Demographic dependency ratios (the ratio of the number of people of working age to the number of dependent persons) may vary as well, and public policy reforms may alter the benefits provided, which may in turn sparic intergenerational conflicts (Colombo and Mercier, 2012; OECD, 201 la, p. 12). These issues are analogous to the ones surrounding pension-system funding and benefits, which, with some adjustments, may inform the discussion (on pensions, see Barr and Diamond, 2008). In Latin America and the Caribbean, however, the social protection systems for pensions and health are so unequal and have proven so hard to reform that funding for long-term care should not be aligned with existing social security schemes.14 A network funded in this manner should ensure that care sendees (health and social assistance) interact effectively with the existing network of social protection providers, with regulations that prevent market skimming and safeguard quality by aiming for universal access and equal care opportunity. Bertranou and others (2011).