Who Steers the Expensive Top End?
A case from Ede, 2018-2025, set against the call for a national safety net for costly youth care
The Association of Netherlands Municipalities wants a national safety net for exceptionally costly youth care. The motion leaves open who steers the cases the safety net will pay for. In Ede the number of young people in residential youth care fell by a quarter between 2018 and 2022, while costs stayed flat. After 2022 the top end came back, once the people who ran the approach had left. On control over the costliest cases, and three conditions for a safety net that leaves that control intact.