U.S. Congressional Budget Office, Long-Term Care for the Elderly and
Disabled ( Washington, D.C., 1977), p. 1; and Pamela Doty,
Korbin Liu, and Joshua Wiener, "An Overview of Long-Term Care," Health Care Financing
Review, vol. 6 (Spring 1985), p. 69. These capacities are known as the "activities
of daily living"; see Sidney Katz and others, "Studies of Illness in the Aged:
The Index of ADL," Journal of the American Medical Association, September 21, 1963, pp. 914-19.
Technical Work Group on Private Financing of Long-Term Care for the
Elderly, Report to the Secretary on Private Financing of Long-Term Care for the
Elderly ( Washington, D.C.: Department of Health and Human Services, November 1986), chap 2., p. 22.
The aged-85-and-older population is projected to increase from 2.7 million
in 1985 to 16.0 million in 2050, a rate of growth nearly three times as high as
that for the 65-84 age group. As a proportion of the elderly population, the
85-and-older age group will increase from 9 percent in 1985 to 24 percent in 2050. U.S. Bureau of the Census, "Projections of the Population of the United
States by Age, Sex, and Race: 1983 to 2080," Current Population Reports, series
P-25, no. 952 ( Washington, D.C.: Department of Commerce, May 1984),
William J. McAuley and
Rosemary Blieszner, "Selection of Long-Term
Care Arrangements by Older Community Residents," Gerontologist, vol. 25
( April 1985), p. 189.
U.S. Department of Health and Human Services, 1982 National Long-
Term Care Survey, available from the National Technical Information Service,
accession nos. PB-86-161775 and PB-86-161783.
Gail Lee Cafferata, and
Judith Sangl, "Caregivers of the
Frail Elderly: A National Profile," Gerontologist, vol. 27 ( October 1987), p. 620.
Korbin Liu and
Kenneth G. Manton, "Disability and Long-Term Care,"
paper presented at the Methodologies of Forecasting Life and Active Life
Expectancy Workshop, Bethesda, Md., June 25-26, 1985, p. 14. For another
estimate of the level of caregiving and its imputed financial value, see Lynn Paringer
, "The Forgotten Costs of Informal Long-Term Care," in Long-Term
Care Costs: Project to Analyze Existing Long-Term Care Data, vol. 6, report