Political Culture, Political Leadership, Sustained Advocacy, and Aging Policy Reform: The Oregon and North Carolina Experiences
David J. Falcone, with Dell Ensley and Cecilia B. Moore
This chapter compares health and social services policy targeted at the elderly in Oregon and North Carolina. (Hereinafter, such policy will be referred to as "aging policy.") 1 These states were chosen largely on the basis of the authors' intuitive insights rather than adherence to the canons of methodology. Still, the sites could be viewed as well-chosen from a policy analysis perspective. Oregon has a mature system of public and private provision of aging services that has been heralded as a national model and has been identified in a National Governor's Association study as one of six exemplars of community long-term care system reform. 2 North Carolina's aging policy is at a crossroads, where the Oregon approach is one path that might be taken.
In keeping with the theme of this volume, there is no doubt that effective aging policy reform, like reforms in other domestic policy areas, will be largely a subnational endeavor. 3 There is little doubt