Caring for the Disabled Elderly: Who Will Pay?

By Alice M. Rivlin; Joshua M. Wiener et al. | Go to book overview
Save to active project


Because people are living longer, the question of how to pay for long- term nursing home and home care for the disabled elderly has become increasingly urgent. The cost of care can be far beyond the resources of the average family and at present is not normally covered by either private insurance or medicare. Elderly people must rely on their own or their family's income and assets to pay for care or, when these are depleted, turn to welfare.

This study analyzes the major options for reforming the way long- term care is financed. It first explores the potential market for private long-term care insurance and other private sector initiatives. Then it turns to the advantages and disadvantages of various public sector programs. The study recommends both a greatly expanded role for the private sector in financing long-term care and a new public insurance program.

Alice M. Rivlin and Joshua M. Wiener are senior fellows in the Brookings Economic Studies program. Raymond J. Hanley and Denise A. Spence are senior research analysts in that program. David L. Kennell and John F. Sheils, of ICF Incorporated, were equal partners with the authors in developing the Brookings-ICF Long-Term Care Financing Model and provided invaluable help in formulating and analyzing the simulated options. The authors wish to thank Sheila E. Murray, who assisted in the analysis and the preparation of the manuscript; Diana L. Coupard, Deborah A. Ehrenworth, and Ronald R. Hopkinson, who provided research assistance; Robert W. Davis II, Joseph P. Fennell, Ellen J. Hope, Carole H. Newman, Peter Robertshaw, and Piraphong Suppipat, who supplied computer programming assistance; Caroline Lalire, Jeanette Morrison, and Brenda B. Szittya, who edited the manuscript; Victor M. Alfaro, Carl L. Liederman,


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Caring for the Disabled Elderly: Who Will Pay?


Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 318

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?