Caring for the Disabled Elderly: Who Will Pay?

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

Chapter Fourteen
Expanded Home Care

Most disabled elderly are at home and want to stay there. Home care services, such as home health care, homemaker help, personal care, meals-on-wheels, respite care, and adult day care, enable them to do so. Only a small minority of the chronically disabled elderly, however, receive any paid home care services. In 1982 only 25 percent of the 4.65 million disabled elderly living at home used any paid in-home care. 1 Public expenditures for long-term care are overwhelmingly for nursing home rather than home care. Less than 5 percent of medicaid long- term care expenditures for the elderly in 1984 went for home care. 2 An obvious approach to reforming long-term care is to increase public finding for home care.

Supporters often justify expanded home care services by arguing that these will substitute for nursing home care and thus actually reduce public long-term care expenditures. Evaluations of community care programs, however, tend to show not only that expansion of community care has little effect on nursing home use, but that it raises, rather than lowers, total expenditures. 3 One reason for the cost increase is that the expanded home care goes primarily to people who were not receiving paid services. Another is that home care services do not keep disabled people out of nursing homes. They are almost always a complement to, not a substitute for, nursing home care in the overall system of long-term care.

Saving public money may be the most popular way to justify an expansion of home care, but there are other reasons to expand home care. One is that the elderly strongly prefer home care and that their demands for that care are unmet. Others are to establish a more

-190-

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.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

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

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

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

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
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?

Help
Full screen
/ 318

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

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

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    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.