Fiscal Case(4)

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Policy documentReport

Preparing for long-term challenges: OECD Economic Surveys: Norway 2026

Chapter 1 of the OECD Economic Survey of Norway (June 2026) singles out the sickness and disability benefit system as a major fiscal pressure: it makes up around 22% of total public spending, or more than 8% of mainland GDP. The OECD urges comprehensive reform and estimates the gains from cutting disability benefit recipients from 14% to 10% of the working-age population and sickness absence from about 27 to 18 days per full-time employee a year.

OECD30 min read
Policy documentReportNorwegian

Area review of health-related benefits in the National Insurance Scheme: Part report 1 – Mapping and summary of knowledge

Original title: Områdegjennomgang av helserelaterte ytelser i folketrygden: Delrapport 1 – Kartlegging og oppsummering av kunnskap

Government spending review of sickness benefit, work assessment allowance (AAP) and disability benefit, by Oslo Economics, the Frisch Centre and OsloMet for Norway's finance and labour ministries (June 2025). The 2025 state budget set aside NOK 255 billion for these benefits; Norway spends almost four times the OECD average as a share of mainland GDP. It names ten barriers that keep benefit use higher than necessary.

Oslo Economics, Frischsenteret og OsloMet for Finansdepartementet og Arbeids- og inkluderingsdepartementet (regjeringen.no)60 min read
Analysis

Cost–benefit of IAPT Norway and effects on work-related outcomes and health care utilization: results from a randomized controlled trial using registry-based data

Randomised trial of Norway's Prompt Mental Health Care (IAPT Norway) for anxiety and depression, linked to registers up to five years later (Smith et al., Psychological Medicine, 2025). Participants were more likely to be in regular work without welfare benefits in 2019–2022; the benefit–cost ratio was estimated at 5.26, but the difference in public sector spending was small (about NOK 16,050 lower per person, with wide uncertainty).

Psychological Medicine (Norwegian Institute of Public Health et al.)25 min read
Policy documentReportNorwegian

Trends in the National Insurance Scheme 2013–2033 (Nav Report No. 1, 2025)

Original title: Utviklingstrekk i folketrygden 2013–2033 (Nav-rapport nr. 1, 2025)

Nav and the Directorate of Health break down National Insurance spending growth and project it forward (March 2025). Spending on sickness benefit, AAP and disability benefit rose from NOK 219 billion in 2013 to 243 billion in 2023 (2025 kroner) and is expected to reach 262 billion by 2033. Of the 2023–2033 rise, 9.8 billion is due to population change alone.

Nav – Arbeids- og velferdsdirektoratet og Helsedirektoratet20 min read

Business Case(1)

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Social Return on Investment(2)

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Labour Market(1)

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Policy & Incentives(2)

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Cost of Exclusion(3)

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ReportNorwegian

Socio-economic perspectives on women's occupational health

Original title: Samfunnsøkonomiske perspektiver på kvinners arbeidshelse

Vista Analyse report 2025/31 for Norway's Ministry of Labour and Social Inclusion. Counting lost production and productivity, deaths, treatment and tax-financing costs, it puts the socio-economic cost of women's work-related ill-health, sickness absence and dropout from work at NOK 59 billion a year; cutting women's sickness absence to men's level would save NOK 19 billion a year.

Vista Analyse for Arbeids- og inkluderingsdepartementet45 min read
News article
OpinionNorwegian

The country that became too rich: Holte on Norway's spending on illness and disability

Original title: Landet som ble for rikt: Holte om Norges utgifter til sykdom og uførhet

Economist and former Norway chief at McKinsey Martin Bech Holte, author of «Landet som ble for rikt – hvordan Norge endte i oljefondets felle», argues that Norway spends twice as much of gross national product on illness and disability as the country ranked number two.

Nettavisen6 min read
Policy documentReportNorwegian

Targets for a more inclusive working life – status and development trends. Report 2024

Original title: Målene om et mer inkluderende arbeidsliv – status og utviklingstrekk. Rapport 2024

Annual report (June 2024) of the expert group monitoring Norway's Inclusive Working Life (IA) agreement. Work-years lost to health-related benefits rose to 17.1% of the 18–66 population in 2023, up 8.2% since 2018, while sickness absence was 17.5% higher than in 2018. Over 70% of those reaching the maximum sick-pay period move on to work assessment allowance or disability benefit.

Faggruppen for IA-arbeidet (regjeringen.no)60 min read