Descripciones mejoradas de Syndetics:

This work examines the wide range of financing approaches to reforming long-term care of the disabled elderly and the impacts they would have over the next 25 years.

Reseñas proporcionadas por Syndetics

CHOICE Review

The authors, particularly Weiner (coauthor with Alice Rivlin of Caring for the Disabled Elderly: Who Will Pay?, 1988) and the Brookings Institution are well suited to take on the task of examining one of the major gaps in the US health care system, i.e., the structural and financial inadequacy of long-term care. The structure of the long-term care system provides few feasible options for the elderly, a problem made worse by the lack of efficacy or efficiency in its financing. The authors describe and analyze the struggle to find the appropriate structure and financial mix of private and public vehicles to remedy this problem, and they propose strategies for public and private long-term care insurance. This study is greatly enhanced by the use of a Brookings long-term care computer simulation model. Most of the complexities of the model are relegated to the appendixes, and material appropriate for serious readers who remain unattracted to computer modeling is in the main text. The many problems and suggested solutions for private insurance, social insurance, and Medicaid are well treated. Although the role of religious institutions was omitted from this study, the contribution of this sector to a new mix of private and public institutions would be both significant and compatible with the author's general findings, i.e., more at-home care, albeit with social insurance. Of value to undergraduates (sophomore and higher) and graduate students studying social/economic policy issues. F. W. Musgrave Ithaca College