The Ministry of Social Security is responsible for social policy and oversees public institutions funding health care, sickness leave and long-term care. Since 2012, which saw a significant increase, per capita spending has consistently been the highest in the EU and was 82% higher than the EU average in 201S (see Figure 6). Financing of health care insurance is based on a system of shared charges with 40% of contributions paid by the state and the rest being shared between the insured population and employers. As nearly half of Luxembourg's workforce are cross-border employees, one third of those insured with the CNS actually live outside the country (Box 1, ADEM, 2017, IGSS, 2016).