the ministry of social security is responsible for social policy and oversees public institutions funding health care sickness leave and longterm care since which saw a significant increase per capita spending has consistently been the highest in the eu and was higher than the eu average in s see figure financing of health care insurance is based on a system of shared charges with of contributions paid by the state and the rest being shared between the insured population and employers as nearly half of luxembourgs workforce are crossborder employees one third of those insured with the cns actually live outside the country box adem igss