Toward a National Strategy for Long-Term Care of the Elderly A Study Plan (1986) / Chapter Skim
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For the relatively few that actually require extensive services, the costs are huge. Some of these unfortunate families are forced to make poignant choices: daughters abandon their promising careers and sacrifice their independence; spouses divorce their lifelong partners to protect their meager incomes; some individuals are totally impoverished.
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In this country, where little central planning of health care occurs, the structure of health care financing has an inordinate influence on the shape, content, and quality of the ultimate product. Although the framework of the proposed study is options in financing, pooled-risk approaches in particular, the study's ultimate intent is to contribute to the development of an improved system of long-term care services.
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