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6 Reflections on the Workshop
Pages 49-54

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From page 49...
... • Continued increases in the federal debt will place increased pressure on investments in the future productive capacity of the United States. (Hoagland)
From page 50...
... Society has a huge opportunity to invest in a relatively lowwage workforce that can perform needed services, often for others who have chronic health conditions and functional limitations. Individuals who are given training can promote basic health literacy while at the same time benefiting from that information.
From page 51...
... Medicaid is a poverty program caught in the midst of state-by-state decisions concerning whether to extend health care coverage to low-income populations. The Affordable Care Act bars pre-existing conditions from being a reason to deny the purchase of private health insurance.
From page 52...
... THE CHOICES THAT SOCIETY MAKES Joshua Wiener RTI International According to Wiener, the principal questions emerging from the workshop were: What can society afford to pay for long-term care, and what does it want to pay? Today, the United States and most other industrialized nations spend about 1 percent of GDP on public long-term care expenditures.
From page 53...
... Wiener said this could be done by altering Medicaid eligibility criteria or by expanding HCBS by making personal care services mandatory in the states that currently do not cover it. Discussions about long-term care are not conversations about other people, Wiener concluded.


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