The Long-Term Care System for Older Individuals: From the 1930’s to Today

I’m so glad to see you all here today for the first of two seminars that will systematically explore care provision in the United States today from multiple perspectives. We start from a fundamental commitment to social justice—the belief that we all deserve equal respect and unless there are specific reasons for doing so (like […]

The German Long-Term Care Insurance Program: Evolution and Recent Developments

Abstract Background and Objectives: Since 1995, Germany has operated one of the longest-running public programs providing universal support for the cost of long term services and supports (LTSS). Its self-funding, social insurance approach provides basic supports to nearly all Germans. We discuss its design and development, including recent reforms expanding the program and ensuring its ongoing […]

Neoliberal Long-Term Care: From Community to Corporate Control

Publicly (mainly Medicaid) funded long-term care (LTC) services have evolved from a nursing home dominated system of service to a much more balanced system including home- and community-based services (HCBS) programs over the last 30 years. The HCBS programs have been largely administered by the state and local level nonprofit aging networks (ANs) consisting of […]