Research Report The Future of Long-Term Care: What Is Its Place in the Health Reform Debate?
Howard Gleckman
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More than 10 million Americans require long-term care supports and services. Yet the system for delivering and paying for this assistance is deeply flawed. While most of the frail elderly and those with disabilities prefer assistance at home, many must live in nursing homes to receive Medicaid benefits, care coordination for those with multiple chronic illnesses is poor, and the system for financing care impoverishes many middle-income families. The national health reform debate allows policymakers to reconsider long-term care as well. This paper assesses proposals to restructure the delivery and financing of long-term care services.
Research Areas Economic mobility and inequality Aging and retirement Taxes and budgets
Tags Fiscal policy Health insurance Long-term services and support Federal budget and economy Campaigns, proposals, and reforms Retirement policy Federal tax issues and reform proposals
Policy Centers Urban-Brookings Tax Policy Center