Paula Garda
OECD
Jens Arnold
OECD
Paula Garda
OECD
Jens Arnold
OECD
Chile has developed one of the most comprehensive social protection systems in Latin America. However, after the social unrest in late 2019, the pandemic has highlighted significant gaps in social protection, in particularly among informal workers. A key lesson emerging from the pandemic is the need for developing a better social protection system that does not differentiate between formal and informal workers. Ensuring some basic social protection coverage for all, including in pensions, health and unemployment insurance, while simultaneously reducing the cost of formal employment, would reduce labour informality. Unifying social assistance programmes into a single cash benefit scheme while increasing coverage and benefits and providing incentives to take up formal employment will be key to tackle poverty and raise job quality. These reforms would raise productivity and decrease inequality, two priorities and long-standing challenges.
Chile has made remarkable progress in improving social outcomes such as poverty over the last three decades. Strong economic growth was one of the main factors explaining the social progress, in conjunction with the construction of a comprehensive social protection system. However, long-standing inequalities of opportunities and outcomes, economic insecurity, an unequal access to quality public services led to widespread social unrest at the end of 2019. Citizens' demands for better-quality social services such as health, pensions, and education, among others, were among the most frequently-voiced social demands. Inequalities of opportunities, including unequal access to high-quality public services, are not only an obstacle to social cohesion but also hold back productivity growth.
The COVID-19 pandemic has laid bare the strengths and weaknesses of current social protection policies. Chile has one of the most comprehensive social protection systems in Latin America, including a universal basic pension recently made available to all Chileans and universal access healthcare. Chile has also unemployment insurance and employment subsidies for formal-sector workers, and furlough and job retention schemes that were introduced during the pandemic. But informal workers, defined as those with no contributions to social security, account for almost 30% of the labour force, and have no similar protection to fall upon. Instead, they had to rely on emergency cash transfers put in place during the pandemic, whose roll-out suffered from significant implementation delays during the first months of the pandemic, given the previously patchy coverage of cash transfers. This led to high pressures on the authorities to approve extra-ordinary pension fund withdrawals and develop an almost universal cash transfer scheme in 2021. As a result, overall support overcompensated the loss of incomes during the pandemic and fuelled a temporary consumption boom and inflationary pressures. Although Chile did not have especially high mortality rates,, the pandemic was particularly deadly and infectious among vulnerable Chileans (Mena et al., 2021[1]; Villalobos Dintrans et al., 2021[2]; Gozzi et al., 2021[3]), suggesting that inequalities in living and health conditions and access to good-quality health services put these vulnerable groups at a significant disadvantage.
One key lesson that emerges from the pandemic is the need for developing a more effective social protection system, providing basic social benefits that do not differentiate between formal and informal workers. Effective social protection is key to protect workers against idiosyncratic shocks, such as job loss, and old-age poverty, but also to allow them to adapt to disruptions and changes. The pandemic has been the most visible example, but the digital transformation, climate change, population ageing, migration, and possible natural disasters are also likely to trigger adjustment processes whose social implications will need to be cushioned.
Improving social protection will also trigger substantial benefits for productivity and long-term growth (UNDP, 2021[4]). Effective social protection lays the grounds for enabling workers and their families to access better-quality jobs. At the same time, it helps low-income earners invest more in their health, their human capital and that of their children.
So far, the strategy to address the lack of coverage in social protection of informal workers and vulnerable people has been to develop non-contributory pillars in pensions and healthcare, in combination with cash transfers schemes that have helped to reduce poverty. However, these cash transfer programmes do not reach all of those in need and benefits are low. The healthcare system has achieved full coverage, but its financing encourages informality while access to high-quality services remains highly unequal. A recently established universal guaranteed minimum pension has helped to raise replacement rates, a long-standing challenge for Chile, although they continue to be low for women and middle-income workers, calling for further reforms.
The current dual architecture of social benefits generates disincentives for formal job creation, especially for low-income workers. Current formal-sector benefits are financed through social security contributions levied on formal labour. Although the causes for informality are multidimensional, including low quality education and other worker and household characteristics, deficient public transportation, and complex regulatory burden, social security contributions drive a wedge between the cost of formal and informal hiring, and price many low-productivity workers out of formal employment, leaving many workers insufficiently protected and in low-quality jobs. In some cases, imperfect enforcement of existing regulations can allow firms to avoid the costs of social insurance and hire salaried workers informally. Other times, low-income or self-employed workers may face high costs of formalisation and prefer to remain informal, which is reflected in the low social insurance coverage.
The long-term goal of achieving universal formalisation and universal social protection coverage will require reforms to social security and social assistance schemes, coupled with adjustments to labour market policies. One solution would be to provide a basic level of pension, healthcare and unemployment benefits to all Chileans that is not tied to formal employment financing these from general taxation revenues, while reducing social contributions for low-income workers. This basic protection could then be complemented by a more comprehensive set of contributory benefits financed by progressive contributions.
Poverty could be reduced more effectively by unifying current cash transfer programmes into a single conditional cash benefit scheme with increased coverage and benefit levels, designed carefully to maintain strong work incentives. To achieve this, benefits should remain significantly below potential labour incomes, but they should also be withdrawn only gradually upon taking up formal employment, as otherwise beneficiaries might be reluctant to take up formal work for fear of losing their benefit. Tying benefits to individual behaviour that promotes future employment outcomes such as school completion, training and participation in public employment services would also help families to graduate from social assistance.
The main benefit of such a reform package would be to initiate a virtuous cycle between reductions in poverty and inequality and better growth prospects. Workers in the bottom 60% of the income distribution would clearly benefit from the better formal job opportunities and take-home pay that such reforms could deliver. For many current formal workers, the effective tax burden would be reduced or not change much, as the reduced social contributions would only be partly substituted by increases in personal income taxes and possibly value-added taxes. For formal workers with relatively higher incomes, a more progressive income tax schedule would likely imply a higher tax burden than at present. In this sense, social protection reforms could go together with a tax reform to broaden the personal income tax base, and make the personal income taxes more progressive, as argued in Chapter 1, two long-standing challenges for Chile. Continuous efforts to improve the education and training system and to enhance labour and tax enforcement should complement improvements in formalisation incentives, among others.
Financing these reforms will require raising permanent additional resources of about 2.2% of GDP, which could be financed with the tax reform currently under discussion. This estimate is an upper bound, as the increased formalisation and growth, and resulting revenue collection that such a reform would deliver are not taken into account. This additional spending would bring benefits for social inclusion and growth, and given its low tax revenues by international standards, Chile has space to do this (see Chapter 1).
In many respects, the costs will be more of a political than an economic nature. The difficulties of finding the necessary political consensus for the reforms discussed in this chapter should not be underestimated. The political economy of the broad overhaul of existing institutions that Chile needs, together with the required fiscal reforms to secure additional revenues, is likely to be winded. However, Chile has demonstrated its capacity to implement deep reforms on many occasions, including the 2008 reform to the pension system or the 2016 educational reform. The experiences of the social unrest in late 2019 and the COVID-19 pandemic make social protection reforms a matter of urgency to strengthen social cohesion. The broad reform agenda implemented or discussed since the beginning of the current legislature in March 2022 testify to this urgency.
This chapter analyses the strengths and challenges of the current social protection system and reviews policy options to achieve universal coverage of basic social protection while boosting formal employment. The benefits of reforming social protection would be amplified by simultaneous policy action in other policy areas, including reforms to boost the structurally low and stagnant productivity of firms and the low access to high quality education and training, as discussed in Chapter 1 and in previous Economic Surveys (OECD, 2018[5]; OECD, 2021[6]).
Chile has made remarkable progress in reducing poverty over the last 30 years. Before the pandemic the poverty rate was one of the lowest in Latin America (Figure 2.1). Inequality has also declined, although much more modestly. Moreover, the decline in inequality over the last two decades is called into question when adopting more sophisticated ways to account for capital income and undistributed corporate profits, which are typically underreported in household surveys (Flores et al., 2019[7]; Larrañaga, Echecopar and Grau, 2021[8]). Economic vulnerability, defined as the share of the population at risk of falling into poverty, has also decreased considerably, at the same time as Chile's middle class expanded rapidly (World Bank, 2021[9]). Despite this progress, poverty and inequality remain high by OECD standards.
Economic growth was the main driver of the fast reductions in poverty and vulnerability (Ricci and Hadzi-Vaskov, 2021[10]). The end of the commodity boom in 2014 and the concomitant growth slowdown explain why progress on equity stalled. While social policy and the tax system contributed to the decline in poverty, they had little impact on inequality (Repetto, 2016[11]).The redistributive impact of direct transfers is high in relation to other countries in Latin America, but low compared to more advanced countries (Lustig, 2016[12]). In-kind transfers, particularly education and healthcare services, have also contributed substantially to the reduction of inequality and poverty in the last decades (Martinez-Aguilar, Fuchs and Ortiz-Juarez, 2017[13]).
The Covid-19 pandemic had a profound impact on lives and livelihoods, like in many other countries, increasing poverty from 8.6% in 2017 to 10.8% in 2020. Many of these newly poor households suffered steep income declines and 540,000 people fell into poverty. Inequality, as measured by the Gini coefficient, increased by 4 points during 2020. Massive losses of jobs and livelihoods, particularly among the vulnerable, were the main drivers of this increase in poverty and inequality in 2020 (Figure 2.2), despite a significant expansion of existing benefit programmes and the development of a new pandemic-related programme targeting informal workers that effectively mitigated the economic fallout of Covid-19.
The strong socio-economic impact of the pandemic go back to pre-existing structural gaps and inequalities in the labour market, driven by a high share of informal jobs and unemployment that affect particularly the lowest part of the income distribution (Figure 2.5). One in every three workers in Chile has an informal job. Informality leaves workers, mainly in the lowest part of the income distribution, excluded from formal (contributory) social security – and hence inadequately protected by the social protection system (Box 2.1), with no access to training and unemployment insurance. Additionally, lower access of the least advantaged groups to digital technologies and education, longer commuting distances in public transportation, inability to quarantine due to lack of savings explain why these groups were disproportionately affected by the pandemic.
Before the pandemic, the labour market was showing signs of deterioration, implying that workers faced the recession caused by the pandemic from a rather weak starting position. The unemployment rate increased from 6.1% in 2013 to 7.2% in 2019. Job quality also deteriorated during this period, with self-employment, which is mostly informal, growing more strongly (on average, at 3.8% per year), while salaried employment grew by less than half in the same period (1.6%). A high share of temporary jobs and high job turnover is another structural factor explaining the large impact of COVID-19 on the labour market (Figure 2.6), as often these workers do not fulfil the requirements to access the unemployment insurance system in case of dismissal. Additionally, many jobs created in the last five years prior to the pandemic were concentrated in low-productivity sectors with high rates of informality, such as construction, hotels and restaurants and retail. These sectors were precisely the most affected by the pandemic (Villanueva and Espinoza, 2021[14]). The social protests in 2019 did not have a significant impact on total employment, but they accelerated informal job creation with more than 100 000 workers falling into informality, leaving more workers without social protection when the pandemic unfolded.
Informal workers suffered the most from the economic fallout of the pandemic, as job losses among informal workers were twice as high as among formal workers. This marks a break with past recessions when informality used to cushion the decline in employment and acted as a countercyclical buffer (OECD, 2010[15]). During the pandemic, the lockdowns and mobility restrictions forced many informal workers to stay at home and leave the labour force. While informal workers saw a 3% decline in their median labour income in 2020, median labour income decreased by only 1% for formal workers (Figure 2.7). Given the nature of informality, stimulus policies in the form of credits, wage subsidies or furlough schemes generally failed to reach informal workers. Moreover, as informal workers have usually no access to savings or any type of social protection, they depended on government cash transfers. During 2020, these compensated only partially for their lost income (Busso et al., 2020[16]).
There is no unique international definition for informal employment. However, a generally accepted way to define it is jobs that are not taxed, registered by the government or that do not comply with labour regulations. This chapter defines informal employment as all types of workers not contributing to social security, i.e. the pension system or the health system. Although there is not a perfect correlation, when a worker or his/her employer pay pension contributions then they typically pay for health contributions and comply with employment regulations. Labour informality is not always illegal, as sometimes some types of workers are not obliged to contribute to the pension or health systems. This is the case for many self-employed workers. In Chile, contributions by self-employed workers that issue invoices became mandatory only in 2019. Businesses can also be informal by not being registered with the tax administration and without formal accounting, which is usually correlated with not paying social security contributions for their workers.
Chile has experienced a substantial reduction in its labour informality rate since 2010, with a fall from around 40% to around 30% of the total workforce in 2019. In comparison with other Latin American economies, this share is still comparatively low. Informality is higher among self-employed workers and among lower-income households (Figure 2.3). Informal workers tend to have lower and more unstable incomes. Many workers in Chile transit between formality and informality many times during their professional careers (OECD, 2018[5]). This implies that some workers, even when they contribute for some time, usually do not fulfil the requirements to access unemployment insurance, nor are they able to save much for pensions.
Informal employment is highly correlated with a few socioeconomic characteristics. Most rural workers regularly hold informal jobs, as do young and old workers, and low-skilled workers (Figure 2.4). The share of informal workers is slightly larger among women than among men. However, there exists a low female employment rate (55% in 2021 against 61.4% in the average OECD country). The agricultural sector, retail, hotels and restaurants and the construction sector concentrate many informal workers. Poverty rates are higher among workers in informal employment.
Digital transformation could intensify existing contributory gaps in the pensions and other social protection schemes because of more frequent job changes, more unemployment spells or the inherent nature of the digital jobs, such as digital platforms.
Women and youth were more affected by the pandemic than men and older workers (Figure 2.8). Female labour force participation saw an unprecedented reduction during 2020. Growth in female labour force participation, which was already below the OECD country average, was set back by a decade by the pandemic, and as the economy rebounds, the recovery has been slower than for men. This is, at least partly, explained by school closures, which lasted for around 20 weeks in 2020, one of the longest closures in the region. Youths are more likely to have informal jobs or fixed term contracts and are hence less protected by the social security system. Moreover, with the economic and social effects of the COVID-19 pandemic, young Chileans have been experiencing growing concerns over their future income, mental health, education, employment, and ability to partake in public life. OECD evidence suggests that deteriorating opportunities for young people due to the COVID-19 crisis risk leaving long-lasting scars on their trust in government and satisfaction with democracy (OECD, 2022[20]).
Chile has developed one of the most comprehensive social protection systems in Latin America (Box 2.2). Beginning in the early 2000s, a series of policy reforms expanded access to public services and income support programmes. This brought health, social assistance and, to a lesser degree and only more recently, education, closer towards universal coverage. In 2020 there were 469 social assistance programmes supervised by 12 ministries according to the Ministry of Social Development and the Family (MDSF) and the Budget Office (DIPRES). Although social spending has constantly increased over the last decade, at 11.4% of GDP it remains low compared to the OECD average in 2019 (Figure 2.9). Around 40% of social spending is allocated to the social protection system, according to the Budget Office. 50% of this social protection spending is allocated to pensions and less than 13% to social assistance programmes supporting the poor and the vulnerable.
Access to social protection is mostly determined by the labour market status of the worker. The first component are social security benefits associated with formal work. These are financed mostly from employee and employer contributions that are proportional to worker salaries or wages (Table 2.1). Government top-ups complement workers’ or firms’ contributions to increase benefits of these formal workers. The second component of the social protection system is the social assistance system, which was created to provide insurance to those left out of the contributory social security system and is generally financed from general tax revenues. In this component, Chile has managed to achieve universal access to healthcare and pensions.
Dependent worker |
Self-employed |
||
---|---|---|---|
Paid by the worker |
Paid by the employer |
||
Pensions |
10% |
10% |
|
Disability and Survivorship insurance |
1.85% |
1.85% |
|
Pension fund manager administration fee (market average) |
1.16% |
1.16% |
|
Health (private/public) |
7% |
7% |
|
Work-related accidents and occupational diseases insurance |
0.95% |
0.95% |
|
Unemployment insurance: open-ended [fixed-term] contracts |
0.6% [0%] |
2.4% [3%] |
- |
Medical leave for working parents of children with a serious health condition fund |
0.03% |
0.03% |
|
Total [fixed-term] |
18.76% [18.16%] |
5.23% [5.83% ] |
20.99% |
Note: For the self-employed workers these numbers do not apply completely as only in 2019 became mandatory the contribution for self-employed workers and will only cover 100% of taxable income in 2027.
Source: OECD calculations.
The Chilean social protection system is characterised by a large participation of private actors, such as private pension and unemployment funds, based on savings in individual accounts. The social assistance system and some other public social policies, such as education, health and housing, are targeted to the most poor households and are generally of lower quality than the more costly private services accessed by middle-income and high-income households (Repetto, 2016[11]).
The result of this framework is a segmentation of the labour force into two categories: formal workers, covered by contributory programmes and minimum wage regulations, and informal workers, who are covered by universal access to healthcare and the universal guaranteed minimum pension and some of which have access to cash transfer assistance programmes. Many informal workers, however, have incomes above the poverty line, which generally precludes them from accessing cash transfer benefits or unemployment insurance. Informal workers have also less access to training and more unstable earnings. This duality has led to a low coverage of social protection (Figure 2.10), particularly among certain groups such as the unemployed, although social protection coverage is higher than in other Latin American countries.
The fragmented social protection system not only creates incentives for informality that foster inequality, but contributes to low productivity growth (Levy and Schady, 2013[21]; Levy and Maldonado, 2021[22]). When contributory benefits are not fully valued by workers, they tend to act as an implicit tax on formal employment. At the same time, non-contributory benefits can act as a subsidy to informality when they are perceived as similar to those enjoyed by formal workers, who pay for them. At the same time, firms tend to stay inefficiently small as they attempt to fly below the radar of labour market and tax inspections (Ulyssea, 2020[23]). Additionally, informality hinders worker mobility, productivity-enhancing resource reallocation and workers’ access to quality jobs and training (López-Calva and Lustig, 2010[24]; OECD, 2018[25]; OECD, 2019[26]).
The social protection system combines social insurance (contributory schemes) and social assistance system (non-contributory schemes).
The social security system comprises the contributory schemes in health, pension, disability and unemployment insurance, occupational risk coverage and family benefits (Figure 2.11). Workers covered by this system are also subject to regulations on employment protection and minimum wages. The level of mandatory contributions is the same for employees, self-employed or own-account workers, and amounts to around 22% of earnings. Only around 5 percentage points of these contributions are paid by the employer, which is a major difference in relation to most social security systems throughout the world. Self-employed, entrepreneurs and non-remunerated workers are not required to contribute to social security. Only in 2019 were contributions by self-employed workers who issue invoices made mandatory. The collection is done through the tax system as these workers are subject to VAT payments. The government also contributes to this system to ensure more adequate benefits.
The social assistance system or non-contributory schemes, financed through general taxation, includes a health scheme for low-income households; a non-contributory pension scheme and conditional cash transfer programmes (such as Subsidio Único Familiar and Ingreso Ético Familiar). Other welfare programmes include Chile Crece Contigo (Chile grows with you), an early childhood development subsystem; Seguridades y Oportunidades (Securities and Opportunities), a subsystem that coordinates the delivery of a range of social services and benefits provided by different government institutions to improve the wellbeing and social cohesion among Chile’s poorest vulnerable families and other specific priority groups; and Cuidados (Care), an inclusion subsystem providing protection to households with elderly or family members with any disability. The national training institution (Servicio Nacional de Capacitación y Empleo, SENCE) offers vocational and professional training and employment subsidies to vulnerable and poor households.
Source: OECD Secretariat.
Chile has performed better than other countries in Latin America on social programmes, with fighting poverty being the main focus. The number of families receiving income-support has increased in the last two decades to cover different needs during the life-cycle (for example children, the elderly, the disabled, the unemployed, women, youth). Although there are longstanding social programmes supporting low-income formal workers, social assistance programmes mostly aim at protecting those left behind by social security schemes, typically informal workers in poor households.
While cash transfer programmes have contributed to reduce poverty (Cecchini, Villatoro and Mancero, 2021[27]; Focus, 2016[28]) and coverage has increased in the last decades, the main cash transfer programmes (Box 2.3) have not reached all those in need and benefits are low even in regional comparison (Figure 2.12). Coverage reached 30.7% in 2017 for the main social assistance programmes, but only 51% of households in poverty were receiving at least one type of income support according to the household survey. Moreover, some households in the upper part of the income distribution were receiving cash transfers, to the detriment of public spending efficiency. Benefits levels are generally low (Figure 2.12, Panel B). On average, those in the first quintile of the income distribution received cash transfers for 9% of household market income, limiting the impact on poverty reduction.
More than 95% of social assistance spending to reduce poverty and vulnerability is channelled through cash transfers programmes, while other programmes promote entrepreneurship, training or labour intermediation. Social assistance programmes are mainly family-oriented cash benefits (Table 2.2), which include mean-tested family allowances for formal workers (Asignación Familiar), a mean-tested conditional family cash transfer for low-income informal workers (Subsidio Unico Familiar), and a social assistance programme offering conditional and unconditional cash transfers for families and children in extreme poverty (Ingreso Ético Familiar). Other unconditional cash transfers are offered to all cash transfers recipients (such as Aporte Familiar Permanente).
Target population |
Benefit |
Duration of the programme |
Beneficiaries |
Fiscal cost, % of GDP in 2019 |
|
---|---|---|---|---|---|
Family allowances - Asignación familiar – AF |
Low-income formal workers (earning less than 2.5 minimum wages) with children or other dependent family members |
Between 2% and 11% of the poverty line per dependent family according to household income. |
Automatic access and continuity always that conditions are met. |
243 300 workers |
0.03% |
Single family allowance - Subsidio Único Familiar (SUF) |
Informal workers (not receiving family allowances) with children under 18 years of age, pregnant women and people with disabilities belonging to the 60% most socio-economically vulnerable |
Conditional cash transfer of equal benefit amount per dependent family member, conditional on children’s schooling and health. CLP 12 000 monthly per child (USD 17.6, 10% of the poverty line). |
Up to three years. |
2 million workers |
0.16% |
Ethical Family Income - Ingreso Ético Familiar (IEF) from Seguridad y Oportunidades system |
- Families in extreme poverty - People aged 65 and over who live in poverty - People living on the street - Minors whose responsible adult is deprived of liberty. Families participating in the programme can also receive other social assistance benefits, including the SUF |
Contains two blocks: one of intervention and the other of cash transfers. One unconditional cash transfer of the 85% of the difference between the family income and the extreme poverty line. The maximum benefit received monthly is USD 15.7 (9% of the poverty line). It is supplemented by conditional cash transfers related to children’s schooling and health, an employment subsidy to promote female formal employment, and conditional cash transfers rewarding school achievements. |
Time-limited graduation scheme: up to 24 months receiving cash transfers 48 months for the women's work subsidy. |
101,900 people |
0.02% |
Permanent family allowance - Aporte Familiar Permanente (AFP) |
Low income households receiving one of the benefits above |
Once a year unconditional cash transfer of CLP 49 000 for dependent family member (25% of the poverty line) |
Automatic access and continuity always that conditions are met. |
1.6 million workers |
0.08% |
Total |
0.3% of GDP |
Note: The programmes in this table represented 80% of income support of households on average of total income-support in 2017. Other benefits are related to old-age, incapacity, and the water subsidy.
Source: OECD elaboration based on DIPRES, Cepal, ChileAtiende, Ministerio de Desarrollo Social y Familia, IPS, SUCESO.
The Ingreso Etico Familiar programme tends to bring families closer to the poverty line rather than helping them to overcome poverty due to its focus on families living in extreme poverty and the low benefit levels (Fernández and Calcagni, 2015[29]). Moreover, although the programme’ progressivity is high, its redistributive impact is limited (Amarante and Brun, 2018[30]). The impact of this programme on education attainment is also mixed (Henoch and Troncoso, 2013[31]). The cash transfer linked to school attainment (Bono por Logro Escolar) has been harshly criticized as it does not contribute to poverty reduction and the fact that being among the top of the class does not depend exclusively on the effort of the students, and it puts usually more pressure on the women of the household (MDSF, 2021[32]).
Evidence on the impact of social programmes on labour force participation and informality is mixed with some studies showing no impact and others small positive effects (Galasso, 2011[33]; Larrañaga and Contreras, 2010[34]; UDD, 2014[35]; Focus, 2016[28]).
Cash transfer programmes are fragmented, with weak coordination among different managing institutions and a lack of consistency with regards to eligibility criteria. Over the years, increased coverage has mostly been achieved by creating new benefits operating alongside existing ones (World Bank, 2021[9]). Insufficient information about the eligibility criteria and available benefits have reduced benefit take-up among low-income families (Fernández and Calcagni, 2015[29]).
Enhancing regular monitoring and evaluation of social programmes would support social spending efficiency. Information on the performance and beneficiaries of social assistance is still incipient, as are evaluations of their results (Hernando and Ross, 2017[36]). There have been significant recent efforts to improve the monitoring and evaluation of social programmes. There is still scope for analysing the systemic relevance and effectiveness of the different programmes more regularly and checking for duplications and overlap.
Chile invested more than most other Latin American country in economic and social relief to address the crisis. Spending in social emergency programmes was stepped up by 1.4% of GDP in 2020 and by another 6.5% of GDP in 2021. Social assistance policies included a series of additional emergency cash transfers through the pre-existing social assistance programmes and a new programme (Emergency Family Income, IFE) (Table 2.3). By December 2021, total spending on direct transfers reached 10% of GDP, with 65% of that spent on the new cash transfer programme. Chile is second only to Brazil in Latin America when it comes to the breadth and sufficiency of its cash-transfer response to Covid-19 during 2020 and a clear leader during 2021, even relative to the ten most advanced countries (IMF, 2021[37]).
Date |
Beneficiaries |
Benefit levels |
Fiscal cost, % GDP |
|
---|---|---|---|---|
Bono Covid |
April 2020 |
Beneficiaries of the SUF and the SSyOO, and informal workers in the poorest 60% of households according to the Household Social Registry, and who do not benefit from any other social assistance programmes |
CLP 50 000 per household, equivalent to 20% of the poverty line in an average household. |
0.07% |
Ingreso Familiar de Emergenia (IFE) |
May - October 2020 |
Families belonging to the 60% most vulnerable according to the Household Social Registry, with informal incomes – 4.9 million people (1.9 million households) |
1.3% |
|
Bono clase Media 2020 |
August 2020 |
All workers who before the pandemic had formal incomes equal to or greater than CLP 400 000 and less than or equal to CLP 2 million and have experienced a 30% reduction in these incomes – 1.7 million beneficiaries. |
CLP 500 000 |
0.3% |
Bono Covid Navidad |
December 2020 |
Same as IFE (Only for departments in confinement) |
CLP 55 000 |
0.1% |
Ingreso Familiar de Emergencia (IFE) |
January - March 2021 |
Only for those departments in confinement |
0.4% |
|
Bono Clase Media 2021 |
April 2021 |
Workers with formal incomes between the minimum wage and CLP 408 125 with no income reduction requirement. Workers with formal incomes between CLP 408 125 and CLP 2 million with an income drop of at least 20%. 1.9 million beneficiaries |
CLP 500 000. |
0.4% |
Broaden IFE |
April - May 2021 |
80% of most vulnerable households. Coverage is extender to households with other incomes, in which case the IFE complements incomes. |
CLP 100 000 per person, 80% of the poverty line |
1.6% |
Universal IFE |
June - November 2021 |
100% of Household Social Registry with household income per capita below CLP 800 000 - 7,2 million households (16,7 million people) |
Household with 4 members receives CLP 500 000, 1.5 times the poverty line |
6.2% |
Source: Secretariat using different sources of data including Ministry of Finance reports https://reporte.hacienda.cl/
Cash transfers were well-targeted to the most vulnerable households in 2020 and managed to contain increases in poverty and inequality (Figure 2.13). However, cash transfers did not reach all those in need and failed to compensate for the fall in labour incomes (Figure 2.14), particularly among informal workers and vulnerable and middle-income households (CNEP, 2022[38]).
One clear lesson from the year 2020 is that more systematic measures to protect the economic security of the vulnerable population are needed. The initial implementation delay limited the ability to provide support in the early months of the crisis. Many workers received insufficient incomes or none at all during the first two months of the crisis. This delay also led to pressures on authorities to increase eligibility criteria and benefits during 2021, although the labour market was already recovering. This eventually led to an overcompensation of labour income losses, albeit too late (Figure 2.14). In addition, Congress introduced three constitutional reform bills over 2020-2021 that allowed all workers with positive balances in individual pension accounts to withdraw part of their pension funds overcompensating for the loss of incomes (Figure 2.15). These measures were not well targeted as they were not based on individuals’ specific and exceptional circumstances (OECD, 2020[39]), benefiting mostly the upper quintiles of the income distribution (Barrero et al., 2020[40]).
Overall, the large income support substantially mitigated poverty and inequality. Poverty was almost eliminated in 2021, mainly due to the rollout of the universal cash transfer programme (Ingreso Familiar de Emergencia, IFE). Inequality, as measured by the Gini coefficient, also dropped from 0.45 in 2020 to 0.39 in 2021. This improvement is likely to be temporary, as poverty (measured at USD 5.5 a day) and inequality are expected to increase to above pre-pandemic levels with the end of emergency transfers and the challenging macroeconomic conditions in 2022 (World Bank, 2022[42]).
The experience of the COVID-19 pandemic calls for a more comprehensive, flexible, and sustainable social protection system. Protection against poverty and income losses could be improved by unifying and integrating existing cash transfers into a single programme to fight poverty. One option would be to establish a single cash transfer for those aged below 65 living in poverty population that would top up incomes so as to guarantee a certain minimum income to all. This programme could also provide a backstop to those who lose their livelihoods temporarily in the case of dismissal. Unifying all income support into one programme would simplify the delivery of social benefits, reduce bureaucracy, increase transparency and improve spending efficiency.
In practice, this proposed benefit would function as a periodic cash transfer to every adult below 65 living in a poor or vulnerable household. The design of this cash benefit could be based on the experience of the successful Ingreso Ético Familiar and maintain its conditionalities on education and health. The size of the transfer would be contingent on household income before transfers (both from formal and informal jobs) and their assets. When children are part of the household, the cash transfer could be conditional on school attendance and health check-ups, as in the Ingreso Ético Familiar or Subsidio Familiar Único programme. This has proven effective in helping families to exit poverty. The cash transfer would decrease gradually as the household income increases, until eventually reaching zero. That would set the scheme apart from the existing cash transfers schemes that provide a fix amount of money to every household. Only Ingreso Ético Familiar takes the distance of household income from the poverty line into account. The new scheme would be financed from general tax revenues. The proposed scheme is different from a Universal Basic Income, which grants an identical amount to every citizen, regardless of their income (Box 2.4). A Universal Basic income would not be fiscally viable in Chile, nor would it be effective to fight poverty.
A universal basic income (UBI) is an unconditional cash transfer granted at regular intervals to all residents, regardless of their wealth, earnings or employment status. The main advantage of such a programme is that it is simple to implement as no conditions or requirements are applied.
The main disadvantage of an UBI is that it could be extremely costly. An unconditional payment to everyone at meaningful but fiscally realistic levels would require strong tax rises and possibly reductions in existing benefits, and would not often be an effective tool for reducing income poverty (OECD, 2017[43]). Some disadvantaged groups would lose out when existing benefits (usually all other social programmes) are replaced by a universal basic income, illustrating the downsides of social protection without any form of targeting at all.
As in most countries, the Universal Basic Income is fiscally unviable in Chile and can be controversial by guaranteeing transfers to high-income earners. Setting the monetary transfer to the extreme poverty line to every household member to assure that the most basic needs of all Chileans are satisfied even if no other income is available, would have a cost of 9.9% of GDP in 2017. This UBI level still would leave many households in poverty, especially those at old-age not receiving any pensions or the unemployed or inactive. If the transfer is set to the poverty line the cost would be 14.9% of GDP, almost three quarters of the tax revenues in Chile (20% of GDP in 2019).
A large body of evidence suggests that cash transfers can achieve significant reductions in poverty. These cash transfers can promote credit access, better eating habits, better school attendance, better academic results, better cognitive development, reduction of domestic violence, and female empowerment (Banerjee, Niehaus and Suri, 2019[44]). Evidence on the impact of cash transfers on labour participation and formal employment are mixed (OECD, 2011[45]). While some evidence suggests that cash transfers do not discourage - and in some cases even encourage - labour participation by beneficiaries (Banerjee et al., 2017[46]), other evidence from Latin America suggests that the exact design matters, as cash transfers can decrease incentives to participate in formal employment (Bergolo and Cruces, 2021[47]). This formal labour supply effect is usually linked to abrupt benefit withdrawals for beneficiaries who find a job and earn incomes above the benefit eligibility thresholds, which can imply high implicit tax rates.
To maintain incentives for formal work, graduation from cash transfers should be gradual. In particular, the value of the forgone transfer should always be smaller than the additional work income when a beneficiary moves into (formal) employment. Otherwise beneficiaries might be reluctant to take up work for fear of losing their benefit. The design could include a phase in which for every additional peso earned, only part of the self-declared additional earnings are taken into account to calculate the cash benefit, until gradually reaching benefit withdrawal. Tying benefits to individual behaviour that promotes future employment outcomes such as school completion, training and participation in public employment services would also help families to graduate from social assistance. Ex-ante and ex-post impact assessments should be systematically conducted to evaluate the effects on (formal) labour force participation and adjust the design if necessary.
The poverty line could be a useful benchmark for determining benefit levels. By calculating the cash transfer as the difference between the household income and the poverty line (taking into account household size), the programme would ensure that no household or individual is left in poverty. Benefit levels could consider specific household characteristics. One example is the Spanish guaranteed minimum income programme implemented in 2020, in which a certain amount is added to the benefit for each additional household member or for single-parent households. The programme was introduced in parallel with the gradual phase-out of the existing Child Benefit scheme.
While this cash transfer programme should not necessarily be limited in time, periodic reassessments should be undertaken. The programme should be accompanied by strengthening underlying information systems and verifying self-reported household information, to provide incentives for individuals to report their income and wealth truthfully. Penalties for providing inaccurate or false information could strengthen these incentives.
A related alternative to this cash transfer programme would be a negative income tax or earned income tax credit. Evidence shows that the Earned Income Tax Credit in the United States has raised labour force participation, particularly among single mothers (Hoynes and Patel, 2017[48]). There are also positive effects on poverty reduction, as the programme rewards work and supplements the income of low-wage workers. Similar programmes have also decreased informal employment in developing countries (Gunter, 2013[49]).
The salient distinction between the proposed cash transfer programme and the negative income tax is that the latter is financed directly through a progressive income tax. Another important difference is that in the case of the guaranteed minimum income part of the transfer can be conditional on educational and health behaviours. Finally, a network of social workers is in charge of verifying and constantly improving data on vulnerable households while raising awareness of available benefits.
Chile has accumulated almost 40 years of experience in the development and use of targeting instruments for the allocation of social benefits. The Social Household Register, the current social information system, has achieved a wide coverage of the population, about 75% in 2020, with a good coverage of most of the 40% vulnerable population, with 62% of households registered. Despite this coverage, there is significant heterogeneity at the local level, with communes with most vulnerable populations having lower coverage (CNEP, 2022[38]).
Efforts to increase coverage should continue with a view towards covering the whole population. This is key for providing better socioeconomic information for designing and implementing new social programmes and entitlements as well as for monitoring existing ones (Berner and Van Hemelryck, 2021[50]). Automatic registration of all citizens could help, as in the case of Uruguay, where an integrated information system gathers data and administrative records from more than thirty institutions.
The social information system needs to adapt to respond more quickly and efficiently to shocks faced by households. The relatively slow response during the beginning of the COVID-19 pandemic was partly due to the complexity of the registration and updating procedures within the social registry. Registration focused mainly on manual fact-checking of self-reported household information, rather than relying on background verification procedures based on available administrative data. As a result, the system was not able to reflect the new economic situation of households in a timely manner. There have been significant efforts to include administrative databases and make the registry more responsive.
Enhancing the capacity of social programmes to respond to crises would require improving the real-time nature of the database and developing a targeting instrument that captures short-term or sudden changes in individuals and households’ income status (Berner and Van Hemelryck, 2021[50]). For example, Brazil has used self-declared per capita household income to deliver Bolsa Familia benefits, its main cash transfer programme, and this has shown to be a good targeting instrument (WWP, 2017[51]). This requires fast cross-checks of income data with other data sources and a high interoperability between registries to reflect immediately changes in labour market status or household income. Doing so would enable social policy to protect those facing income shocks even if they do not live in structural poverty.
Sustained progress with the social registry could also be achieved by merging additional administrative databases and further increasing the interoperability among them. For example, Estonia uses advanced digital tools and designed a data exchange layer for whole-of-government called X-Road. The objective is to allow citizens, businesses and government entities to securely exchange data and access information maintained in various agencies’ databases over the internet.
Implementing a universal income tax declaration and merging it with the social registry would make more reliable information on income available and allow for better cross-checking of income data. Tax declarations are typically used in advanced OECD countries for the targeting and delivery of social benefits. Although many Chileans do not pay taxes, filling a tax declaration could increase awareness and help strengthen a culture of tax compliance.
Chile is one of the few countries in Latin America with unemployment insurance for formal workers (Box 2.5). The number of affiliates and beneficiaries of the unemployment benefit system has increased constantly since its creation, but remains low (Figure 2.16). Between 2010 and 2020, the percentage of employed people who contributed and are covered increased from 50% to 60%, as a result of a decrease in informal and self-employment. Despite this increase in coverage, as of the first quarter of 2020, 31% of the employed had no coverage against unemployment and 13% were contributing to the system but did not meet the eligibility conditions (ILO, 2019[52]).
The low coverage reflects frequent informality and self-employed jobs, but also short duration of employment contracts and their high turnover (Huneeus, Leiva and Micco, 2012[53]; ILO, 2019[52]). Only 50% of employees that terminate a contract in a given year have enough contributions in their accounts to access benefits. Moreover, 50% of workers with fixed-term contracts had non-contributing periods lasting more than three months from the same employer in 2015, which impedes their access to the Solidarity Fund (Sehnbruch, Carranza and Prieto, 2019[54]). Hence, the unemployment benefit system protects workers with higher income levels and more stable jobs much better than it protects vulnerable workers, who are also much more likely to become unemployed (Sehnbruch, Carranza and Contreras, 2020[55]).
Benefit levels remains limited (Figure 2.17). While the unemployment insurance offers a replacement rate of 70% in the first month, it progressively declines to 30% from the sixth month, against an average of 61% after six months in OECD countries.
The Chilean unemployment benefit system, in place since 2002, is based on individual accounts with complements from a solidarity fund. While individual accounts are financed through mandatory contributions from dependant workers and its employers, the solidarity fund is financed by employer’s contributions and complemented with general taxation. In this system, workers need to fulfil certain requirements to withdraw money from the unemployment individual savings accounts or accessing the solidarity fund related to number of months that they have been contributing (Table 2.4). Workers on permanent contracts have also the right to severance payments. The legal severance pay is an amount equal to one month of salary for each year worked, with a maximum of 11 months. The severance payments are relatively high with respect to the average OECD country, and also in Latin America (OECD, 2018[5]).
One advantage of individual unemployment savings accounts over other unemployment insurance systems is that they significantly limit the risk of moral hazard (ILO, 2019[52]; OECD, 2011[45]; OECD, 2018[56]). By allowing workers to run down their personal savings during periods of unemployment, workers internalise the cost of unemployment benefits, thus strengthening the incentives of the employed to prevent job loss and of the unemployed to return to work quickly. Individual unemployment savings accounts can also strengthen incentives for working formally since social security contributions are less perceived as a tax on labour and more as a delayed payment (OECD, 2018[57]). Additionally, contributions accumulated during the employment career are not withdrawn by the worker, any surplus could be credited in the form of pension entitlements upon retirement, which could be also perceived as savings for retirement. The disadvantage of individual unemployment savings account system is that generally individuals with lower contributory capacity, who also tend to have a higher risk of unemployment, tend to receive insufficient protection. This is partially addressed by the Solidarity Fund that can be accessed once the individual accounts have been exhausted and it is financed by worker’s contributions and general taxation.
Contract type |
Contributions to individual accounts |
Contribution to the Solidarity Fund |
Requirement for access when unemployed |
Benefits |
|
---|---|---|---|---|---|
To individual accounts |
To the Solidarity Fund |
||||
Permanent contract |
Worker 0.6% of wages Employer 1.6% of wages For a maximum of 11 years |
0.8% of wages for all the duration of the contract |
12 continuous or discontinuous contributions in the last 24 months. Voluntary or involuntary termination of contract. |
12 contributions in the last 24 months. The last three contributions need to be done continuously and from the same employer. Having insufficient resources in individual account. Dismissal due to unforeseeable circumstances, force majeure or due to the needs of the company. |
In the first month, 70% of the average wage of the last 6 or 12 months. This percentage falls progressively to 30% from the sixth month onwards. Workers receiving the benefits from the individual accounts can collect benefits until their balance is exhausted. The Solidarity Fund covers up to the fifth month (if permanent worker) or third month (if fixed term worker). For fixed-term workers the replacement rate starts are 50%, 40% and 35%. The benefit received is in proportion of the average earnings of the last 12 months and has maximum and minimum caps. The benefits received from the Solidarity Fund are conditional on enrolment in public employment services. |
Fixed-term contract |
Employer 2.8% of wages |
0.2% of wages |
6 continuous or discontinuous contributions in the last 24 months. The last three contributions need to be done continuously and from the same employer. Proof of termination of contract. |
Source: OECD Secretariat.
To increase protection of formal workers, authorities increased coverage and benefits of the unemployment benefit system during the social unrest in late 2019, and then because of the pandemic. In April and again in September 2020, the replacement rate was raised to 55% from the third month of unemployment onward, and the minimum and maximum benefits were increased. Eligibility criteria were reduced to 6 months of contributions in the last 12 months. These changes were temporary until October 2021. Additionally, in 2020 a job retention scheme (the employment protection law -Ley de Protección del Empleo) which allowed firms and workers to agree on the suspension of employment contracts during lockdowns, enabling them access to the unemployment benefit system. It also introduced a short-time work scheme with the possibility of negotiating a 15-50% reduction in working time, while receiving income support from unemployment benefits. The job-retention and short-time work schemes benefitted around 1.1 million workers in formal jobs (around 18% of formal workers) up to December 2021, which mitigated formal job losses (CNEP, 2022[38]) and had a positive effect on workers returning to their jobs (Granados, Rivera and Villaseca, 2022[58]).
To fill the gaps of the unemployment insurance system and increase protection of informal workers, authorities implemented emergency cash transfers, as discussed in the previous section. However, at least during 2020, there was still a significant gap in the protection against income loss (Figure 2.18), which was mainly concentrated in informal and self-employed workers (Montt, Ordóñez and Silva, 2020[59]).
One clear lesson from the pandemic is that Chile, as many other countries with many vulnerable workers, cannot rely on unemployment insurance alone to protect workers from the fallout of an economic crisis or rapid changes in the labour market that generate unemployment. The unemployment benefit system need also to be linked to other social protection mechanisms to provide a minimum income-protection to workers with precarious jobs.
Implementing the single cash benefit programme for the vulnerable, as discussed previously, could improve the income protection for dismissed workers from vulnerable backgrounds. As it provides a backstop for all those losing their job or income, regardless of the type of job (fixed-term or informal job), it could serve as universal pillar of protection in case of job displacement. This would allow to close the existing unemployment benefit insurance gaps systematically without the need of designing ad-hoc measures during emergencies or crisis, as evidenced during the pandemic. In practice, for workers earning the minimum wage, a cash benefit equivalent to the poverty line would imply a replacement rate of around 50%. To implement the single cash benefit programme, it will be crucial that the targeting system and the Household Social Registry become more agile and able to detect, or at least verify, changes in workers’ labour market status and income without long delays.
As the cash benefit scheme is designed to avoid poverty, a second contributory pillar, based on the existing unemployment insurance system, could top-up benefits to provide consumption smoothing and maintain living standards for higher-income dismissed workers. This second pillar would be financed from individual savings accumulated by workers.
Implementing reforms to the current unemployment benefit system would deliver better protection for workers during dismissals, for example by doing permanent some of the changes to the unemployment insurance system during the crisis, or, at least, automatically triggered when unemployment reaches certain thresholds. Reducing the required minimum contribution periods for fixed-term contract workers would improve coverage and benefits for jobseekers. The short-time work scheme—in which workers accept a temporary reduction in work hours and pay, and the government bridges some of the resulting income gap—could also be made permanent, as has shown to be a useful instrument during the pandemic. These schemes have been successfully used in many OECD countries even before the pandemic. Two good examples are the cases of Austria and Germany that have been successful protecting jobs when there was a temporary lack of labour demand (Balleer et al., 2016[60]).
There are several benefits to this approach. Most importantly, it would expand protection in the case of dismissal to all workers without distinguishing by type of workers, allowing informal and workers with contracts of short duration to access income support. Low-income informal workers or workers under short-term contracts that could not access the unemployment insurance system, even if they contributed for some time, would access income support through the single cash transfer programme during unemployment, while at the same allowing them to access for training or public employment services. Higher-income workers would receive the cash transfer and the top-up coming from the unemployment insurance system, which would allow for a more adequate replacement rate during unemployment. Secondly, it would allow reducing social contributions increasing the incentives for formality and guaranteeing coverage of the social protection. Third, it would also allow job seekers to look for jobs without the immediate concern for minimum survival. Doing so, the programme would increase the bargaining power of workers to obtain fair wages without relying on the minimum wage, which generates distortions against the generation of formal work.
Beneficiaries of the cash transfer programme and the unemployment insurance system would need to be automatically registered with the labour market intermediation services to support the search for employment and training. Strengthening the institutional capacity of the Public Employment Service is needed to improve the quality of services provided. Improving quality and relevance of the job training system will also be essential. In Chile, the skills gap is wide and the job training system doesn’t help to bridge this gap. Professional training is not always of good quality and is insufficiently aligned to the needs of the labour market (CNP, 2018[61]). Additionally, it does not reach those that need training the most, such as the unemployed or vulnerable workers (OECD, 2021[6]).
Moving towards an effective governance of the training system with a clear national regulatory framework and a clear national plan would help, as recommended in previous Economic Surveys of Chile (OECD, 2018[5]; OECD, 2021[6]). A full revision of the training system and better aligning training courses with labour market needs will be paramount for a well-functioning training system. The productivity commission has recommended redirecting all public resources for training, including those of the tax credit for training (Franquicia Tributaria), to a training fund (CNP, 2018[61]). The fund should focus on those that need training the most, unemployed, inactive and those working on non-standard contracts and vulnerable workers.
In relative terms, Chile’s minimum wage - at 72% of the median wage and 48% of the mean wage of full-time employees in 2019 - is high in comparison with other OECD countries (Figure 2.19). Authorities increased the minimum wage on two occasions during 2022, in May and August. This has lifted the minimum wage by a total of 18.7% relative to 2021, to CLP 400 000, more than offsetting high inflation, which stood at 14.1% year-on-year in August 2022.
Statutory minimum wages are usually the most direct policy lever governments have for influencing wage levels, especially at the bottom of the distribution. International evidence on the impact of minimum wages on employment is not conclusive (Broecke, Forti and Vandeweyer, 2017[62]). Based on a review of the evidence, OECD (2015[63]) concludes that the impact of moderate minimum-wage increases on employment tends to be small in both advanced and emerging economies, although effects on some vulnerable groups – such as youth – may be more negative. For developing countries characterised by the co-existence of formal and informal employment, minimum wages that are too high and not effectively enforced may cause employees to be displaced or shifted from formal to informal employment (Nataraj et al., 2013[64]; Del Carpio and Pabon, 2017[65]).
Ultimately, the impact of minimum wage increases depends on the current level relative to the wage distribution, but also how binding it is, the degree of compliance and enforcement, competition in labour and product markets and behavioural responses of employers (OECD, 2018[57]). For Chile, one study shows that minimum wage increases have had small and positive effects on formal wages, and non-significant effects on formal employment (Grau, Miranda and Puentes, 2018[66]). In the context of a relatively low minimum wage in Brazil in the early 2000s, one study finds no negative impact on overall formal employment in response to minimum wage increases, but the study does find negative impact for groups more exposed to the minimum wage (Saltiel and Urzúa, 2020[67]). Another study for Argentina finds that minimum wage increases have had a small impact on formal sector wages, but have increased wages in the informal economy (Khamis, 2013[68]). This may be explained by the “lighthouse effect”, i.e. a signal given by the minimum wage to workers and employers in the informal sector about socially acceptable minimum levels of pay. Some empirical studies show that minimum wage hikes tend to reduce wage inequality (Engbom and Moser, 2018[69]; Maurizio and Vázquez, 2016[70]). Still, there are limits to what minimum wages can achieve. When the minimum wage is set too high, it can cause significant job losses or shifts to informality and hence have undesirable distributional effects.
Further increases in the minimum wage in Chile will need to be carefully evaluated as they could potentially lower formal employment prospects, especially for low-skilled workers, and people located in rural and less developed regions. This is particularly relevant in the context of other reforms that could increase the labour costs of formal employment. This effect is somewhat mitigated by differentiated minimum wage provisions for youths and for the elderly, two groups with traditionally weak attachments to the labour market. The authorities have implemented temporary subsidies to help SMEs adjust to the recent increases in minimum wages and lower the risks of job displacement or informality. The subsidy covers around 50% of the minimum wage per worker, being more generous in the first months. Some countries, most notably France, have introduced sizeable reductions in employer social security contributions for workers at around the minimum wage, thereby lowering the ratio of minimum-to-median labour costs below that of the minimum-to-median wage. Other countries have also used targeted reductions in income taxes for low-wage workers (OECD, 2018[57]).
In the medium term, a permanent and independent commission could provide recommendations on setting minimum wage increases, as in other OECD countries (OECD, 2018[57]). For example, the process of setting minimum wages in Germany and the United Kingdom includes a systematic monitoring of its potential employment impact by specific independent bodies mandated to evaluate and provide recommendations (Low Pay Commission UK, 2018[71]; Eurofound, 2018[72]; Vacas-Soriano, 2019[73]). The Low Pay Commission in UK is formed by experts and academics, and is mandated to evaluate and advise the government on the impact of increasing the minimum wage. The commission conducts research and publishes annual reports to inform the debate on minimum wages and its impact on employment. This advice could then feed into the social dialogue and negotiations between social partners and authorities for setting the minimum wage.
Chile was the first country to replace a traditional pay-as-you-go system with a mandatory fully funded individual capitalization pension system based on a defined contribution and private administration of the funds (Box 2.6). A public non-contributory pillar complements the private capitalization funds delivering better coverage and benefits for low-income workers and has been shown to reduce substantially old-age poverty (Centro UC, 2017[74]). However, the social unrest of 2019 made clear that many Chileans were facing inadequate pension benefits pushing the government to increase benefits of the non-contributory pensions and finally introduce a new universal guaranteed minimum pension in early 2022, increasing benefits and coverage. Nonetheless, political demand for further reforms of the current contributory pension system remain significant.
Chile was the first country to replace a traditional pay-as-you-go (PAYG) system that offered a defined benefit with a fully funded pension system based on a defined contribution that financed individual capital accounts managed by private fund managers in the early 1980s. A parallel PAYG system was kept for the police and armed forces. Early assessments linked the new pension system with growing private savings and with the development of the depth of local financial markets (Roldos, 2007[75]) supporting economic growth (Corbo and Schmidt-Hebbel, 2003[76]). The apparent success of the Chilean experience sparked a wave of pension reforms in Latin America and other emerging markets.
Probably the most important change to the pension system was the creation of the solidarity pillar in 2008, a non-contributory pension scheme providing a minimum benefit to those aged more than 65 that belong to the 60% more vulnerable population. It was composed by a minimum benefit for those who did not participate in the pension system (Pensión Básica Solidaria) and another benefit to retired workers whose monthly pensions financed by individual account assets did not reach certain thresholds (Aporte Previsional Solidario). Since then, the pension system consists of three components: a redistributive poverty-prevention tier, a mandatory individual account tier, and a voluntary savings tier.
At the beginning of 2022, the Government approved a new guaranteed universal pension for people over 65 years of age who do not belong to the richest 10% of the population. The new benefit replaces the solidarity pillar. The value of the benefit is almost one poverty line (CLP 193,000 – USD 231 a month) for those with self-financed pensions up to CLP 630 thousand (1.6 times the minimum wage at the end of 2022) and a decreasing supplement for persons with self-financed pension between CLP 630 thousand and CLP 1 million (2.5 times the minimum wage). Self-financed pensions are top-ups to this minimum floor, and, if any, voluntary savings would be added.
There is also a universal Grant per Child (Bono por Hijo) for women, where the mother is eligible for an additional supplement once she reaches 65 years old. The supplement is equivalent to 18 months of contributions at 10% over the minimum wage set in place at the time of birth for each child, plus the average net rate of return on defined contribution pension plans from the date of the birth until the benefit claim (about USD 12.70 in 2020 per month).
In the second tier, workers contribute 10% of their wage to an individual account and choose a private-sector Administradora de Fondos de Pensiones (AFP) with which to invest their pension contributions. Administrative fees, of around 1.16% of wages, are levied on top of the contribution rate (not out of the mandatory contribution). There is a ceiling on covered earnings, which in 2020 was equivalent to CLP 2 700 000 (around 7 times the minimum wage). Employers are not required to contribute to employees’ AFPs, although since 2008 employers have been required to pay the premiums for workers’ survivor and disability insurance, which are provided by private insurance companies. Upon retirement (65 for men and 60 for women), the worker may withdraw assets that have accumulated in the individual account as an immediate or deferred annuity or through programmed withdrawals. Coverage may become effective before that age if the person is declared disabled, being older than 17 and younger than 65 (disability pension). The third tier allows workers to supplement retirement income with voluntary, tax-favoured savings. Workers never lose their contributions because there is no minimum period required to qualify for a pension.
Early retirement is allowed at any age in the defined contribution scheme as long as the capital accumulated in the account is sufficient to finance a pension above certain thresholds. The first condition is that the benefit must be at least equal CLP 399 500 (close to the minimum wage in 2022). The second condition is that the pension must be at least equal to 70% of the average income in the ten years prior to claiming a pension. The normal retirement age is reduced by one or two years for each five years of work under arduous conditions in specific occupations. The maximum reduction of the normal retirement age is ten years.
The third and voluntary tier covers employees and self-employed workers. It is a fully funded individual account scheme and the balance can be transferred to the mandatory individual account upon retirement. Voluntary pension savings are managed by pension fund managers or other financial institutions, including banks, mutual funds, insurance companies, and others private entities authorized by the Financial Market Commission. There are two types of voluntary savings plans, individual and occupational savings plans (the plan is set up by the employer). Both plans are subject to the same tax treatments. There are two regimes for the tax treatment of voluntary contributions. Members may deduct the amount of the voluntary contributions from their income tax base (tax regime B), or they can opt for a state matching contribution of 15% of annual voluntary contributions (tax regime A) with a limit of USD 380. In the latter case, the state contribution is lost if the savings are withdrawn before retirement.
Replacement rates of self-financed pensions are low for the average worker even for those who contribute for a full career (Figure 2.20, Panel A). This is partly due to contributions rates to the savings accounts that are among the lowest in OECD countries (Figure 2.20, Panel B). Numerous gaps in the numbers of years a person contributes into the pension system have led to very low pensions. Average contribution density, that is the total number of years that a worker contributes in relation to the potential active life, is around 60% for men and 45% for women (Evans and Pienknagura, 2021[77]; Benavides and Valdés, 2018[78]). There is significant heterogeneity across pensioners with only 10% of pensioners having contributed over 30 years (Figure 2.21, Panel A). Persistent informality and self-employment, together with frequent unemployment and inactivity gaps, explain the low number of years a person has contributed and low coverage of the contributory pension system. Moreover, the system parameters have not adapted to decreasing global interest rates that have affected returns on pension assets and the retirement age has not changed following demographics. Moreover, a mortality table was adopted in 2014, while a new table is being updated, improving the estimation of life expectancy leading to lower pensions as a consequence.
Three extraordinary pension funds withdrawals approved by Congress as a response to the pandemic, between June 2020 and April 2021, added to the challenges of the pension system. These have led to smaller self-financed pensions of current affiliates and lower replacement rates. Close to 4.2 million people, 36.5% of affiliates, depleted their account balances via the withdrawals, 62% being women. The measure was badly targeted as the possibility to withdraw was not based on individuals’ specific and exceptional circumstances and it benefited mostly households in the upper quintiles of the income distribution, who are able to save more for pensions. Replacement rates are expected to decline by about 3 percentage points for the average male worker, and by 1.5 percentage points for female workers (Evans and Pienknagura, 2021[77]), with larger effects among older cohorts who have less time to save (Fuentes et al., 2021[79]). Additionally, these pension funds withdrawals create potential future contingent liabilities, as pensions will be lower creating high pressures for more public expenditure in pensions.
The new guaranteed universal pension, in place since early 2022, increases replacement rates and coverage. Coverage will reach approximately 2.1 million old-aged Chileans when fully implemented by April 2023 (90% of those aged more than 65), an increase of 642 thousand more people receiving pensions (26% of those aged more than 65). The median replacement rate is estimated to reach 70% of final labour earnings from the previous 40% for current pensioners according to preliminary estimates (Figure 2.22). As a result, workers from the lowest quintiles of the income distribution have now replacement rates above the OECD average.
The new guaranteed minimum pension is a step in the right direction to increase structurally low pensions. As it stands, for the minimum wage earners the replacement rate is 50% (not taking into account savings in individual accounts), which is somewhat below the OECD average of 62% for men. The Government plans to increase the benefit to CLP 250 000, equivalent to around 1.3 poverty lines. This would mean a 62.5% replacement rate for minimum wage earners, in line with the OECD average for low-income workers of 64.5% (not taking into account self-financed pensions). Further increases should take into account at least the price evolution of the basic goods basket.
The scheme affects individual decisions about formalisation to a lesser extent than the previous Solidarity Pillar did. Given that the amount of the basic pension does not depend on the savings made, at least for low-income workers, it eliminates the implicit tax on pension contributions that characterised the previous solidarity pillar. Furthermore, the system is easier to administer as the means-testing mechanism applied by the previous Solidarity Pillar has now been replaced by a household income test that excludes only the 10% most affluent. It is significantly easier to identify the small group to highly affluent households than it is to identify the large group of vulnerable households, which makes target easier and decreases the risk of exclusion.
The fiscal cost of the new universal guaranteed minimum pension is also manageable. In 2022, the total fiscal cost is 1.7% of GDP (0.9% of GDP more than before the reform), according to Budget Office. This implies that public spending for pensions would reach 3.5% of GDP in 2022, when including the pensions of the armed forces and payments of the old pay-as-you-go system, which is low relative to the OECD average (Figure 2.23). The guaranteed minimum pension expenditure would amount to around 2.4% of GDP in 2050 as demographics increase the number of pensioners. Increasing the benefit to CLP 250 000, as the Government plans to do, would increase public expenditure for pensions to 3.5% of GDP. This would still be lower than the OECD average, but it is a reasonable increase given that part of this spending is on military and security forces pension system and the transition from the old pension system, which will be completely phased out by 2070.
Despite the new guaranteed universal pension, women continue having low pensions. They contribute less years than men due to greater intermittency in the labour market because of informality, maternity, and the time spent on domestic and care work (OECD, 2021[18]). There is also a large wage gap during their working lives, which translates into lower self-financed pensions (OECD, 2018[5]). This is aggravated by an earlier retirement age (60 for women versus 65 for men). Women’s higher life expectancy also implies lower self-financed pensions as the same accumulated assets as a man would deliver a lower deferred annuity or programmed withdrawals. Women continue to have a significant gap of between 25 and 29 percentage points compared to men (OECD, 2021[81]), above the OECD average, although the minimum guaranteed pension helps to reduce the gap. Women receive a grant per child to recognize unpaid caregiving, but it’s not enough to fully compensate the gender employment gap (Comisión de Pensiones, 2015[82]).
Further reforms should focus on enhancing the Chilean contributory pension system by adjusting parameters in terms of contribution rates, retirement age, and the number of years workers effectively contribute to offer adequate pensions while avoiding increases in informality. The new administration is seeking to improve pensions and a reform proposal is still in debate (Box 2.7).
The main purpose of the reform is to increase the pensions of current and future retirees. While details of a pension reform are yet to be published, some elements seem to have reached consensus:
A gradual increase of the contribution rate of 6 percentage points. The increase would be borne by employers, phased-in gradually over a 10 year period.
Some part of the increased contribution rate could go to individual accounts, and the other part could go to collective savings and redistribution with intergeneration and intragenerational solidarity components.
Creation of a new ‘public entity’ to administrate extra contributions.
To deliver better pensions, the Government’s reform proposal plans to increase employer contribution rates by 6 percentage points for all types of workers. Part of the funds collected this way would be used for redistributive purposes (Box 2.7Box 2.7. ). The view underlying the current government proposal, is that higher contributions that finance collective savings of which low-income formal workers would receive more than their additional contribution, could strengthen formalisation incentives (Banco Central de Chile, 2017[83]). This may depend on the degree to which workers value the additional pension promises made to them. Significant uncertainty will always remain around this issue.
At the same time, any future reform to the contributory pension system should pay attention to the potential effects it might have on formalisation incentives. Given that the universal guaranteed minimum pension on its own provides replacement rates that are in line with international practice for most low-income workers, the usefulness of further increasing their labour tax wedge is debatable. Firstly, the non-contributory pillar acts as a key redistribution tool within the pension system, and reduces the need to redistribute through labour charges. Secondly, contributions ultimately increase the cost of formal employment. Increasing contribution rates could further increase informality, particularly for low-income workers. Alternatively, in light of the high rotation in the Chilean labour market, it is also conceivable that this increase could translate, at least partly, into lower formal-sector wages, which could attenuate the impact on formalisation incentives. By contrast, reducing them rather than raising them could help low-income and vulnerable workers escape informality (Box 2.8). Following this line of reasoning, it may be more useful to lower contribution rates for low-income and vulnerable workers to contain informality, particularly around the minimum wage where incentives matter the most, while letting the universal basic pension provide adequate replacement rates.
In that case, contributory pensions could complement the universal guaranteed minimum pension for those with higher incomes, which are less prone to informal work arrangements. This would imply that contribution rates would effectively become progressive, starting at around zero for wage earners below and around the minimum wage and increasing gradually for higher wages.
To ensure adequate pensions, contribution rates could be calibrated to achieve replacement rates of at least 60% of pre-retirement earnings, close to the average OECD replacement rate for men (62%), which would probably imply higher contribution rates for all but the lowest incomes.
Further efforts to boost formality and labour force participation, particularly for the middle class and women, will be key to increase the number of years they effectively contribute. The provision of quality childcare and early childhood education has the potential to significantly increase female labour force participation and will also promote more equitable education opportunities for children from disadvantaged backgrounds (see Chapter 1). Improving access, affordability and quality of long-term care services would also boost female labour force participation as women are usually informal carers. Labour market reforms that reduce the high firing costs leading to a high share of temporary contracts and the resulting frequent gaps of unemployment and inactivity in the Chilean labour market, as already suggested in previous Economic Surveys (OECD, 2018[5]), would also increase the number of years workers contribute.
Chile has currently a number of programmes to promote formalisation of vulnerable groups, mainly in the form of employment subsidies targeted to the youth and women of the 40% most vulnerable population covering around half of the total social contributions to be paid to the worker (Table 2.5). There is evidence that these employment subsidies have been successful in increasing employment and reducing informality among vulnerable groups in Chile (Henoch and Troncoso, 2013[31]; Bravo and Rau, 2013[84]; Centro de Microdatos, 2012[85]). However, coverage of these programmes has been low in limiting the impact on overall informality. Evidence for other emerging market economies, such as Türkiye, shows that employment subsidies covering employers’ social contribution costs have a positive impact on employment, particularly in small firms, and this is driven by the positive effects on formalisation of existing workers more than creation of new jobs (Aşık et al., 2022[86]). This reflects the importance of reducing social security contributions to boost formal employment, particularly among vulnerable groups.
Programme |
Target population |
Coverage as % of target population |
Benefit for workers (% of wage) |
Benefit for employers |
Fiscal cost in 2021 (% of GDP) |
---|---|---|---|---|---|
Youth employment subsidy |
40% most vulnerable aged 18-24 |
5.0 |
The benefit depends on earnings, on average 12% |
A third of the monthly subsidy |
0.017 |
Contribution subsidy for young workers |
New workers aged 18-35, with 24 or less pension contributions, and income lower than 1.5 minimum wages |
*0.3 |
50% of the pension contribution of a minimum wage |
No |
0.002 |
Women's Work Bonus |
40% most vulnerable dependent or self-employed women aged 25-59 |
16.6 |
The benefit decreases with monthly income, on average 12% |
A third of the subsidy for 24 months |
0.022 |
Note: * 0.3% of population aged 18-35.
Source: OECD calculations based on SENCE, Finance Ministry, and DIPRES.
The current contributory pension system would be the basis for the reformed contributory pillar. Maintaining it as a capitalisation scheme has several advantages. First, it establishes a clear link between contributions and benefits, thus incentivising workers to contribute regularly. Second, it would help preserve the benefits that Chile has reaped from its comparatively deep financial markets based on domestic savings (see Chapter 1). Finally, it would help to have the diversification of funding sources, which is generally considered an advantage (OECD, 2016[87]), as the first pillar is financed through general taxation.
The reformed contributory pillar could in principle be administered by either private or by public entities, as happens in other OECD countries (Box 2.9). The creation of a public entity to manage and/or invest pension funds could be a useful complement if it is created in accordance with OECD international best practices. It could contribute to a healthy competition in the market, if strong and transparent governance is ensured and aligned with the OECD Recommendations on Core Principles of Private Pension Regulation (Core Principle 3), could reduce the fees charged by fund managers to their members and increase the legitimacy of the contributory component of the system. Ideally, workers would be allowed to choose whether their contributions are managed by private pension funds or the public entity. In Uruguay, where this option exists, half of the population has chosen the public entity, which is regulated by private law and works in similar ways as the private funds, resulting in a highly competitive system. In such a context, it would be important to maintain the freedom of choice for affiliates through permanent transfers among pension fund managers.
If the current contributory system is maintained it will need some reforms to strengthen the mechanisms to make sure that private pension funds charge fees in line with the services they provide while ensuring good net performance of investment portfolios. In Chile, pension fund managers charge commissions on the income (flow) of workers' contributions. OECD countries is more common to charge a commission on the managed (stock) assets and many countries cap the fees that pension providers can charge to members (OECD, 2019[88]). A regular OECD recommendation is to use performance-based fee mechanisms. That is, there would be a fixed fee linked to the costs of administration and a variable fee or charge that depends on the performance of pension funds (i.e. the returns that AFPs achieve). However, such a scheme has to be designed with care to avoid fluctuations (introducing, for example, a custodian and disbursing the fees after a window period).
The investment regime could be further aligned with the international best practices to provide optimal returns during the worker’s lifecycle. Pension funds’ investments are highly regulated though the Multi-Funds Investment scheme, introduced in 2002. There are five funds with differing exposure to equity, from fund A with a maximum exposure to equity of 80% to fund E with an equity exposure of only 5%. In the event of the member not choosing a type of fund, a default allocation mechanism is assigned according to the individual age, where the transition across funds reduces the saver’s exposure to equity as the individual ages. The regulation gives members a large degree of freedom to switch between funds. This has resulted in many active fund switches, giving as a result suboptimal returns and participants keeping their savings in funds that do not match their investment horizon (Fuentes, Forthcoming[89]). The excessive fund switching increases the portfolio holding of more liquid assets than otherwise required, and reduce the incentive for investment in long-term assets, reducing pension funds expected returns. To further promote long-term investment and financial stability, funds switching, should be strictly limited in frequency and/or to a few alternative investment options.
Adapting the investment strategy would further optimise investment returns. A strategy that has been used in other OECD countries is the Target Date funds which allows to invest in a more dynamic manner along a glide path that takes into account the ages of a specific cohort, the economic environment, and the market conditions as it moves from one phase to the next. The NEST funds in the UK are an example of a target date approach. Each phase targets both a real investment return and a certain long-term volatility. Contrary to other lifecycle strategies, however, for the youngest members the NEST strategy begins more conservatively to limit losses that might discourage new savers, then builds up the level of risk from a horizon of 40 years to retirement.
OECD countries have different arrangements in the management of funded defined contribution schemes with private and/or public institutions involved. Some examples:
The Australian pension system has three components: a means-tested non-contributory component (“Age Pension”) that reaches 75% of the elderly; a superannuation guarantee with a compulsory employer contribution to private superannuation savings; and a voluntary superannuation contributions and other private savings (OECD, 2021[90]). The Age Pension is designed to provide a safety net for those unable to save enough through their working life and to supplement the retirement savings of others. The Superannuation system, a defined contribution scheme, is not subject to financial sustainability issues and as the system reaches full maturity, fewer individuals will be reliant on the Age Pension safety-net.
The Danish pension system is composed by the public pension (which consists of a basic pension and a means-tested pension supplement that is paid to the financially most disadvantaged pensioners), a mandatory occupational pension scheme based on lump-sum defined contributions: the ATP (the Labour Market Supplementary Pension Scheme) and quasi mandatory occupational pension plans. ATP is as a public pension provider, investor and administrator of welfare benefits. It is one of Europe’s largest pension funds with 5.4 million members and pension assets exceeding USD 882 bn (229% of GDP). In addition, quasi-mandatory occupational pension schemes negotiated as part of collective agreements cover about 90% of the employed work force. The public pension and ATP ensure that all pensioners, regardless of labour market attachment, will have an adequate basic income. Occupational pension schemes ensure that a person’s income in retirement will not be markedly lower than the income earned during working life. The individual pension schemes cover any special retirement wishes.
The Swedish pension system consists mainly of public schemes and quasi-mandatory occupational plans (OECD, 2020[91]). Mandatory public earning-related pensions include both a notional defined contribution scheme and a funded defined contribution scheme. Both cover earnings up to roughly the average wage. Despite the management of assets being fully private, the mandatory funded defined contribution scheme is considered public because contributions are collected by tax authorities, a state-owned agency provides annuities and upon death before retirement assets are not inheritable but distributed among all participants. On top of these schemes, quasi mandatory occupational pension plans negotiated by social partners in collective agreements cover around 90% of workers. A residence based basic pension (guaranteed pension) ensures a minimum level of pensions at 21% of gross earnings.
Aligning retirement ages of women and men and establishing a link between retirement ages and life expectancy would also help maintain reasonable pension replacement rates over the medium term. Life expectancy at 65 has increased for males and females, whilst the retirement age has remained constant at 60 for women and 65 for men. For example, in 1990-1995 males at age 65 were expected to live 14.5 more years on average after retirement, compared to 18.2 more years in 2015-2020. If retirement age increased proportionally to life expectancy from 1990-1995 to 2015-2020, the retirement age would increase by 3.3 years for women and 3.7 years for men (Evans and Pienknagura, 2021[77]).
Chile should consider developing a more automated system of updating the key parameters of the pension system, including contribution rates and retirement ages. Compared to discretionary changes, automatic adjustment mechanisms can be designed to generate changes that are less erratic, more transparent and more equitable across generations. About two-thirds of OECD countries employ automatic adjustment mechanisms. For example, Sweden and Finland have the most effective automatic adjustment mechanisms (OECD, 2021[90]). Sweden combines notional defined contribution pensions and a balancing mechanism to ensure solvency, and plans to introduce a link between retirement age and life expectancy. Finland adjusts to changes in life expectancy in a defined-benefit scheme, by changing future retirement ages by two-thirds of changes in life expectancy and by adjusting new pensions. The county also supplements these with a balancing mechanism adjusting contribution rates if needed. Both Estonia and Italy account for changes in the size of the working population through adjusting benefits to changes in total contributions and GDP, respectively, while the statutory retirement age is linked to life expectancy. The German balancing mechanism adjusts to the ratio of pensioners to contributors through adjustments of both pensions and contribution rates.
Chile’s health system has seen significant improvements in coverage over the last decade, achieving almost-universal coverage including among low-income households (Figure 2.24, Panel A). In terms of health outcomes, it is among the top performers in Latin America. However, key challenges remain in terms of the structure of the system, the financial burden on households and inequalities in access to care.
The structure of the system is characterised by two parallel and separate insurance schemes. Around 80% of the population is covered by the public system (FONASA). Enrolment in this scheme is open to all residents irrespective of labour status or income. FONASA covers hospital and emergency room treatment, access to generalist doctors and a limited coverage of specialist doctors and high-cost diagnosis and treatments. Select prescription drugs are covered and FONASA also provides sick-leave benefits for those unable to work due to their health condition. A 2005 Universal Access Plan of Explicit Guarantees in Health (GES) and a 2015 refinement about high-cost diagnoses and treatments (known as the Ricarte Soto Law) have defined minimum benefits and coverage for the health system. Most beneficiaries are subject to co-payments that vary according to income and can reach up to 20% of healthcare costs, although the lowest-income segment is entirely exempt from co-payments for most healthcare services. Formal workers can choose to buy vouchers in private establishments in agreement with Fonasa. Beneficiaries with formal-sector incomes contribute of 7% of their salaries to cover their healthcare coverage with FONASA, while the government also contributes to finance the system.
Another 12% of the population is enrolled with one of several private insurers (ISAPREs), serving predominantly households in the upper income deciles (Figure 2.24, Panel B), according to household surveys. These private schemes have significant space to define their own sets of benefit packages and monthly contributions, which are set to the 7% of worker’s salaries and a premium, with contributions being to a large extent risk-based and can vary substantially across individuals. ISAPRES compete in a weakly regulated and competition among them is perceived as low. Recent reforms have banned discriminating fees by gender and have limited age premiums. As a result of risk-specific premiums and their ability to refuse enrolment, ISAPRES tend to select lower-risk patients. This cherry-picking tends to increase the financial burden on the public system.
The dual nature of the system leads to significant inequalities with respect to healthcare quality, with FONASA generally providing lower-quality services (Figure 2.25) while ISAPREs do not participate of the risk sharing in the health system. These quality differences are particularly pronounced with respect to waiting lines, which may limit the effective coverage of lower-income individuals to certain healthcare services. The public system offers one doctor for every 920 beneficiaries, while in the private one there is one doctor for every 276 beneficiaries (World Bank, 2021[9]). Quality differences reflect significant discrepancies in per-capita resources, as private insurers dispose of 39% more resources per beneficiary than the public scheme (Bernales-Baksai, 2020[92]). This is despite a significant increase in public health expenditures, which reached around 6% of GDP in 2019 (Figure 2.26, Panel A).
As a result, access to healthcare services varies substantially across sociodemographic groups. Visits to the dentist, laboratory tests, visits to specialists and hospitalisations are concentrated among wealthier households, while the use of emergency services and preventive medicine is heavily concentrated among the poor (Núñez, Manzano and Chi, 2020[93]). Although the authorities managed to deliver health services and test and vaccination access to all Chileans during the COVID-19 pandemic by promoting coordination of the public and private systems, there was a strong association between socio-economic status and mortality, with the poorest municipalities of the Metropolitan Region of Santiago having higher mortality rates, lower testing capabilities, particularly in the first months of the pandemic (Mena et al., 2021[1]).
There are also significant regional gaps in access to health services. Significant challenges remain in some regions in terms of infrastructure, the integration of information systems and the availability of treatment and medical specialists, especially in the more remote regions of the country. The Metropolitan Region of Santiago has one doctor for every 385 inhabitants, while in other regions (Libertador Gral. Bernardo O'Higgins and Maule) one doctor serves more than 1,000 inhabitants. Digital tools provide strong potential for further improvements, as evidenced during the pandemic when digital platforms were successfully used to manage the testing and vaccination process, which contributed to Chile’s successful vaccination campaign.
Another weakness of the current dual system is the high out-of-pocket spending for healthcare, which is amongst the highest in the OECD and disproportionately affects the poor and the elderly (Figure 2.26, Panel B). This is principally explained by household spending on prescription drugs, especially among FONASA beneficiaries, as they can receive drugs dispensed for free in public primary care and hospitals, but have to pay the full price in retail pharmacies. The high out-of-pocket spending, together with the perception of poor quality of services in the public system, translates into a widespread perception of injustice in access to health care.
This segmentation of the system generates incentives for informality, as informal workers have limited incentives to contribute to a health system that provides low-quality services that they can also access for free if they remain informal (Levy and Cruces, 2021[94]). The segmentation also limits the redistributive and risk-pooling mechanisms embedded in the public system. While 80% of the population is covered by FONASA, only 64% of the population with relatively higher incomes actually pay contributions and co-payments, effectively subsidising the healthcare benefits of the poorest 16%. However, this amounts to a redistribution from middle-income households to low-income households, while those with the highest incomes adhere to the private ISAPRE scheme, where they pay risk-adjusted premiums and hence do not contribute to the redistributive mechanism at all. This exemption of high-income earners from the redistribution mechanism embedded in the public system reduces the funding available for FONASA and increases the burden on public healthcare contributions.
Addressing the fundamental inequalities in Chile’s healthcare system will require pooling all existing resources and distributing them to existing insurance schemes based on the number of subscribers and their health risks. This could be implemented through a national health fund that collects all resources for healthcare, for example. Public and private insurance schemes could in principle continue to co-exist under such a set-up. This should be accompanied by more effective regulation of the private insurance scheme and a prohibition of their ability to select good risks, while ensuring minimum standards of quality imposed on public or private insurance entities.
Another option would be to take this one step further and move towards a single unified healthcare system with universal access for the entire population and a common set of high-quality healthcare benefits. Such a universal healthcare scheme could then be supplemented by regulated voluntary private insurance to top up benefits and reduce out-of-pocket spending, as done in other OECD countries (Box 2.10).
The need to eliminate the current disincentives for formal job creation that result from the financing through labour charges, which only affect formal labour, calls for a broader financing of universal healthcare than at present, shifting the financing burden towards general taxation revenues. The need to reduce the labour tax wedge is particularly relevant for low-income workers earning around the minimum wage, which are disproportionally affected by informal work. For those with higher incomes, the current social contributions could be simply replaced by personal income taxes. Such a move would allow reducing the cost differential between formal and informal employment by 7 percentage points in the relevant income range, e.g. up to 1.5 minimum wages. This would imply a broader reform of personal income taxes, but it would still leave a financing gap and require mobilising additional tax revenues, potential sources for which are discussed in Chapter 1 of this Survey.
Besides changes to the design of healthcare insurance and financing, there is also scope for supply-side reforms affecting the provision of healthcare services. Enhanced public investment in healthcare should be accompanied by identifying and monitoring the main sources of inefficiencies in current healthcare spending, with a view towards increasing the quality of services.
Previous OECD analysis (OECD, 2019[95]) provides recommendations for addressing current population health challenges, including overweight and obesity, tobacco consumption, the need for more effective cancer screening and prevention, and for integrating genomics, i.e. the study of an individual’s entire genetic material, into medicine to strengthen public health and preventive care. Recently, Chile’s productivity commission has delivered several recommendations to improve the effectiveness of primary healthcare (CNEP, 2022[96]). These include possible improvements in information systems and a wider use of digital tools, improving the management of waiting lines and hospital agendas, and the use of telemedicine. Finally, the creation of a coordinated care pathway from primary healthcare towards higher levels of care would allow simultaneous quality improvements and cost savings by focusing more on the needs of each patient (World Bank, 2021[9]). This would also help tackle prominent health risks in Chile, such as obesity, tobacco consumption and cancer (OECD, 2019[95]). The creation of an autonomous public entity in charge of the evaluation of health technologies and interventions would allow the implementation of evidence-based and cost-effective actions (World Bank, 2021[9]). There is also scope to improve the process of approving drugs and medical devices, including a more widespread use of generics and competitively-priced drugs, as highlighted in a recent OECD report on the pharmaceutical market (OECD, 2021[97]).
France has achieved low out-of-pocket spending thanks to universal public insurance (assurance maladie), supplemented by regulated voluntary private insurance (mutuelles). Almost 95% of the population has voluntary private insurance, which is subsidised for low-income households. Since 2016, there has been a shift towards compulsory complementary coverage, which employers have to buy for their employees, with exceptions for specific groups. Private insurers provide both reimbursement of the co-payments required by the public system and coverage of drugs, medical devices and services that are not covered by the public system. In France, 77% of total health care expenditure is publicly funded, above the OECD average of 71%. Out-of-pocket expenditure incurred by patients accounts for only 13% of all expenditure on medicines purchased at the retail level, well below the OECD average of 39%.
Spain’s national health system is based on the principles of universality, free access, equity and fairness of financing, and is mainly funded from general taxation. Public healthcare expenditure accounts for 6.1 percent of GDP. While national planning and regulation remain the responsibility of the Ministry of Health, health competences and primary jurisdiction over operational planning at the regional level, as the responsibility for resource allocation, purchasing and provision lies with 17 regional health authorities (OECD/European Observatory on Health Systems and Policies, 2021[98]). Other strengths reside in the design of coverage policy in the national health system: entitlement based on residence; a generally comprehensive benefits package; limited use of co-payments; and multiple mechanisms to protect vulnerable households from co-payments (WHO, 2021[99]). For example, in 2020, exemptions from co-payments for outpatient prescriptions were extended to beneficiaries of the new guaranteed minimum income scheme.
Illustrative simulations, based on microdata from a Chilean household survey (CASEN) for 2017, allow comparing costs and benefits of reforming social protection in Chile, by estimating the likely fiscal cost of different reforms and gauging the impact on poverty and inequality. The cost estimates can only provide an upper bound for the short run, as they are based on the current status quo and do not account for the medium-term benefits from improvements in labour incomes, inequality and productivity derived from formalisation. The latter are notoriously hard to estimate in a reliable way, but they are the ultimate reason why such a reform should be undertaken.
A cash transfer programme as described in section above, that would supplement incomes of those below 65 affected by poverty and lift their incomes to the poverty line would cost 1% of GDP (Table 2.6). The cost is calculated with 2017 pre-pandemic data, and is a reasonably conservative medium-run cost estimate. After replacing existing cash transfer programmes, the net cost would be 0.7% of GDP. This is an upper bound of the estimated costs, as a profound revision of all existing social programmes should be undertaken to eliminate those without the desired impact, which would create more savings than those calculated here.
The fiscal cost of increasing the benefit of the current guaranteed minimum pension as envisaged by current authorities would amount to around 2.4% of GDP in 2050. If the benefit is increased to 1.3 poverty lines, equivalent to CLP 250 000, spending would reach 3.1% in the long-term (Table 2.6). This pension benefit would amount to a 35% increase vis-à-vis the current universal minimum pension guaranteed and imply a replacement rate of around 62.5% for a minimum-wage earner, achieving adequate pension benefits for vulnerable workers. The fiscal net cost (after discount the current benefit) of implementing this increased benefit would amount to 0.7% of GDP.
The impact of the universal guaranteed minimum pension and the proposed cash transfer scheme on poverty and inequality are large (Figure 2.27, Panel A). By construction, these two programmes together are lifting everyone out of poverty in the case of full benefit take-up. Benefits are clearly concentrated at the bottom of the income distribution (Figure 2.27, Panel B). Inequality, measured by the Gini coefficient, would be reduced by 7 percentage points, which would duplicate the impact of the transfer system to reduce inequality. The true decline in inequality will be probability stronger as the feedback effect on labour formality is not taken into account, which would likely lead to a convergence of incomes between formal and informal workers. Furthermore, a reform would present significant scope to make the tax system more progressive, which is not accounted for in these estimates.
Alternative financing mechanisms for employee contributions to the contributory health scheme would imply funding needs equivalent to 0.8% of GDP, based on 2017 household data. Workers with higher incomes, i.e. above 1.5 minimum wages, accounted for 90% of those enrolled in the private system, whose contributions are equivalent to 1% of GDP, and for these workers, the current social contributions could be simply replaced by personal income taxes of the same amount. From those enrolled in the public system, 70% have earnings below 1.5 minimum wages, leaving a remainder of around 0.8% of GDP to be financed from general taxation revenues instead of labour charges, as workers with incomes close to the minimum wage are unlikely to become subject to personal income taxation in the near future.
The proposed reforms in this chapter together would have a long-term net cost of 2.2% of GDP (Table 2.6). This takes into account the expected savings in spending on current cash transfer programmes. All the calculations in this section are an illustrative exercise, with the final cost depending on many minor details of the reform and its implementation. The implementation of such reforms can be gradual and should be accompanied by a comprehensive fiscal reform to achieve higher tax collection and progressivity (see Chapter 1), as already envisaged by the current authorities.
New programme |
Total cost (% GDP) |
Current cost of programmes to be phased out (% GDP) |
Net cost (% GDP) |
Assumptions |
---|---|---|---|---|
Create a guaranteed minimum income to eradicate poverty |
1.0 |
0.3 |
0.7 |
Cash transfer to supplement income up to established minimum income equivalent to the poverty line for the population under the age of 65 living in vulnerable households. The cash transfer is defined following this rule: S=GMI-0.8*household income |
Increase the guaranteed minimum pension (PGU) to CLP 250 000 |
3.1 |
2.4 |
0.7 |
Same as current programme but higher cash transfer equivalent to 1.3 poverty lines. Fiscal cost estimated for 2050. The current programme is the existing guaranteed minimum pension equivalent to CLP 193 000 in 2022. |
Phasing out health contributions to improve universal access to quality healthcare services through a single national health fund |
0.8 |
0.8 |
For workers with higher incomes, i.e. above 1.5 minimum wages, the current health contributions are replaced by personal income taxes of the same amount |
|
Total net cost |
2.2 |
The net costs include the replacement of existing social cash transfers programmes by the new ones. |
Note: The calculations imply subtracting from household income the existing programmes, such as Ingreso Ético Familiar, Subsidio Único Familiar y Asignaciones Familiares, and replacing them by the new proposed programme.
Source: OECD Secretariat calculations based on DANE-GEIH data.
The proposed reforms to reduce social contributions would boost formal employment permanently, due to the lower cost of formal employment relative to informal employment and capital. These reforms would induce firms of all sizes to hire more formal workers and the self-employed to become formal boosting productivity and growth. The higher employment formalisation and growth driven by these reforms would also increase tax collection helping to finance these reforms. Additionally, boosting productivity with structural reforms, as discussed in Chapter 1, would result also in higher employment and higher incomes for individuals and, in that way, increase tax collection.
MAIN FINDINGS |
RECOMMENDATIONS (Key recommendations are bolded) |
---|---|
Expanding social assistance coverage |
|
Informal employment affects 30% of workers. This precludes them from access to many social security benefits, while reducing productivity and tax revenues. |
Establish a comprehensive strategy to foster formalisation, including lower non-wage labour costs, better skills, stronger enforcement and improvements in tax administration. |
The pandemic has highlighted significant gaps in social protection, particularly for informal workers. Income-support programmes are highly fragmented. |
Consider merging existing cash transfer programmes into a single conditional guaranteed minimum income scheme. |
The targeting system, Registro Social de Hogares, has improved, but often fails to reflect income changes in real time and leaves out some low-income households. |
Continue improving the social household registry by merging in administrative databases, using real-time data and use the registry to allocate all benefits. |
The unemployment insurance system has low coverage and fails to provide adequate support for low-income workers during unemployment. |
Complement the single guaranteed minimum income scheme with top-up benefits from the existing contributory unemployment individual accounts. |
Evaluation of performance of social assistance is still incipient, and results do not inform public policy. |
Enhance regular monitoring and evaluation of social programmes and phase out those not working well or redundant. |
Delivering better pensions |
|
Low-income pensions have improved due to a novel guaranteed minimum pension, but many middle income earners and women have inadequate old-age pension levels. Higher mandatory contributions raise the cost of formal job creation, driving many low-skilled workers into informality. Remaining life expectancy at 65 has increased for males and females, whilst the retirement age has remained constant being lower for women (60) than for men (65) penalising pensions. |
Consider raising pension levels and applying a progressive contribution rate schedule, ensuring strong incentives for formal job creation. Align retirement ages for women and men and consider linking the retirement age to future increases in life expectancy. |
Improving access to quality health services |
|
The underfunded public health system covers the disadvantaged population, while private insurers select the lowest risk individuals. Formal low-income workers pay contributions for public healthcare, while informal workers get almost the same benefit package for free. |
Improve universal access to quality healthcare services by pooling existing resources and distributing them more equally across insurance schemes, with stronger recourse to general taxation revenues. Allow for voluntary private insurance contributions to top up health services. |
Other labour market reforms to reduce informality |
|
A relatively high minimum wage reduces the prospects for low-income workers to obtain formal employment, particularly for women, young and rural workers. |
Establish a permanent commission to provide guidance for future changes to the minimum wage, in line with changing labour market conditions and productivity. |
The training system is only weakly aligned with labour market needs and vulnerable workers find it difficult to access to training courses. |
Embark in a full revision of training programmes, including the tax credit, to increase relevance and quality of training and improve targeting towards vulnerable workers. |
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