John Ameriks, Andrew Caplin, Steven Laufer, and Stijn Van Nieuwerburgh
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199549108
- eISBN:
- 9780191720734
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199549108.003.0011
- Subject:
- Business and Management, Pensions and Pension Management
Financial security in retirement has traditionally meant having a steady flow of annuity income as long as one lives — a definition enshrined in the Social Security system. Earlier research has ...
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Financial security in retirement has traditionally meant having a steady flow of annuity income as long as one lives — a definition enshrined in the Social Security system. Earlier research has stressed a more holistic approach, which focuses on the match between resources and spending needs. Using this formulation this chapter estimates annuity values given long-term care concerns and bequest motives, where these estimated values are consistent with low observed demand for standard annuities. The chapter extends this model to value non-standard annuities with various security-enhancing features that may be of value to retirees.Less
Financial security in retirement has traditionally meant having a steady flow of annuity income as long as one lives — a definition enshrined in the Social Security system. Earlier research has stressed a more holistic approach, which focuses on the match between resources and spending needs. Using this formulation this chapter estimates annuity values given long-term care concerns and bequest motives, where these estimated values are consistent with low observed demand for standard annuities. The chapter extends this model to value non-standard annuities with various security-enhancing features that may be of value to retirees.
Jill Quadagno
- Published in print:
- 2006
- Published Online:
- May 2012
- ISBN:
- 9780195160390
- eISBN:
- 9780199944026
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195160390.003.0008
- Subject:
- Sociology, Race and Ethnicity
This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the ...
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This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the same coalition also attacked President Clinton's plan for universal health care in the 1990s. It begins by discussing long-term care for the weak elderly, then looks at another revival of the national health insurance and introduces the Consolidated Omnibus Reconciliation Act of 1985, which tried to fill the gaps within the private health insurance system. The chapter then studies health policy making after the Health Security failed.Less
This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the same coalition also attacked President Clinton's plan for universal health care in the 1990s. It begins by discussing long-term care for the weak elderly, then looks at another revival of the national health insurance and introduces the Consolidated Omnibus Reconciliation Act of 1985, which tried to fill the gaps within the private health insurance system. The chapter then studies health policy making after the Health Security failed.
David Brazell, Jason Brown, and Mark Warshawsky
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199549108
- eISBN:
- 9780191720734
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199549108.003.0013
- Subject:
- Business and Management, Pensions and Pension Management
A life care annuity combines an immediate life annuity with long-term care insurance. This chapter reviews empirical evidence supporting the claim that the marketing of a life care annuity will ...
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A life care annuity combines an immediate life annuity with long-term care insurance. This chapter reviews empirical evidence supporting the claim that the marketing of a life care annuity will produce a lower total price for the combined product, less adverse selection in the individual annuity market, and greater availability of long-term care insurance. It also discusses the institutional, regulatory, and tax aspects of a life care annuity, including its future tax treatment under the recently enacted Pension Protection Act of 2006. The chapter concludes with a numerical illustration of the tax implications of various ways of structuring the life care annuity, and it compares these implications with those produced by an above-the-line deduction for qualified long-term care insurance premiums.Less
A life care annuity combines an immediate life annuity with long-term care insurance. This chapter reviews empirical evidence supporting the claim that the marketing of a life care annuity will produce a lower total price for the combined product, less adverse selection in the individual annuity market, and greater availability of long-term care insurance. It also discusses the institutional, regulatory, and tax aspects of a life care annuity, including its future tax treatment under the recently enacted Pension Protection Act of 2006. The chapter concludes with a numerical illustration of the tax implications of various ways of structuring the life care annuity, and it compares these implications with those produced by an above-the-line deduction for qualified long-term care insurance premiums.
Nicholas Barr
- Published in print:
- 2001
- Published Online:
- November 2003
- ISBN:
- 9780199246595
- eISBN:
- 9780191595936
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199246599.003.0005
- Subject:
- Economics and Finance, Public and Welfare
This chapter discusses two issues that will assume increasing salience: the impact of genetic screening on insurance markets and problems of long‐term‐care insurance. Genetic screening affects the ...
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This chapter discusses two issues that will assume increasing salience: the impact of genetic screening on insurance markets and problems of long‐term‐care insurance. Genetic screening affects the viability of insurance in at least two ways: by turning risk into near‐ certainty it creates a rapidly growing group of uninsurable conditions; it also has a major bearing on the ability of individuals to obtain cover. Neither problem is new, but genetic screening greatly increases the number of people affected. Solutions will require considerable regulation of private insurers. With long‐term care, a central problem is the degree of uncertainty over a long time horizon about the probability that a person will need long‐term care. One approach to a solution is social insurance.Less
This chapter discusses two issues that will assume increasing salience: the impact of genetic screening on insurance markets and problems of long‐term‐care insurance. Genetic screening affects the viability of insurance in at least two ways: by turning risk into near‐ certainty it creates a rapidly growing group of uninsurable conditions; it also has a major bearing on the ability of individuals to obtain cover. Neither problem is new, but genetic screening greatly increases the number of people affected. Solutions will require considerable regulation of private insurers. With long‐term care, a central problem is the degree of uncertainty over a long time horizon about the probability that a person will need long‐term care. One approach to a solution is social insurance.
John Ameriks and Olivia S. Mitchell
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199549108
- eISBN:
- 9780191720734
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199549108.003.0001
- Subject:
- Business and Management, Pensions and Pension Management
As Baby Boomers move into their 60s, they are focusing policymaker and media attention on how their generation will manage the retirement phase of their lifetime. This book acknowledges that many, ...
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As Baby Boomers move into their 60s, they are focusing policymaker and media attention on how their generation will manage the retirement phase of their lifetime. This book acknowledges that many, though not all, in this older cohort have accumulated substantial assets, so for them, the question is what will they do with what they have? It provides a detailed exploration of how people entering retirement will deploy their accumulated assets in the near and long term, so to best meet their myriad spending, investment, and other objectives.Less
As Baby Boomers move into their 60s, they are focusing policymaker and media attention on how their generation will manage the retirement phase of their lifetime. This book acknowledges that many, though not all, in this older cohort have accumulated substantial assets, so for them, the question is what will they do with what they have? It provides a detailed exploration of how people entering retirement will deploy their accumulated assets in the near and long term, so to best meet their myriad spending, investment, and other objectives.
Martha N. Ozawa and Shingo Nakayama
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0092
- Subject:
- Social Work, Health and Mental Health
Japan has instituted one of the most comprehensive forms of long-term care insurance in the world. This chapter provides an overview description of this novel system of care. It also describes the ...
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Japan has instituted one of the most comprehensive forms of long-term care insurance in the world. This chapter provides an overview description of this novel system of care. It also describes the historical and political forces that led to the adoption of this social program.Less
Japan has instituted one of the most comprehensive forms of long-term care insurance in the world. This chapter provides an overview description of this novel system of care. It also describes the historical and political forces that led to the adoption of this social program.
Edmund Cannon and Ian Tonks
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780199216994
- eISBN:
- 9780191711978
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216994.003.0011
- Subject:
- Business and Management, Pensions and Pension Management
This chapter summarizes the conclusions on annuity pricing. While annuity products continue to be an important component of a number of pensions systems, there are a number of public policy questions ...
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This chapter summarizes the conclusions on annuity pricing. While annuity products continue to be an important component of a number of pensions systems, there are a number of public policy questions relating to both the supply and demand side of annuities. These include more sophisticated mortality projections, annuity products that appeal to particular clienteles, the bulk buy-out market, and the demand for long-term care. The chapter ends by suggesting possible explanations for the recent slight decline in the money's worth numbers.Less
This chapter summarizes the conclusions on annuity pricing. While annuity products continue to be an important component of a number of pensions systems, there are a number of public policy questions relating to both the supply and demand side of annuities. These include more sophisticated mortality projections, annuity products that appeal to particular clienteles, the bulk buy-out market, and the demand for long-term care. The chapter ends by suggesting possible explanations for the recent slight decline in the money's worth numbers.
Karel Kurst-Swanger and Jacqueline L. Petcosky
- Published in print:
- 2003
- Published Online:
- January 2009
- ISBN:
- 9780195165180
- eISBN:
- 9780199864966
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195165180.003.0007
- Subject:
- Social Work, Children and Families, Crime and Justice
This chapter focuses on the maltreatment of children and adults in out-of-home care settings in which they are being cared for by pseudo families. These environments are much like traditional ...
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This chapter focuses on the maltreatment of children and adults in out-of-home care settings in which they are being cared for by pseudo families. These environments are much like traditional families in that they serve many of the same functions such as food, clothing, shelter, medical care, and social interaction. To distinguish this population from other types of families they are referred to as “pseudo” families. The chapter provides an argument that abuse within institutional settings is an appropriate issue to discuss within the context of family violence. The evolution of institutional care settings is discussed and the central role abuse has played in such facilities is also examined. It explores research related to the impact of institutional life on its residents and the process of institutionalization. It discusses the forms of maltreatment found within various settings, its consequences, and the systems that operate to intervene in such circumstances.Less
This chapter focuses on the maltreatment of children and adults in out-of-home care settings in which they are being cared for by pseudo families. These environments are much like traditional families in that they serve many of the same functions such as food, clothing, shelter, medical care, and social interaction. To distinguish this population from other types of families they are referred to as “pseudo” families. The chapter provides an argument that abuse within institutional settings is an appropriate issue to discuss within the context of family violence. The evolution of institutional care settings is discussed and the central role abuse has played in such facilities is also examined. It explores research related to the impact of institutional life on its residents and the process of institutionalization. It discusses the forms of maltreatment found within various settings, its consequences, and the systems that operate to intervene in such circumstances.
Theodore R. Marmor, Richard Freeman, and Kieke G. H. Okma
- Published in print:
- 2009
- Published Online:
- October 2013
- ISBN:
- 9780300149838
- eISBN:
- 9780300155952
- Item type:
- book
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300149838.001.0001
- Subject:
- Political Science, Comparative Politics
This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore ...
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This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore the ambitions and realities of health care regulation, financing, and delivery across countries. These wide-ranging essays cover policy debates and reforms in Canada, Germany, Holland, the United Kingdom, and the United States, as well as separate treatments of some of the most prominent issues confronting policy makers. These include primary care, hospital care, long-term care, pharmaceutical policy, and private health insurance. The authors are attentive throughout to the ways in which cross-national, comparative research may inform national policy debates not only under the Obama administration, but also across the world.Less
This book offers a timely account of health reform struggles in developed democracies. The editors, leading experts in the field, have brought together a group of distinguished scholars to explore the ambitions and realities of health care regulation, financing, and delivery across countries. These wide-ranging essays cover policy debates and reforms in Canada, Germany, Holland, the United Kingdom, and the United States, as well as separate treatments of some of the most prominent issues confronting policy makers. These include primary care, hospital care, long-term care, pharmaceutical policy, and private health insurance. The authors are attentive throughout to the ways in which cross-national, comparative research may inform national policy debates not only under the Obama administration, but also across the world.
Ruth Huber, F. Ellen Netting, Kevin W. Borders, and H. W. Nelson
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0055
- Subject:
- Social Work, Health and Mental Health
The long-term care ombudsman program (LTCOP) is federally mandated to investigate complaints about the care that people receive in LTC facilities. This chapter provides a brief history of the ...
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The long-term care ombudsman program (LTCOP) is federally mandated to investigate complaints about the care that people receive in LTC facilities. This chapter provides a brief history of the program's origins and legislative authority, and the program' s mission and functions. It then describes the structure of the LTCOP, how complaints are handled, and the roles that social workers play in and with the ombudsman program. The chapter concludes with a brief discussion of the quality of life and care that elders experience in the nation's long-term care facilities.Less
The long-term care ombudsman program (LTCOP) is federally mandated to investigate complaints about the care that people receive in LTC facilities. This chapter provides a brief history of the program's origins and legislative authority, and the program' s mission and functions. It then describes the structure of the LTCOP, how complaints are handled, and the roles that social workers play in and with the ombudsman program. The chapter concludes with a brief discussion of the quality of life and care that elders experience in the nation's long-term care facilities.
Li-Mei Chen
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0081
- Subject:
- Social Work, Health and Mental Health
In recent decades, the development of the long-term care (LTC) policies in the United States has lagged behind the growing care needs of older persons with chronic illnesses and mental or physical ...
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In recent decades, the development of the long-term care (LTC) policies in the United States has lagged behind the growing care needs of older persons with chronic illnesses and mental or physical disabilities, and their families. In most industrialized societies, the responsibilities for social policy and service delivery are seen as shared by the household, the state, and the marketplace. In these societies, an assurance of government involvement to protect an individual's minimum standard of living when the market fails to do so, is an important policy principle. A policy based on a balanced and complementary system between the private (market and household) and public sectors is often sought by progressive reformers. However, in the United States, LTC polices are lopsided, with the responsibility for LTC provision primarily placed on the elder's household. This chapter examines the development of federal and state policies affecting LTC, namely, nursing homes and other providers of such care. It presents relevant issues surrounding LTC vis-à-vis the political, social, and economic changes in U.S. society.Less
In recent decades, the development of the long-term care (LTC) policies in the United States has lagged behind the growing care needs of older persons with chronic illnesses and mental or physical disabilities, and their families. In most industrialized societies, the responsibilities for social policy and service delivery are seen as shared by the household, the state, and the marketplace. In these societies, an assurance of government involvement to protect an individual's minimum standard of living when the market fails to do so, is an important policy principle. A policy based on a balanced and complementary system between the private (market and household) and public sectors is often sought by progressive reformers. However, in the United States, LTC polices are lopsided, with the responsibility for LTC provision primarily placed on the elder's household. This chapter examines the development of federal and state policies affecting LTC, namely, nursing homes and other providers of such care. It presents relevant issues surrounding LTC vis-à-vis the political, social, and economic changes in U.S. society.
Sheila Peace
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0002
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the ...
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This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.Less
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.
Julian Le Grand
- Published in print:
- 2003
- Published Online:
- April 2004
- ISBN:
- 9780199266999
- eISBN:
- 9780191600869
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199266999.003.0010
- Subject:
- Economics and Finance, Public and Welfare
Discusses an idea of which the author was an initiator: ‘partnership’ matching grants to encourage savings for pensions and long‐term care. It argues that current systems for encouraging individuals ...
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Discusses an idea of which the author was an initiator: ‘partnership’ matching grants to encourage savings for pensions and long‐term care. It argues that current systems for encouraging individuals to save for their old age or for long‐term care, such as tax relief on pensions contributions, are regressive and opaque. They should be replaced by a more progressive, transparent system whereby the government directly matches contributions made by individuals.Less
Discusses an idea of which the author was an initiator: ‘partnership’ matching grants to encourage savings for pensions and long‐term care. It argues that current systems for encouraging individuals to save for their old age or for long‐term care, such as tax relief on pensions contributions, are regressive and opaque. They should be replaced by a more progressive, transparent system whereby the government directly matches contributions made by individuals.
Jeanette Semke
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0056
- Subject:
- Social Work, Health and Mental Health
This chapter describes residential settings for older people with severe and persistent mental disease (SPMD). Topics covered include community-based group care, access to mental health treatment, ...
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This chapter describes residential settings for older people with severe and persistent mental disease (SPMD). Topics covered include community-based group care, access to mental health treatment, and social work roles.Less
This chapter describes residential settings for older people with severe and persistent mental disease (SPMD). Topics covered include community-based group care, access to mental health treatment, and social work roles.
Miriam S. Moss, Sidney Z. Moss, and Stephen R. Connor
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0010
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter examines the quality of care in long-term care facilities in the U.S. It describes the nursing home as a primary focus of long-term care and reviews relevant literature concerning ...
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This chapter examines the quality of care in long-term care facilities in the U.S. It describes the nursing home as a primary focus of long-term care and reviews relevant literature concerning end-of-life care in nursing homes. It compares hospice and nursing homes care and suggests that the overall cultural and policy milieu in the U.S. seems to be changing slowly towards some increased acceptance of palliative care at the end of life in nursing homes.Less
This chapter examines the quality of care in long-term care facilities in the U.S. It describes the nursing home as a primary focus of long-term care and reviews relevant literature concerning end-of-life care in nursing homes. It compares hospice and nursing homes care and suggests that the overall cultural and policy milieu in the U.S. seems to be changing slowly towards some increased acceptance of palliative care at the end of life in nursing homes.
F. Ellen Netting and Cindy C. Wilson
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0060
- Subject:
- Social Work, Health and Mental Health
As the older population increases in the United States, more and more congregate living options are emerging, particularly for persons who may need some combination of housing with social support and ...
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As the older population increases in the United States, more and more congregate living options are emerging, particularly for persons who may need some combination of housing with social support and health care services readily accessible. Continuing care retirement communities (CCRCs) are one such option. This chapter focuses on CCRCs in the U.S., which typically offer escalating levels of care on a single campus, from independent housing, through residential care facilities, to nursing homes.Less
As the older population increases in the United States, more and more congregate living options are emerging, particularly for persons who may need some combination of housing with social support and health care services readily accessible. Continuing care retirement communities (CCRCs) are one such option. This chapter focuses on CCRCs in the U.S., which typically offer escalating levels of care on a single campus, from independent housing, through residential care facilities, to nursing homes.
Sandra R. Levitsky
- Published in print:
- 2014
- Published Online:
- June 2014
- ISBN:
- 9780199993123
- eISBN:
- 9780199378906
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199993123.001.0001
- Subject:
- Sociology, Gerontology and Ageing, Politics, Social Movements and Social Change
Aging populations and changes in health care, household structure, and women’s labor force participation over the last half century have created a “crisis in care”: demand for care of the old and ...
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Aging populations and changes in health care, household structure, and women’s labor force participation over the last half century have created a “crisis in care”: demand for care of the old and infirm is rapidly growing, while the supply of private care within the family is substantially contracting. And yet despite the adverse effects of the long-term care crisis on the economic security of families and the health of family caregivers, American families have demonstrated little inclination for translating their private care problems into political demands for social policy reform. Caring for Our Own inverts an enduring question of social welfare politics. Rather than asking why the American state, a known laggard in all matters involving social welfare, hasn’t responded to unmet needs by expanding social entitlements, this book asks: Why don’t American families view unmet needs as the basis for demands for new state entitlements? How do traditional beliefs in family responsibility for social welfare persist even in the face of unmet need? The answer, this book argues, lies in a better understanding of how individuals imagine solutions to their social welfare problems and what prevents politicized understandings of social welfare provision from developing into political demand for reform. This book considers the ways in which existing social policies shape the political imagination, reinforcing longstanding values about family responsibility, subverting grievances grounded in notions of social responsibility, and in some rare cases, constructing new models of social provision that transcend existing ideological divisions in American politics.Less
Aging populations and changes in health care, household structure, and women’s labor force participation over the last half century have created a “crisis in care”: demand for care of the old and infirm is rapidly growing, while the supply of private care within the family is substantially contracting. And yet despite the adverse effects of the long-term care crisis on the economic security of families and the health of family caregivers, American families have demonstrated little inclination for translating their private care problems into political demands for social policy reform. Caring for Our Own inverts an enduring question of social welfare politics. Rather than asking why the American state, a known laggard in all matters involving social welfare, hasn’t responded to unmet needs by expanding social entitlements, this book asks: Why don’t American families view unmet needs as the basis for demands for new state entitlements? How do traditional beliefs in family responsibility for social welfare persist even in the face of unmet need? The answer, this book argues, lies in a better understanding of how individuals imagine solutions to their social welfare problems and what prevents politicized understandings of social welfare provision from developing into political demand for reform. This book considers the ways in which existing social policies shape the political imagination, reinforcing longstanding values about family responsibility, subverting grievances grounded in notions of social responsibility, and in some rare cases, constructing new models of social provision that transcend existing ideological divisions in American politics.
Katherine Froggatt and Deborah Parker
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199554133
- eISBN:
- 9780191730269
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199554133.003.0019
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for ...
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A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for people with dementia. This chapter initially describes the care home context, as this shapes the experiences of living and dying for people with dementia residing in care homes. It draws on two recent studies, both considering the provision of palliative care for people who are living and dying in care homes: one from the UK (Froggatt) and one from Australia (Parker). From this empirical research it identifies two key challenges that face care homes as they support people with dementia living in such settings: how do we, on the one hand, create a culture of openness to people's experiences of living and dying alongside, on the other hand, maintaining people's identities? These both require attention in the care home setting if person-centred supportive care is to be provided throughout a person's life until their death.Less
A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for people with dementia. This chapter initially describes the care home context, as this shapes the experiences of living and dying for people with dementia residing in care homes. It draws on two recent studies, both considering the provision of palliative care for people who are living and dying in care homes: one from the UK (Froggatt) and one from Australia (Parker). From this empirical research it identifies two key challenges that face care homes as they support people with dementia living in such settings: how do we, on the one hand, create a culture of openness to people's experiences of living and dying alongside, on the other hand, maintaining people's identities? These both require attention in the care home setting if person-centred supportive care is to be provided throughout a person's life until their death.
John Creighton Campbell and Naoki Ikegami
- Published in print:
- 2009
- Published Online:
- October 2013
- ISBN:
- 9780300149838
- eISBN:
- 9780300155952
- Item type:
- chapter
- Publisher:
- Yale University Press
- DOI:
- 10.12987/yale/9780300149838.003.0010
- Subject:
- Political Science, Comparative Politics
This chapter first describes the key elements of “comprehensive long-term care (LTC) policy” and makes the case that it is a reasonable policy target for advanced industrial nations. Second, it ...
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This chapter first describes the key elements of “comprehensive long-term care (LTC) policy” and makes the case that it is a reasonable policy target for advanced industrial nations. Second, it discusses the two “ideal models” for comprehensive LTC: direct public services and social insurance. Third, it analyzes the policy process. It examines how Japan first opted for direct services and then switched to an approach similar to Germany. Fourth, it turns to comparative analysis to try to explain how and why the Japanese program differs from that in Germany.Less
This chapter first describes the key elements of “comprehensive long-term care (LTC) policy” and makes the case that it is a reasonable policy target for advanced industrial nations. Second, it discusses the two “ideal models” for comprehensive LTC: direct public services and social insurance. Third, it analyzes the policy process. It examines how Japan first opted for direct services and then switched to an approach similar to Germany. Fourth, it turns to comparative analysis to try to explain how and why the Japanese program differs from that in Germany.
Zeynep Güldem Ökem
- Published in print:
- 2015
- Published Online:
- June 2015
- ISBN:
- 9780198717614
- eISBN:
- 9780191787133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198717614.003.0002
- Subject:
- Palliative Care, Palliative Medicine and Older People
An ageing population increases the need for long-term care services and public financing which, in turn, require better planned, accessible, and monitored long-term care systems. Planning should be ...
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An ageing population increases the need for long-term care services and public financing which, in turn, require better planned, accessible, and monitored long-term care systems. Planning should be made according to the level of need, measured as the severity of disability; provision and financing should be designed so that people in need can access what is required for them to maintain the best possible quality of life. As the need for and cost of long-term care is growing, efficiency and quality of long-term care should be improved. This chapter provides a framework for the analysis of a long-term care system while considering it in various dimensions, such as needs’ assessment, provision, utilization, financing, and expenditure. Recent policy issues for a better long-term care system are also discussed, taking into account different implementations in various countries.Less
An ageing population increases the need for long-term care services and public financing which, in turn, require better planned, accessible, and monitored long-term care systems. Planning should be made according to the level of need, measured as the severity of disability; provision and financing should be designed so that people in need can access what is required for them to maintain the best possible quality of life. As the need for and cost of long-term care is growing, efficiency and quality of long-term care should be improved. This chapter provides a framework for the analysis of a long-term care system while considering it in various dimensions, such as needs’ assessment, provision, utilization, financing, and expenditure. Recent policy issues for a better long-term care system are also discussed, taking into account different implementations in various countries.
