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Shared Responsibility, Shared RiskGovernment, Markets and Social Policy in the Twenty-First Century$
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Jacob Hacker and Ann O'Leary

Print publication date: 2012

Print ISBN-13: 9780199781911

Published to Oxford Scholarship Online: February 2015

DOI: 10.1093/acprof:osobl/9780199781911.001.0001

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Government’s Role in Aging and Long-Term Care

Government’s Role in Aging and Long-Term Care

(p.229) 12 Government’s Role in Aging and Long-Term Care
Shared Responsibility, Shared Risk

Andrew E. Scharlach

Amanda J. Lehning

Oxford University Press

This chapter discusses the government's role in providing long-term care (LTC) for the elderly. It begins by considering the context of a long-term care policy in the United States, including LTC settings and financing, before turning to a discussion of the economic costs and risks associated with LTC. More precisely, it examines the disparities in care needs and related costs, with emphasis on Medicaid, and how public reimbursement and regulatory policies have contributed to these disparities. The chapter also outlines the causes of the increasing economic risk and responsibility for LTC assumed by older adults and their families before concluding with proposed policy solutions to ensure a more equitable distribution of LTC costs and burdens.

Keywords:   long-term care, elderly, United States, financing, economic costs, economic risk, public reimbursement, regulatory policies, Medicaid

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