November 20, 2009



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Photograph by Annabel Oosteweeghel

Sweden: Shrinking Benefits

By Mike Edwards, November & December 2004




In a suburb of Stockholm, care for Aina Karlsson, 85, arrives twice a day, seven days a week. In the morning a vårdbiträde (care assistant) helps her bathe and dress; in the evening she helps her get ready for bed. Once a month she cleans the apartment that Aina shares with her husband, Einar. And twice a week she takes Aina to a gymnasium for exercise.

Life expectancy in Sweden is 80.4, one of the highest in Europe. Good care could be one reason. Aina has been receiving hemhjälp (home help) assistance since she suffered a stroke four years ago. Cost to the Karlssons: $159 a month. "Not very much," says Einar, a retired union official. To the municipal government, which provides Aina's care, the real cost is about five times greater. And if the Karlssons couldn't afford even $159, the government would provide a subsidy. "That's why Swedish taxes are so high," Einar says cheerfully, noting that income taxes shrink his own pension of $4,400 a month by a third.

Sweden is democratic, capitalistic, high-tech, and industrialized, well known for Ikea and Volvo. It is also well known as a prime example of a welfare state. Social spending, which includes payments such as pensions and welfare, equals 28.5 percent of GDP. In the U.S. it's 16.4 percent.

The income tax rate tops out at a breathtaking 58.2 percent, and there's a 25 percent VAT tax on most purchases. "Of course, many people say taxes are too high," remarks Nils-Erik Hogstedt, a home-care manager. "But the complaint isn't against the elderly. The great majority favor the care." Adds Pernilla Berggren, the manager of a retirement home: "People in Sweden are used to the community doing everything. You grow up expecting society to help take care of Mom."

Tens of thousands use hemhjälp, which enables people to remain in their own homes. "Sometimes we visit just once a month to clean," says Chatrin Engbo, head of a Stockholm district care office. "But if needed, we may go several times a day and at night."

This sounds nice—but expensive. To contain costs, the government recently sanctioned sharp cuts in home care by the municipalities, a move that upset many. "Home care used to include visits just to sit and have coffee two or three times a week, or just to take someone for a walk," says Berggren. "We do the essentials, but we can't afford those social moments anymore."

Reductions are also in the pipeline for the pension system, but for now a worker on the job for 30 years is customarily rewarded with a pension that replaces about 60 percent of his pay. (In the U.S. the Social Security replacement rate ranges from about 30 to 60 percent.)

The government's worry about future solvency began in the 1990s. The percentage of 65-plussers, almost one in five of the 8.9 million Swedes, is one of Europe's highest. As with U.S. Social Security, pension payments made by active workers support retirees. With low birth rates and the increase of pensioners, experts estimate that by 2035 the system will be seriously out of balance, with about two workers supporting each older person. (By then, America will be in the same boat.)

Looking ahead, the parliament recently approved drastic, complicated revisions. Out the window went the defined-benefit pension—a set amount based on salary and years of service—replaced by a system based on contributions by worker and employer. The benefit will be indexed to wage growth, with a built-in expectancy that the rate will grow 1.6 percent annually. If wages don't grow that much, the benefit drops. The plan phases in fully in 2019, with the retirement of those born in 1954.

There's yet another new wrinkle: mandated private investments. Besides paying into the pension's main part (employee and employer contribute a total of 16 percent of the worker's wages), all workers are required to put an additional 2.5 percent into their choice of investments—an idea that has become popular among world pension experts. A voluntary form of this setup is favored by President George W. Bush.

Swedes were optimistic in 2000, when this change took effect, even though many were confused by the hundreds of funds, Swedish and foreign, competing for their kronor. The timing proved terrible. The return averaged 3.5 percent in 2001, and then katastrof! Or so said a civil servant who saw a thousand dollars vanish from her stock account as markets toppled worldwide. More than 2 million Swedes lost 30 to 40 percent of their mandated investments. (By July 2004, the average fund had recovered nearly 19 percent.)

One likely outcome of the radically revised system: to earn higher pension benefits more Swedes will work beyond the typical retirement age of 60. Says Barbro Westerholm, president of the Swedish Association of Senior Citizens: "I've recommended to my children that they plan to work until they are 70."