Retirement Security

By Lori Gonzalez Introduction Retirement security—being able to transition out of the workforce without severe financial devastation or serious risks to health—was first formed in the U.S. by the New Deal programs enacted in the 1930s which included Social Security and unemployment insurance.  Assistance for older people prior to the New Deal was largely absent save […]

Why Do Late Boomers Have So Little Retirement Wealth?

Over the last 40 years, the retirement system has shifted from defined benefit plans to defined contribution plans, primarily 401(k)s and Individual Retirement Accounts (IRAs). This shift has been accompanied by a decline in Social Security benefits relative to pre-retirement earnings as the program’s Full Retirement Age has moved from 65 to 67. Thus, the […]

Institute Talk: A Conversation with Dan Reingold on Leading a Nursing Home in America’s Worst COVID-19 Hot Spot

Dan Reingold is the chief executive of RiverSpring Health and a prominent national figure in the field of aging services. RiverSpring includes The Hebrew Home at Riverdale, a 750-bed nursing home in the Bronx, N.Y. The New York State Department of Health reported on March 30 that more than 1,000 residents of state nursing homes, […]

Harnessing Our Humanity — How Washington’s Health Care Workers Have Risen to the Pandemic Challenge

In early March 2020, Ms. B., a woman in her mid-70s, was admitted from her nursing home to Seattle Harborview’s medical ICU with suspected Covid-19. When she rapidly decompensated, the ICU team resuscitated her as they would any patient: central line, fluids, pressors. But when it became clear that her death was imminent, providing supportive […]

Paying for Medicaid — State Budgets and the Case for Expansion in the Time of Coronavirus

Medicaid — and how to pay for it — has become a recurring theme in several current critical policy debates. Fourteen U.S. states have not yet expanded the program under the Affordable Care Act (ACA), mostly because of concerns about the potential impacts on state budgets, and these decisions have left more than 2 million […]