Public and Private Responsibilities in Long-Term Care: Finding the Balance

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Massive reforms affecting the financing of long-term care are taking place at both federal and state levels. As a result, the debate over public versus private responsibilities for providing that care has become increasingly important in the formation of public policy. In this book, a distinguished group of contributors examines competing perspectives regarding individual and societal obligations to provide and finance long-term care for our older citizens. The authors argue that the traditional juxtaposition of ...

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Overview

Massive reforms affecting the financing of long-term care are taking place at both federal and state levels. As a result, the debate over public versus private responsibilities for providing that care has become increasingly important in the formation of public policy. In this book, a distinguished group of contributors examines competing perspectives regarding individual and societal obligations to provide and finance long-term care for our older citizens. The authors argue that the traditional juxtaposition of public and private responsibilities in long-term care may no longer be germane in framing policy discussions around long-term care financing.

The chapters are grouped into four sections: an introduction and overview, the theoretical context of public and private roles, a review of current policies and programs for financing long-term care, and concluding policy recommendations. Integrating theory, practice, and policy, the book will be valuable to professionals in gerontology, health policy and finance, and public policy.

Contributors: Robert H. Binstock, Elizabeth H. Bradley, Brian Burwell, Norman Daniels, Kevin J. Mahoney, Hunter L. McKay, Mark R. Meiners, Mark Schlesinger, Lori Simon-Rusinowitz, Kathleen C. J. Treat, Leslie C. Walker, Terrie Wetle, Joshua M. Wiener, and Donna L. Yee.

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This book is a series of essays on financing long term care for the nation.
Purpose: The purpose is to discuss the academic and philosophical underpinnings of financing long-term care.
Audience: The audience is public policy makers, healthcare administrators, and academic gerontologists.
Features: The book is beautifully printed.
Assessment: This book is a series of essays on policy considerations of financing long-term care. Discussed from theoretical points of view, it fails to communicte an understanding of the pleuralistic nature of health values, family constellations, health beliefs, comorbid psychiatric illness, regional variations, and the effect of economic status on the central themes.
David O. Staats
This book is a series of essays on financing long term care for the nation. The purpose is to discuss the academic and philosophical underpinnings of financing long-term care. The audience is public policy makers, healthcare administrators, and academic gerontologists. The book is beautifully printed. This book is a series of essays on policy considerations of financing long-term care. Discussed from theoretical points of view, it fails to communicte an understanding of the pleuralistic nature of health values, family constellations, health beliefs, comorbid psychiatric illness, regional variations, and the effect of economic status on the central themes.
Booknews
Develops and applies relevant theoretical frameworks to the organization and financing of long-term care, offering multiple perspectives regarding individual and societal obligations to provide care. Part I presents theoretical frameworks from disciplines including political science, economics, sociology, and philosophy. Part II includes four chapters that describe policy and market efforts to integrate public and private sectors in financing long-term care. Annotation c. by Book News, Inc., Portland, Or.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780801859014
  • Publisher: Johns Hopkins University Press
  • Publication date: 11/4/1998
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 206
  • Product dimensions: 6.23 (w) x 9.31 (h) x 0.72 (d)

Meet the Author

Leslie C. Walker is director of the Braceland Center for Mental Health and Aging, Hartford Hospital, and assistant professor in the Department of Medicine at the University of Connecticut School of Medicine. Elizabeth H. Bradley is assistant professor in the Department of Epidemiology and Public Health at Yale University School of Medicine. Terrie Wetle is deputy director of the National Institute on Aging of the National Institutes of Health.

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Table of Contents

List of Contributors
Preface
Introduction: The Financing and Organization of Long-Term Care 1
Pt. I Public and Private Roles in Long-Term Care: A Theoretical Context
Ch. 1 Deceptive Dichotomies: Political Reasoning and Government Involvement in Long-Term Care 25
Ch. 2 Self-interested Behavior and Social Welfare: Perspectives from Economic Theory 62
Ch. 3 Community Perceptions of Public and Private Responsibility in the Context of Cultural Diversity 77
Ch. 4 Justice and Prudential Deliberation in Long-Term Care 93
Pt. II The Public-Private Dilemma in Long-Term Care: Policy Responses
Ch. 5 Public-Private Partnerships in Long-Term Care 115
Ch. 6 Jump Starting the Market: Public Subsidies for Private Long-Term Care Insurance 134
Ch. 7 Empowering the Community: Public Initiatives in Consumer-directed Services 150
Ch. 8 Access to Public Resources: Regulating Asset Transfers for Long-Term Care 165
Conclusion: Integrating Theory and Practice in Long-Term Care 181
Index 197
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