Women and the Crisis of Care in the United States

Originally published in 2018 by Gender and Age: A Focus on Women By Larry Polivka Women are much more involved in long- term care (LTC) than men, as caregivers and care recipients. This is true in the formal system of paid care and in an “informal” system that relies upon unpaid caregiving by relatives and […]

The Changing Role of Non-Profit Organizations in the U.S. Long Term Care System

Originally published in 2019 by the Journal of Aging & Social Policy By Larry Polivka and LuMarie Polivka-West Abstract The American long-term care system has changed dramatically over the last several years as the need for care has increased steadily with the aging of the boomer generation. Arguably, the most important change has occurred in […]

An Ethic of Care Needed in Our Long-Term Care System

This article was originally published in 2021 by Generations Today, a publication by the American Society on Aging. By Larry Polivka The COVID-19 pandemic has had a devastating multidimensional impact on the world, especially among older adults, and specifically nursing home residents. More than 130,000 nursing home residents have died and for untold thousands their […]

Failures of Regulation and Policy in Medicaid-Managed Long-Term Care and Medicare Advantage

This article was originally published by the Public Policy & Aging Report in 2021. By Lori Gonzalez, Larry Polivka, and LuMarie Polivka-West We, like many long-term care (LTC) researchers and policy analysts, are concerned about the chronic inadequacy, from a LTC recipient perspective, of the LTC regulatory framework at the federal and state levels. Our […]

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 […]