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Long-Term Care

Friday, July 29, 2016

Why Does the United States Lack a Comprehensive Social Insurance System?

William J. Arnone, National Academy of Social Insurance

Thoughtful commentary on how we got from there to here

In a recent issue of the Boston Review, Elizabeth Anderson, Professor of Philosophy and Women’s Studies at the University of Michigan, wrote a provocative analysis ("Common Property: How Social Insurance Became Confused with Socialism", 7-25-16) of the origins and evolution of social insurance worldwide and in the United States. Her article includes key points that are critical to an understanding of the positioning of social insurance in our economic and political system, and in our culture. She poses a fundamental question: Why does the U.S. lack a comprehensive, universal social insurance system?

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Friday, February 5, 2016

Income, Health, and Wealth Inequality Emerge as Strategic Focus of Academy Following January Policy Research Conference

Kristen Arnold, National Academy of Social Insurance

A blizzard dropping nearly 28 inches of snow did not stop hundreds of social insurance experts from participating in the Academy’s 28th annual policy research conference last week, Disparate Income, Wealth, and Opportunity: Implications for Social Insurance. Co-chaired by Kilolo Kijakazi of the Urban Institute, Maya MacGuineas of the Committee for a Responsible Federal Budget, and David Colby, the two-day conference – built upon two Fall convenings on the same topic – ushered in the Academy’s new strategic focus on income and wealth inequality. Participants, including new and veteran Academy members, came together to share views from both sides of the aisle on income, wealth, gender, and racial/ethnic disparities and how social insurance and other public policies can play a role in mitigating them in fiscally sustainable ways.

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Monday, July 13, 2015

Progress on Long Term Services and Supports, White House Conference on Aging Starts

Lee Goldberg, National Academy of Social Insurance

Many in the aging community have been underwhelmed by the 2015 White House Conference on Aging (WHCOA), a year-long process that culminates this week with a national summit and an address from President Obama. The 2015 WHCOA may lack the sharp definition of past events. No one will confuse this year’s summit with the first White House conference in 1961 with its focus on the need for health insurance for seniors. But, the 2015 WHCOA may be just the one we need, given the reluctance of so many to address the deep societal issues triggered by an aging population.

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Posted on July 13, 2015  |  1 comment  |  Add your comment
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Thursday, October 10, 2013

Where Does the Commission on Long-Term Care Leave Us?

G. Lawrence Atkins, Federal Commission on Long Term Care and National Academy of Social Insurance

Organizing the delivery and financing of long-term services and supports (LTSS) for people with significant cognitive and physical functional limitations has been a challenge in the U.S. for decades.  Most of the LTSS is provided by family caregivers, but when people need paid services and supports for an extended period they encounter an array of services and providers that can be confusing, frustrating and expensive.  Although the cost of an extended period of LTSS is an insurable risk, this country does not have a well-structured financing approach that protects people or enables people to adequately protect themselves against this risk.  Families and individuals can exhaust their resources paying for LTSS and then have to turn to Medicaid for help.  Medicaid, which today finances two-thirds of paid LTSS, is a major expenditure for federal and state governments that is projected to intensify as LTSS needs double with the aging of the baby boom.

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Posted on October 10, 2013  |  1 comment  |  Add your comment
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Thursday, October 10, 2013

Long-Term Services and Supports: The Path Forward

Judy Feder, Urban Institute and Georgetown Public Policy Institute

Laphonza Butler, SEIU-United Long Term Care Workers

Henry Claypool, American Association for People with Disabilities

Judith Stein, Center for Medicare Advocacy, Inc.

Lynnae Ruttledge, National Council on Disability

All eyes are on the Affordable Care Act’s launch, extending health insurance to tens of millions of people without it. Despite the continued political battle, even the ACA’s critics seem to get that insurance is essential to assure access to care and protection against financial catastrophe.

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Posted on October 10, 2013  |  Write the first comment
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