Long-Term Care in America


Book Description

There is a looming crisis in our nation's capacity to provide long-term care. The needs keep increasing while more and more of our aging seniors and large numbers of disabled can no longer gain access to affordable care. The markers are serious--more than one-half of Americans age 65 and older are expected to need help with activities of daily living, whether in a nursing home, assisted living facility, or at home; U. S. seniors are projected to outnumber children under 18 by 2035; dementia increases as our population ages, expected to involve almost 40 percent of people over age 85; one in four Americans has a major disability; and there is a growing shortage of caregivers. Regardless of our age and current circumstances, all of us will face the need for long-term care for a parent, another family member, or ourselves down the road. When that time comes, it is an open question whether most of us will be able to gain access to personal, affordable long-term care when we need it. This book examines the many issues involved in charting a way toward a system of universal coverage that will fix the challenge of long-term care.




The Nation's Health Care Crisis


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Migration and Pandemics


Book Description

This open access book discusses the socio-political context of the COVID-19 crisis and questions the management of the pandemic emergency with special reference to how this affected the governance of migration and asylum. The book offers critical insights on the impact of the pandemic on migrant workers in different world regions including North America, Europe and Asia. The book addresses several categories of migrants including medical staff, farm labourers, construction workers, care and domestic workers and international students. It looks at border closures for non-citizens, disruption for temporary migrants as well as at special arrangements made for essential (migrant) workers such as doctors or nurses as well as farmworkers, ‘shipped’ to destination with special flights to make sure emergency wards are staffed, and harvests are picked up and the food processing chain continues to function. The book illustrates how the pandemic forces us to rethink notions like membership, citizenship, belonging, but also solidarity, human rights, community, essential services or ‘essential’ workers alongside an intersectional perspective including ethnicity, gender and race.




Paying for Long-Term Care


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The Health Care Crisis


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Long-term Care for the Elderly in Europe


Book Description

Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states’ welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book’s chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.




The Nation's Long-term Health Care Crisis


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Resolving the Long-term Care Crisis


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The Long Term Care Crisis


Book Description

This book examines the implementation of the prospective payment system (PPS) in the US for Medicare hospital reimbursement, which started in 1983. The authors discuss the impact of the PPS on health care provision and conclude that rather than improving conditions for the elderly in their transition from hospital to community and decreasing escalating health costs, the PPS has restructured the system with the result that the greater financial burden is placed on informal caregivers, community and home health care agencies and the elderly themselves.