Retirement incomes and aged care have both received considerable policy attention in Australia over the last three decades, but as in other countries, the two financing systems have remained largely separate in policy and practice. The problem is located at the intersection of wider policy debates about shifts from public to private welfare and concerns over intergenerational equity. This paper aims to integrate these related debates by incorporating aged care into the "pillars" framework used to understand retirement incomes. We propose an Aged Care Superannuation Levy applied to superannuation fund earnings, winding back the large and growing public tax concessions that support this pillar of private defined contribution pensions in Australia's retirement income system. This revenue would create a social insurance pillar for aged care to stand alongside the four other pillars of retirement incomes that interact variously with aged care financing. Interest in a social insurance pillar of aged care financing is renewed in the light of the Royal Commission into quality and safety of aged care that reported in February 2021. As the Royal Commission recommendations on financing were divided and not | 389 HOWE and SPIES-BUTCHER
| I N T RODUC T IONIn Australia as elsewhere, government attention to the policy and fiscal challenges posed by population ageing has grown steadily over the last 30 years. Major reforms in the retirement income system and aged care over the decade from 1985 to 1995 were recognised internationally: Australia's "pillars" approach to retirement incomes was advocated as a model for other countries by the World Bank in its 1994 report Averting the Old Age Crisis, and Australia's experience in reforming aged care was one of nine OECD countries covered in the report "Caring for frail elderly people" (OECD, 1996).But while the World Bank report noted that healthcare and pension systems are strongly interrelated, and that the availability of subsidised healthcare lowered the cost of pensions, it did not further consider how financing of pensions and long-term aged care could be linked. Similarly, the major initiatives in long-term care social insurance in Japan and Germany detailed in the 1996 OECD report, and subsequent schemes in other countries, have been funded from additional taxes and other sources, including additional social insurance contributions specifically for aged care, and have not been integrated with pension systems.This paper aims to bridge this gap in policy thinking by bringing superannuation into an analysis of Australia's arrangements for financing aged care as well as retirement incomes. As well as bringing shifts between public and private welfare into policy focus, the paper raises implications for rebalancing intergenerational equity.