, and other
ailments characteristic of a rich and aging population, would have to be postponed. Concretely,
this means information and subsidies in the field of sanitation and primary health care and probablyalso information about the importance of a healthy life style, including less smoking. The
surveillance of public and private health care units, with very uneven qualities, is also of potential
importance. In a somewhat longer perspective, there are also strong cases for mandatory health
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Section VPensions and Old-age Care
insurance for catastrophic health care, co-payments, and the mobilization of more resources for
health care in the private sector. In many countries, it is also important to increase the salaries of
doctors and nurses.
Apart from this, it is important to allow and stimulateexperimentation, which requires
considerable freedom of entry of nongovernment health providersfor nonprofit as well as profit
organizations. I then assume that it is better to allow decentralized experimentation, rather than
keep existing systems intact or, as often occurs, have the government conduct full scale experiments
for a whole country. It is also important to avoid destroying whatever nongovernment networks
exist via families and civil society.2
V. PENSIONS AND OLD-AGE CARE
While mandatory pension systems in Europe have been instrumental for providing income
security for the elderly, governments have played a much more modest role in the field of care forthe elderly. As we know, both fields encounter serious problems today. To the extent that
contemporary, and projected future, financial problems of the pension systems are caused by low
birth rates in the past, conceivable remedies would be to boost nativity (with considerable time lag
before the size of the labor force is influenced) and encourage the immigration of young individuals
of working age. Unfortunately, it is not obvious that governments can do much about birth rates
(except perhaps provide good child care outside the family), and there may be social limits to
immigration because of the risks of ethnical tensions in the countries of immigration. To the extent
that financial problems for pension systems are related to a higher longevity of individuals after
retirement, raising the statutory pension age and removing subsidies to early retirement are instead
natural remedies. But to avoid heavy unemployment among the elderly in connection with later
retirement, it is also important to allow greater flexibility in relative wages (for workers of different
ages) and increase the possibilities for retirees to individually choose the length of their work week.
It is today also increasingly understood in Europe that the pay-as-you-go (PAYGO) pension
systems create disincentive problems for work via implicit tax wedges. The reason is, of course, that
the link between the contributions and the subsequent pension benefits for the individual is usually
quite weak. An obvious way of mitigating this incentive problem is to tighten the link, hence
making the pension systems more actuarial, or quasi-actuarial (since the return on mandatory
pension saving would be lower than the return in financial markets). There is also a case for a
partial shift to a funded pension system. The individual then would be able to enjoy a more diversified
portfolio of pension claims than ineither a pure PAYGO system, where the (risky) return depends
on the growth rate of the tax base, or a pure funded system where the (risky) return depends on
2 The role of such networks in developing countries is still an under-researched field.
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developments in financial markets. The reason is, of course, that these two types of returns are not
fully correlated, in particular if the pension funds invest in international capital markets.
What is the relevance of all this for the financing of retirement in developing countries? In
most such countries, informal systems, in particular via relatives, are likely to dominate for a long
time to come. Sooner or later, there will, however, be a strong ethical case for government intervention
to mitigate poverty among the elderlyan application of the safety net idea to the retirement
period. A basic pension in the form of a lump sum payment, equal for all elderly, or means-tested
pension benefits, are then obvious alternatives. This corresponds to the World Banks (1993)
recommendation for a universal first-tier pension. An additional advantage of such a system, in
principle, is that it is rather equitable if financed by tax payments that increase with income. But
in many developing countries, only a few percent of the population pay income taxes, or can be
exposed to payroll taxes, which, of course, means that the financing would be a serious administrative
obstacle.
In the long run, the expanding middle class will, however, hardly be satisfied with either a
basic pension or means-tested pension benefits. This group is likely to ask for income protection insome proportion to previous income, as in todays developed countries, partly in response to a
gradually reduced importance of transfers within families. As we know, some developing countries
have already started to build up mandatory pension systems of this type: funded systems in Chile
and Malaysia and some other countries in Latin American; while Korea, Philippines, and Thailand
have chosen social security systems. Advocates of mandatory, funded pension systems in deve-
loped countries have often referred to the importance of boosting aggregate national saving, which
is easiest if a funded system is created from scratch. While the argument for such a boost may be
important for some developing countries, it hardly has much strength in developing countries with
high national saving rates, such as some countries in East Asia.
In the future, when comprehensive pension systems probably will exist in todays developing
countries, the same financial problems as in todays developed countries are likely to occur. Falling
fertility and increased longevity seem to be inevitable developments in the modern world, and
even the fastest growing countries will sooner or later experience slower productivity growth. In
the few developing countries where formal pension systems already exist, the pension age is usually
quite low (relative to life expectancy). Thus, there is great room for defending, or improving, the
financial position of these systems by raising the retirement age, for instance, from 55 to 67 or
even 70. Some developing countries may also find it easier than many countries in Europe to
accommodate the elderly in the labor market, since they have had arrangements for work for the
elderly for a long time, and since relative wages are often more flexible than in Europe. It remains
to be seen whether these conditions will prevail.
Contemporary financial and organizational problems in the field ofold-age care in developedcountries are related to the demographic factors of the same type as those that have created problems
for the pension system. The organizationaldifficulties are instead rather similar to the problems of
health care: it is difficult to combine solidarity-oriented financing with production efficiency and
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11
Section VIConclusion
freedom of choice. Old-age care is also hurt by Baumols Law (Baumol 1967), which explains why
costs and prices tend to increase particularly fast in the case of labor intensive services like human
care. Another issue concerns the freedom of choice of services for the elderly. Such freedom is, in
principle, easy to bring about in the case of service in the elderlys homesshopping, cooking,
cleaning etc.like in child care and care for the elderly. Service checks (vouchers) are an obvious
tool. Vouchers are less useful in the case of institutionalized old-age care, since the needs for
medical care vary enormously among patients. Still it would certainly be possible to offer considerable
freedom of choice of service institution for the elderly.
It will take some time before most developing countries encounter similar problems, not
only because the population is still young, but also because the family is likely to supply care
services to the elderly for a long time to come. But it may be a good idea at least to start thinking,
and perhaps also experimenting, with alternative systems of care for the elderly before there is an
acute need to expand formal systems in this field. In the long run, it is not likely that family
members and other relatives can be relied on to service the elderly any more in todays developing
countries than in Europe.
VI. CONCLUSION
The experiences of social policies during the first decades of the 20th century in Europe
underline the important role of informal systems for income security and personal services at low
levels of economic development. It is crucial, however, that informal systems are not destroyed
when developing countries embark on more formal systems in these fields in the future. I have
also emphasized that the European experience warns against the creation of social systems that
are so generous that disincentives, moral hazard, and receding social norms seriously distort the
national economy, including the labor market. These risks seem to be particularly important in the
case of unemployment benefits, support to single mothers, sick leave, disability pensions and early
retirement. If disincentives and moral hazard undermine the financial viability of government-
operated systems, and these would therefore have to be cut back, many individuals may suddenly
find themselves without both types of social systems.
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ERD Working Paper No. 11
THE EUROPEAN SOCIAL MODEL: LESSONSFOR DEVELOPING COUNTRIES
12
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No. 8 Shadow Exchange Rates and StandardConversion Factors in Project Evaluation
Peter Warr, September 1982No. 9 Small and Medium-Scale Manufacturing
Establishments in ASEAN Countries:
Perspectives and Policy IssuesMathias Bruch and Ulrich Hiemenz,
January 1983No. 10 A Note on the Third Ministerial Meeting of GATT
Jungsoo Lee, January 1983No. 11 Macroeconomic Forecasts for the Republic
of China, Hong Kong, and Republic of Korea J.M. Dowling, January 1983
No. 12 ASEAN: Economic Situation and Prospects
Seiji Naya, March 1983No. 13 The Future Prospects for the Developing
Countries of Asia
Seiji Naya, March 1983No. 14 Energy and Structural Change in the Asia-
Pacific Region, Summary of the Thirteenth
No. 1 ASEAN and the Asian Development BankSeiji Naya, April 1982
No. 2 Development Issues for the Developing East
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No. 3 Aid, Savings, and Growth in the Asian Region J. Malcolm Dowling and Ulrich Hiemenz,
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No. 5 The Multilateral Development Banksand the International Economys MissingPublic Sector John Lewis, June 1982
No. 6 Notes on External Debt of DMCs Evelyn Go, July 1982
No. 7 Grant Element in Bank Loans
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No. 5 The International Competitiveness of AsianEconomies in the Apparel Commodity Chain
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No. 7 Probing Beneath Cross-national Averages: Poverty,
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No. 8 Poverty, Growth, and Inequality in Thailand
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No. 11 The European Social Model: Lessons forDeveloping Countries
Assar Lindbeck May 2002
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Seiji Naya, March 1983No. 15 A Survey of Empirical Studies on Demand
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Elasticity of DemandWisarn Pupphavesa, June 1983
No. 16 Determinants of Paddy Production in Indonesia:
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No. 17 The Philippine Economy: Economic
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No. 18 Economic Forecast for IndonesiaJ.M. Dowling, H.Y. Kim, Y.K. Wang,
and C.N. Castillo, June 1983No. 19 Relative External Debt Situation of Asian
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No. 20 New Evidence on Yields, Fertilizer Application,
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No. 21 Inflationary Effects of Exchange Rate
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No. 22 Effects of External Shocks on the Balanceof Payments, Policy Responses, and DebtProblems of Asian Developing Countries
Seiji Naya, December 1983No. 23 Changing Trade Patterns and Policy Issues:
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Seiji Naya and Ulrich Hiemenz, February 1984No. 24 Small-Scale Industries in Asian Economic
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Seiji Naya, February 1984No. 25 A Study on the External Debt Indicators
Applying Logit Analysis
Jungsoo Lee and Clarita Barretto,February 1984
No. 26 Alternatives to Institutional Credit Programs
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No. 27 Economic Scene in Asia and Its Special Features Kedar N. Kohli, November 1984
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No. 29 Cause and Effect in the World Sugar Market:Some Empirical Findings 1951-1982Yoshihiro Iwasaki, February 1985
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No. 31 Indias Manufactured Exports: An Analysisof Supply Sectors Ifzal Ali, February 1985
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V.V. Desai, April 1986No. 35 Impact of Appreciation of the Yen on
Developing Member Countries of the Bank
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No. 36 Smuggling and Domestic Economic Policies
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No. 37 Public Investment Criteria: Economic Internal
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No. 38 Review of the Theory of Neoclassical Political
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M.G. Quibria, December 1986No. 39 Factors Influencing the Choice of Location:Local and Foreign Firms in the Philippines E.M. Pernia and A.N. Herrin, February 1987
No. 40 A Demographic Perspective on Developing
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No. 41 Emerging Issues in Asia and Social Cost
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No. 42 Shifting Revealed Comparative Advantage:
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No. 44 Service Trade and Asian Developing Economies M.G. Quibria, October 1989
No. 45 A Review of the Economic Analysis of Power
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No. 47 An Approach to Estimating the Poverty
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No. 48 Economic Growth Performance of Indonesia,
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No. 49 Foreign Exchange and Fiscal Impact of a Project:
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No. 50 Public Investment Criteria: Financialand Economic Internal Rates of Return
I. Ali, April 1990No. 51 Evaluation of Water Supply Projects:
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No. 52 Interrelationship Between Shadow Prices, ProjectInvestment, and Policy Reforms:
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I. Ali, November 1990No. 53 Issues in Assessing the Impact of Project
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I. Ali, December 1990No. 54 Some Aspects of Urbanization
and the Environment in Southeast Asia
Ernesto M. Pernia, January 1991No. 55 Financial Sector and Economic
Development: A Survey
Jungsoo Lee, September 1991No. 56 A Framework for Justifying Bank-Assisted
Education Projects in Asia: A Reviewof the Socioeconomic Analysis
and Identification of Areas of ImprovementEtienne Van De Walle, February 1992
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Yun-Hwan Kim, February 1993No. 58 Urbanization, Population Distribution,
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No. 59 The Need for Fiscal Consolidation in Nepal:The Results of a SimulationFilippo di Mauro and Ronald Antonio Butiong,
July 1993No. 60 A Computable General Equilibrium Model
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Timothy Buehrer and Filippo di Mauro,
October 1993No. 61 The Role of Government in Export Expansionin the Republic of Korea: A RevisitYun-Hwan Kim, February 1994
No. 62 Rural Reforms, Structural Change,
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Bo Lin, August 1994No. 63 Incentives and Regulation for Pollution Abatement
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No. 64 Saving Transitions in Southeast Asia Frank Harrigan, February 1996
No. 65 Total Factor Productivity Growth in East Asia:A Critical Survey
Jesus Felipe, September 1997No. 66 Foreign Direct Investment in Pakistan:
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No. 67 Fiscal Policy, Income Distribution and Growth
Sailesh K. Jha, November 1999
No. 1 International Reserves:Factors Determining Needs and Adequacy
Evelyn Go, May 1981
No. 2 Domestic Savings in Selected Developing Asian Countries
Basil Moore, assisted by A.H.M. Nuruddin Chowdhury, September 1981
No. 3 Changes in Consumption, Imports and Exports
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No. 5 Asian Agriculture and Economic DevelopmentWilliam James, March 1982
No. 6 Inflation in Developing Member Countries:
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Ulrich Hiemenz, March 1982No. 8 Petrodollar Recycling 1973-1980.
Part 1: Regional Adjustments and
the World EconomyBurnham Campbell, April 1982
No. 9 Developing Asia: The Importance
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No. 11 Industrial Development: Role of SpecializedFinancial Institutions Kedar N. Kohli, August 1982
No. 12 Petrodollar Recycling 1973-1980.Part II: Debt Problems and an Evaluationof Suggested Remedies
Burnham Campbell, September 1982No. 13 Credit Rationing, Rural Savings, and Financial
Policy in Developing Countries
William James, September 1982
No. 14 Small and Medium-Scale ManufacturingEstablishments in ASEAN Countries:
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Mathias Bruch and Ulrich Hiemenz, March 1983No. 15 Income Distribution and Economic
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No. 16 Long-Run Debt-Servicing Capacity of
Asian Developing Countries: An Applicationof Critical Interest Rate Approach Jungsoo Lee, June 1983
No. 17 External Shocks, Energy Policy,and Macroeconomic Performance of AsianDeveloping Countries: A Policy Analysis
William James, July 1983No. 18 The Impact of the Current Exchange Rate
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No. 19 Asian Agriculture in Transition: Key Policy Issues
William James, September 1983No. 20 The Transition to an Industrial Economy
in Monsoon Asia
Harry T. Oshima, October 1983No. 21 The Significance of Off-Farm Employment
and Incomes in Post-War East Asian Growth
Harry T. Oshima, January 1984No. 22 Income Distribution and Poverty in Selected
Asian Countries
John Malcolm Dowling, Jr., November 1984No. 23 ASEAN Economies and ASEAN Economic
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Narongchai Akrasanee, November 1984No. 24 Economic Analysis of Power Projects
Nitin Desai, January 1985No. 25 Exports and Economic Growth in the Asian Region
Pradumna Rana, February 1985
No. 26 Patterns of External Financing of DMCs E. Go, May 1985
No. 27 Industrial Technology Developmentthe Republic of KoreaS.Y. Lo, July 1985
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No. 30 Effects of Foreign Capital Inflows
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No. 1 Poverty in the Peoples Republic of China:Recent Developments and Scope
for Bank Assistance K.H. Moinuddin, November 1992
No. 2 The Eastern Islands of Indonesia: An Overview
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No. 3 Rural Institutional Finance in Bangladesh
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November 1993No. 4 Fiscal Deficits and Current Account Imbalances
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No. 5 Reforms in the Transitional Economies of Asia Pradumna B. Rana, December 1993
No. 6 Environmental Challenges in the Peoples Republicof China and Scope for Bank AssistanceElisabetta Capannelli and Omkar L. Shrestha,
December 1993No. 7 Sustainable Development Environment
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Sutanu Behuria and Rahul Khullar, May 1994No. 9 Interest Rate Deregulation: A Brief Survey
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Carlos J. Glower, July 1994
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No. 31 Economic Analysis of the Environmental
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East-West Center, August 1986No. 32 Science and Technology for Development:
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No. 33 Satellite Remote Sensing in the Asian
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Pradumna B. Rana, January 1987No. 35 Agricultural Price Policy in Nepal
Gerald C. Nelson, March 1987No. 36 Implications of Falling Primary Commodity
Prices for Agricultural Strategy in the Philippines Ifzal Ali, September 1987
No. 37 Determining Irrigation Charges: A Framework Prabhakar B. Ghate, October 1987
No. 38 The Role of Fertilizer Subsidies in Agricultural
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No. 39 Domestic Adjustment to External Shocks
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No. 40 Improving Domestic Resource Mobilization
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No. 41 Recent Trends and Issues on Foreign DirectInvestment in Asian and Pacific Developing
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No. 42 Manufactured Exports from the Philippines:
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No. 43 A Framework for Evaluating the Economic
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No. 44 Promotion of Manufactured Exports in Pakistan
Jungsoo Lee and Yoshihiro Iwasaki,
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September 1989No. 46 Industrial Technology Capabilities
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Hiroshi Kakazu, June 1990No. 47 Designing Strategies and Policies
for Managing Structural Change in Asia Ifzal Ali, June 1990
No. 48 The Completion of the Single European Commu-nity
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No. 49 Economic Analysis of Investment in Power
Systems
Ifzal Ali, June 1991No. 50 External Finance and the Role of MultilateralFinancial Institutions in South Asia:Changing Patterns, Prospects, and Challenges Jungsoo Lee, November 1991
No. 51 The Gender and Poverty Nexus: Issues andPolicies M.G. Quibria, November 1993
No. 52 The Role of the State in Economic Development:Theory, the East Asian Experience,and the Malaysian Case
Jason Brown, December 1993No. 53 The Economic Benefits of Potable Water Supply
Projects to Households in Developing Countries
Dale Whittington and Venkateswarlu Swarna, January 1994
No. 54 Growth Triangles: Conceptual Issues
and Operational ProblemsMin Tang and Myo Thant, February 1994
No. 55 The Emerging Global Trading Environment
and Developing Asia Arvind Panagariya, M.G. Quibria,
and Narhari Rao, July 1996No. 56 Aspects of Urban Water and Sanitation in
the Context of Rapid Urbanization inDeveloping Asia
Ernesto M. Pernia and Stella LF. Alabastro,September 1997
No. 57 Challenges for Asias Trade and Environment
Douglas H. Brooks, January 1998No. 58 Economic Analysis of Health Sector Projects-
A Review of Issues, Methods, and Approaches
Ramesh Adhikari, Paul Gertler, andAnneli Lagman, March 1999
No. 59 The Asian Crisis: An Alternate ViewRajiv Kumar and Bibek Debroy, July 1999
No. 60 Social Consequences of the Financial Crisis inAsia
James C. Knowles, Ernesto M. Pernia, and Mary Racelis, November 1999
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No. 10 Some Aspects of Land Administration
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No. 11 Demographic and Socioeconomic Determinants
of Contraceptive Use among Urban Women inthe Melanesian Countries in the South Pacific:
A Case Study of Port Vila Town in Vanuatu
T.K. Jayaraman, February 1995No. 12 Managing Development through
Institution Building
Hilton L. Root, October 1995
No. 13 Growth, Structural Change, and OptimalPoverty Interventions
Shiladitya Chatterjee, November 1995No. 14 Private Investment and Macroeconomic
Environment in the South Pacific Island
Countries: A Cross-Country AnalysisT.K. Jayaraman, October 1996
No. 15 The Rural-Urban Transition in Viet Nam:
Some Selected Issues
Sudipto Mundle and Brian Van Arkadie,October 1997
No. 16 A New Approach to Setting the FutureTransport Agenda
Roger Allport, Geoff Key, and Charles MelhuishJune 1998
No. 17 Adjustment and Distribution:
The Indian Experience
Sudipto Mundle and V.B. Tulasidhar, June 1998No. 18 Tax Reforms in Viet Nam: A Selective Analysis
Sudipto Mundle, December 1998No. 19 Surges and Volatility of Private Capital Flows to
Asian Developing Countries: Implicationsfor Multilateral Development Banks
Pradumna B. Rana, December 1998
No. 20 The Millennium Round and the Asian Economies: An Introduction
Dilip K. Das, October 1999No. 21 Occupational Segregation and the Gender
Earnings Gap
Joseph E. Zveglich, Jr. and Yana van der Meulen Rodgers, December 1999
No. 22 Information Technology: Next Locomotive of
Growth?
Dilip K. Das, June 2000
No. 1 Estimates of the Total External Debt ofthe Developing Member Countries of ADB:1981-1983
I.P. David, September 1984No. 2 Multivariate Statistical and Graphical
Classification Techniques Applied
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No. 3 Gross National Product (GNP) Measurement
Issues in South Pacific Developing MemberCountries of ADBS.G. Tiwari, September 1985
No. 4 Estimates of Comparable Savings in Selected
DMCs Hananto Sigit, December 1985No. 5 Keeping Sample Survey Design
and Analysis Simple I.P. David, December 1985
No. 6 External Debt Situation in AsianDeveloping Countries I.P. David and Jungsoo Lee, March 1986
No. 7 Study of GNP Measurement Issues in theSouth Pacific Developing Member Countries.Part I: Existing National Accounts
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No. 8 Study of GNP Measurement Issues in the SouthPacific Developing Member Countries.Part II: Factors Affecting Intercountry
Comparability of Per Capita GNPP. Hodgkinson, October 1986No. 9 Survey of the External Debt Situation
in Asian Developing Countries, 1985
Jungsoo Lee and I.P. David, April 1987No. 10 A Survey of the External Debt Situation
in Asian Developing Countries, 1986
Jungsoo Lee and I.P. David, April 1988No. 11 Changing Pattern of Financial Flows to Asian
and Pacific Developing Countries
Jungsoo Lee and I.P. David, March 1989No. 12 The State of Agricultural Statistics in
Southeast Asia
I.P. David, March 1989No. 13 A Survey of the External Debt Situation
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Jungsoo Lee and I.P. David, July 1989No. 14 A Survey of the External Debt Situation in Asian and Pacific Developing Countries: 1988-1989 Jungsoo Lee, May 1990
No. 15 A Survey of the External Debt Situation
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No. 16 Recent Trends and Prospects of External DebtSituation and Financial Flows to Asianand Pacific Developing Countries
Min Tang and Aludia Pardo, June 1992No. 17 Purchasing Power Parity in Asian Developing
Countries: A Co-Integration Test
Min Tang and Ronald Q. Butiong, April 1994No. 18 Capital Flows to Asian and Pacific Developing
Countries: Recent Trends and Future Prospects
Min Tang and James Villafuerte, October 1995
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1. Improving Domestic Resource Mobilization ThroughFinancial Development: Overview September 1985
2. Improving Domestic Resource Mobilization Through
Financial Development: Bangladesh July 19863. Improving Domestic Resource Mobilization Through
Financial Development: Sri Lanka April 19874. Improving Domestic Resource Mobilization Through
Financial Development: India December 19875. Financing Public Sector Development Expenditurein Selected Countries: Overview January 1988
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in Selected Countries: Indonesia June 198810. Financing Public Sector Development Expenditure
in Selected Countries: Nepal June 198811. Financing Public Sector Development Expenditure
in Selected Countries: Pakistan June 198812. Financing Public Sector Development Expenditure
in Selected Countries: Philippines June 1988
13. Financing Public Sector Development Expenditurein Selected Countries: Thailand June 1988
14. Towards Regional Cooperation in South Asia:
ADB/EWC Symposium on Regional Cooperationin South Asia February 1988
15. Evaluating Rice Market Intervention Policies:Some Asian Examples April 1988
16. Improving Domestic Resource Mobilization ThroughFinancial Development: Nepal November 1988
17. Foreign Trade Barriers and Export Growth
September 198818. The Role of Small and Medium-Scale Industries in the
Industrial Development of the Philippines
April 198919. The Role of Small and Medium-Scale Manufacturing
Industries in Industrial Development: The Experience
of Selected Asian Countries
January 199020. National Accounts of Vanuatu, 1983-1987 January 1990
21. National Accounts of Western Samoa, 1984-1986
February 199022. Human Resource Policy and Economic
Development: Selected Country Studies
July 199023. Export Finance: Some Asian Examples
September 199024. National Accounts of the Cook Islands, 1982-1986
September 199025. Framework for the Economic and Financial Appraisal
of Urban Development Sector Projects January 199426. Framework and Criteria for the Appraisal
and Socioeconomic Justification of Education Projects
January 1994
27. Guidelines for the Economic Analysis of Projects February 1997
28. Investing in Asia
199729. Guidelines for the Economic Analysis
of Telecommunication Projects
199830. Guidelines for the Economic Analysis
of Water Supply Projects
1999
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Prabhu Ghate et. al., 1992$15.00 (paperback)
2. Mongolia: A Centrally Planned Economyin Transition
Asian Development Bank, 1992$15.00 (paperback)
3. Rural Poverty in Asia, Priority Issues and PolicyOptions
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4. Growth Triangles in Asia: A New Approach
to Regional Economic Cooperation
Edited by Myo Thant, Min Tang, and Hiroshi Kakazu1st ed., 1994 $36.00 (hardbound)Revised ed., 1998 $55.00 (hardbound)
5. Urban Poverty in Asia: A Survey of Critical Issues
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6. Critical Issues in Asian Development:Theories, Experiences, and Policies
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10. Fiscal Management and Economic Reform
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Christine P.W. Wong, Christopher Heady,and Wing T. Woo, 1995$15.00 (paperback)
11. Current Issues in Economic Development:An Asian Perspective
Edited by M.G. Quibria and J. Malcolm Dowling, 1996$50.00 (hardbound)
12. The Bangladesh Economy in Transition
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13. The Global Trading System and Developing Asia
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SERIALS
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1. Asian Development Outlook (ADO; annual)
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2. Key Indicators of Developing Asian and Pacific Countries (KI; annual)
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JOURNAL
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1. Asian Development Review (ADR; semiannual)
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