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CONTENTS Committee Members Preface Overview Section I Background and Study Rationale Section II Study Concept Section III Study Approach Page ~ . . 111 . . V11 1 - 11 15 Section IV Proposed Budget - Long-Term Care Study 25 EXHIBITS Exhibit A - Projected Need for Long-Term Care Services A-1 The Challenge: An Accelerating Growth in Long-Term Care Needs Wil Lybrand A-2 Health Status, Life Expectancy and Long- Term Care Utilization by the Elderly Dorothy P. Rice Exhibit B - Major Problems and Issues in Long-Term Care B-1 Overview of Major Problems and Issues in the Existing Long-Term Care System Wil Lybrand B-2 Increasing the Range of Long-Term Care Options: Opportunities and Issues in Integrating Existing Funding Streams Susan L. Hughes B-3 Housing and Morbidity-Impaired Elderly Sandra J. Newman B-4 Reflections on Public Policy, Ethics, Health Care and an Aging Population Monsignor Charles J. Fahey Exhibit C - Overview of Existing Data Bases C-1 Income and Assets of the Elderly: A Brief Survey of Existing Information Alicia H. Munnell C-2 Overview of the Adequacy of Existing Long- Term Care Data Sets for Policy-Relevant Analyses William J. Scanlon v 29 37 53 71 81 87 95 111
C-3 Inventory of Selected Primary Data Bases and Analytical Studies Leopold G. Selker C-4 Bibliography Exhibit D - Planning Study Material D-1 Critical Long-Term Care Issues from Perspective of Involved Private Sector Organizations Daniel C. Zwick D-2 Workshop Participant List vi 117 127 147 163