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Related Experiment Videos

Financing long-term care. The growing dilemma.

L G Pawlson1

  • 1Department of Health Care Sciences, George Washington University Medical Center, Washington, DC 20037.

Journal of the American Geriatrics Society
|July 1, 1989
PubMed
Summary

Financing long-term care is a major societal challenge, worsened by the aging baby boomer generation. Current methods are inadequate, prompting a search for equitable and effective long-term care financing alternatives.

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Area of Science:

  • Health Economics
  • Public Policy
  • Gerontology

Background:

  • Long-term care financing presents a significant and complex healthcare challenge.
  • The aging "baby boom" generation will increase demand for long-term care services.
  • Current financing relies on means-tested programs (Medicaid) and self-pay, proving inequitable and insufficient.

Purpose of the Study:

  • To address the critical issue of long-term care financing.
  • To explore and evaluate alternative financing mechanisms.
  • To establish guidelines for assessing new long-term care funding proposals.

Main Methods:

  • Review of demographic and social factors contributing to the long-term care financing problem.
  • Identification and analysis of major long-term care financing alternatives.
  • Development of principles and definitions for evaluating proposed solutions.

Main Results:

  • Current financing systems are demonstrably inadequate for present and future needs.
  • Multiple policy and political considerations complicate the search for solutions.
  • A framework is proposed for evaluating various long-term care financing proposals.

Conclusions:

  • The existing long-term care financing structure is unsustainable and inequitable.
  • Developing effective and fair alternatives requires careful consideration of policy principles.
  • Further research will explore promising approaches to long-term care funding dilemmas.

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