Caring for the Disabled Elderly: Who Will Pay?

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

Chapter Sixteen
Public Long-Term Care Insurance

Enacting public long-term care insurance would dramatically change the role of the U.S. government in long-term care financing.* Although most Western European countries and Canada cover long-term care along with acute care under their national health insurance or national health service, the United States makes a sharp distinction between the two kinds of care. 1 Acute care is covered by social insurance under the medicare program, and long-term care is primarily covered by medicaid, a means-tested welfare program.

The rationale for public long-term care insurance is that the use of long-term care is a normal, insurable risk of growing old, but that the private insurance market is unable to provide adequate coverage at a price affordable by most of the elderly. Covering long-term care under a universal public program avoids two problems inherent in the current private insurance market: those people likely to need long-term care insurance may buy it disproportionately, and insurance companies tend

____________________
*
There are at least five relatively detailed proposals for public long-term care insurance. See Karen Davis and Diane Rowland, Medicare Policy: New Directions for Health and Long-Term Care ( Baltimore, Md.: Johns Hopkins University Press, 1986); Medicare Part C: Catastrophic Health Insurance Act of 1986, H.R. 4287, 99 Cong. 2 sess. ( Washington, D.C., February 28, 1986), introduced by Congressman Claude Pepper; Harvard Medicare Project, Medicare: Coming of Age--A Proposal for Reform ( Cambridge, Mass.: John F. Kennedy School of Government, Center for Health Policy and Management, March 1986); Anne R. Somers, "Long-Term Care for the Elderly and Disabled: A New Health Priority," New England Journal of Medicine, July 22, 1982, pp. 221-26; and Medicare Part C: Catastrophic Health Insurance Act of 1987, S. 454, 100 Cong. 1 sess. ( Washington, D.C., February 4, 1987), introduced by Senator Jim Sasser. In addition, the American Association of Retired Persons, the Villers Foundation, and the Older Women's League are developing a proposal that they hope can be actively discussed in the 1988 presidential election. Some states are considering public-private partnerships that would have elements of public long-term care insurance.

-210-

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.