Dutch Long-Term Care Faces Budget Concerns and Potential Cuts

The Netherlands’ long-term care system is grappling with budgetary pressures, raising concerns about access to care for vulnerable populations. Recent debates in Parliament and reports from advocacy groups highlight the challenges of balancing rising healthcare costs with available funding, particularly for individuals relying on personal care budgets (PGB).

Budgetary Pressures and Parliamentary Debate

On March 5, 2026, Minister Mirjam Sterk of Long-term Care, Youth and Sport, along with Minister Sophie Hermans of Health, Welfare and Sport, participated in a plenary debate at the Tweede Kamer (Dutch Parliament) concerning the Health, Welfare and Sport budget De Telegraaf. This debate underscores the government’s ongoing efforts to address financial constraints within the healthcare sector.

Impact on Personal Care Budgets (PGB)

Advocacy group Per Saldo has warned that shortfalls in personal care budgets are forcing some individuals to make difficult choices, including being unable to secure adequate care and, in extreme cases, being forced to sleep in wheelchairs due to a lack of assistance De Telegraaf. Approximately 135,000 people in the Netherlands utilize a PGB to manage their care needs, allowing them to self-direct services like personal care, nursing and housekeeping De Telegraaf.

Challenges in Retaining Care Workers

Aline Molenaar, director of Per Saldo, reported that care professionals are increasingly seeking employment with care organizations where wages are higher, making it difficult for PGB recipients to maintain consistent care teams De Telegraaf. This situation is exacerbated by rising living costs, putting further strain on both care users and providers.

Looking Ahead

The Dutch government faces the challenge of ensuring sustainable funding for long-term care while maintaining quality and accessibility. Continued dialogue between policymakers, advocacy groups, and care providers will be crucial to addressing these complex issues and safeguarding the well-being of vulnerable citizens.