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Long-Term Care

Tuesday, October 11, 2011

A Midsummer Policy Sonnet

Erik Shive, Former Intern, National Academy of Social Insurance

The piece was written in August 2011 

Now is the summer of our blasted dissent,
With our eyes cast upward at the debt ceiling,
And no one seems even remotely content.
Will this fallout leave us fiscally reeling?

Into this bloodless, ever-present, hot fray,
Come bright-eyed, eager interns ready to learn.
They are told for social insurance to pray,
For nothing it will give and take all we earn.

Unemployment is in federal error,
The Class Act has been passed but still needs a fix,
Medicare is causing the old to terror,
Social Security’s done by ‘thirty-six.

But UI’s computers will be updated,
A tweak here, one there, and the Class Act will roll,
By healthcare reform, Medicare is sated,
Though Social Security still has a toll.

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Posted on October 11, 2011  |  1 comment  |  Add your comment
Thursday, December 9, 2010

How Do We Provide Affordable Care For Millions Of People, Preserving Their Independence, Without Breaking Their Pocketbooks Or Bankrupting The Taxpayers?

Bob Rosenblatt
Senior Fellow, National Academy of Social Insurance

Each summer, NASI’s Somers Aging and Long-Term Care Research Internship program selects 5-7 graduate students to spend 12 weeks receiving high-quality training in policy research skills on challenging issues facing the diverse aging population of the United States.

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Posted on December 9, 2010  |  9 comments  |  Add your comment
Thursday, December 2, 2010

What does the Report of the Fiscal Commission Co-Chairs Mean for Health Policy?

Lee Goldberg
Director of Health Policy, National Academy of Social Insurance

The Co-chairs of the President’s Commission presented a number of policy proposals aimed primarily at reducing the growth spending on Medicare and Medicaid. Given the size of the two programs, some of these changes may impact health care spending patterns in the private economy, but many will simply shift costs to other payers. Few, if any, proposals would address the underlying growing demand for services triggered by an aging population and a long term care system that relies on private savings.

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Posted on December 2, 2010  |  1 comment  |  Add your comment
Wednesday, June 2, 2010

A Social Insurance Approach to the Problem of Paying for Long-Term Care

Bob Rosenblatt
Senior Fellow, NASI

The United States is going to try something new – a social insurance approach to the problem of paying for long-term services and supports. As more and more of the 76 million baby boomers move into their 60s and beyond, there will be a growing population of people who need help with the activities of daily living (using the toilet, dressing, bathing, eating, getting in and out of bed, walking around in the house or apartment). To date, this has been a private responsibility, with individuals and families providing care or paying for it out of their own funds. The government gets involved only if you go into a nursing home and “spend down,” using all your money until you have just $2,000. Then you qualify for Medicaid, the government’s health program for the poor.

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Posted on June 2, 2010  |  Write the first comment
Thursday, October 15, 2009

Can the Time Value of Money Save Long Term Care?

John Cutler
Senior Policy Analyst, United States Office of Personnel Management

Often left behind instead of going to the dance, long term care may finally see its opening in health care reform. Until now, few reform proposals bothered with long term care (LTC) in spite of the fact that a much greater share of the population is at risk compared with the scope of the “uninsured” for general health care. In addition, social insurance advocates and private insurance supporters often were in an uneasy alliance around how to approach any LTC reform, further hindering chances to address it. But with the reform of health care likely this year, LTC supporters have, for the most part, coalesced around Senator Kennedy’s CLASS Act as the most likely ticket to the dance.

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Posted on October 15, 2009  |  Write the first comment