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Learning Lessons From Long-Term Care Policy Financing Efforts in the United States

A decades-long policy impasse has crippled our national capacity to finance long-term care (LTC) sufficiently or equitably, leaving large swaths of the US population at risk of going broke paying privately for LTC or having unmet LTC needs, while also draining state and federal budgets. By reviewing...

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Autor principal: Lepore, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743472/
http://dx.doi.org/10.1093/geroni/igaa057.2366
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author Lepore, Michael
author_facet Lepore, Michael
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description A decades-long policy impasse has crippled our national capacity to finance long-term care (LTC) sufficiently or equitably, leaving large swaths of the US population at risk of going broke paying privately for LTC or having unmet LTC needs, while also draining state and federal budgets. By reviewing past LTC financing policy efforts—from the passage of the Social Security Act and the enactment of Medicaid and Medicare, to the LTC financing proposals advanced by 2020 presidential candidates—the political interplay of budgetary concerns in government spending and social justice concerns regarding access to care emerged as a primary LTC policymaking issue. Establishing national consensus on the prioritization of these fiscal and social justice concerns, and their respective values, could help lawmakers craft policy capable of generating the political will needed to overcome political gridlock. Clarifying how LTC benefits would be paid for appears to be a relatively straightforward technical task in comparison.
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spelling pubmed-77434722020-12-21 Learning Lessons From Long-Term Care Policy Financing Efforts in the United States Lepore, Michael Innov Aging Abstracts A decades-long policy impasse has crippled our national capacity to finance long-term care (LTC) sufficiently or equitably, leaving large swaths of the US population at risk of going broke paying privately for LTC or having unmet LTC needs, while also draining state and federal budgets. By reviewing past LTC financing policy efforts—from the passage of the Social Security Act and the enactment of Medicaid and Medicare, to the LTC financing proposals advanced by 2020 presidential candidates—the political interplay of budgetary concerns in government spending and social justice concerns regarding access to care emerged as a primary LTC policymaking issue. Establishing national consensus on the prioritization of these fiscal and social justice concerns, and their respective values, could help lawmakers craft policy capable of generating the political will needed to overcome political gridlock. Clarifying how LTC benefits would be paid for appears to be a relatively straightforward technical task in comparison. Oxford University Press 2020-12-16 /pmc/articles/PMC7743472/ http://dx.doi.org/10.1093/geroni/igaa057.2366 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Lepore, Michael
Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title_full Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title_fullStr Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title_full_unstemmed Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title_short Learning Lessons From Long-Term Care Policy Financing Efforts in the United States
title_sort learning lessons from long-term care policy financing efforts in the united states
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7743472/
http://dx.doi.org/10.1093/geroni/igaa057.2366
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