IDEAS home Printed from https://ideas.repec.org/p/lev/wrkpap/wp_283.html
   My bibliography  Save this paper

Financing Long-Term Care: Options for Policy

Author

Listed:
  • Walter M. Cadette

Abstract

The nation is ill-prepared to finance the quantum jump in long-term care spending that is on its way as the baby boom ages. By default rather than by design, Medicaid has become the main source of funds for long-term care. But reliance on Medicaid has fostered the institutionalization of the disabled elderly, has given rise to a two-tier care system, and has yielded the bizarre outcome of use of limited welfare funds by middle- and even high-income Americans who have succeeded in sheltering assets from Medicaid's spend-down requirements. Insurance would be a greatly better answer to the nation's long-term care needs. But the market will remain small and underdeveloped as long as Americans can make easy claim on Medicaid. The paper puts forth a plan for universal long-term care insurance, supported by income-scaled tax credits, to replace Medicaid in its current role. That would make for "honest government"--one that not only does not fund inheritance protection but also genuinely protects those with greatest need.

Suggested Citation

  • Walter M. Cadette, 1999. "Financing Long-Term Care: Options for Policy," Economics Working Paper Archive wp_283, Levy Economics Institute.
    • Handle: RePEc:lev:wrkpap:wp_283
    as

    Download full text from publisher

    File URL: http://www.levyinstitute.org/pubs/wp283.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sloan, Frank A & Norton, Edward C, 1997. "Adverse Selection, Bequests, Crowding Out, and Private Demand for Insurance: Evidence from the Long-Term Care Insurance Market," Journal of Risk and Uncertainty, Springer, vol. 15(3), pages 201-219, December.
    2. Victor R. Fuchs, 1996. "Individual and Social Responsibility: Child Care, Education, Medical Care, and Long-Term Care in America," NBER Books, National Bureau of Economic Research, Inc, number fuch96-1.
    3. ,, 1998. "Problems And Solutions," Econometric Theory, Cambridge University Press, vol. 14(1), pages 151-159, February.
    4. David A. Wise, 1994. "Studies in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise94-1.
    5. Fuchs, Victor R. (ed.), 1996. "Individual and Social Responsibility," National Bureau of Economic Research Books, University of Chicago Press, edition 1, number 9780226267869, September.
    6. David M. Cutler & Louise Sheiner, 1994. "Policy Options for Long-Term Care," NBER Chapters, in: Studies in the Economics of Aging, pages 395-442, National Bureau of Economic Research, Inc.
    7. ,, 1998. "Problems And Solutions," Econometric Theory, Cambridge University Press, vol. 14(5), pages 687-698, October.
    8. Anonymous, 1999. "Long-Term Care for the Elderly," British Actuarial Journal, Cambridge University Press, vol. 5(2), pages 279-295, June.
    9. ,, 1998. "Problems And Solutions," Econometric Theory, Cambridge University Press, vol. 14(3), pages 381-386, June.
    10. ,, 1998. "Problems And Solutions," Econometric Theory, Cambridge University Press, vol. 14(4), pages 525-537, August.
    11. Robert Hudson, 1997. "Long-Term Care: The New Risks of Old Age," Challenge, Taylor & Francis Journals, vol. 40(3), pages 103-115, May.
    12. ,, 1998. "Problems And Solutions," Econometric Theory, Cambridge University Press, vol. 14(2), pages 285-292, April.
    13. David M. Cutler, 1993. "Why Doesn't the Market Fully Insure Long-Term Care?," NBER Working Papers 4301, National Bureau of Economic Research, Inc.
    14. Wolfe, John R., 1993. "The Coming Health Crisis," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226905150, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Walter M. Cadette, "undated". "Financing Long-Term Care, Replacing a Welfare: Model with an Insurance Model," Economics Public Policy Brief Archive ppb_59, Levy Economics Institute.
    2. Walter M. Cadette, 2000. "Financing Long-Term Care: Options for Policy," Macroeconomics 0004030, University Library of Munich, Germany.
    3. Allen C. Goodman & Miron Stano, 2000. "Hmos and Health Externalities: A Local Public Good Perspective," Public Finance Review, , vol. 28(3), pages 247-269, May.
    4. Bettina Campedelli & Andrea Guerrina & Giulia Romano & Chiara Leardini, 2014. "La performance della rete ospedaliera pubblica della regione Veneto. L?impatto delle variabili ambientali e operative sull?efficienza," MECOSAN, FrancoAngeli Editore, vol. 2014(92), pages 119-142.
    5. Penn Loh & Zoë Ackerman & Joceline Fidalgo & Rebecca Tumposky, 2022. "Co-Education/Co-Research Partnership: A Critical Approach to Co-Learning between Dudley Street Neighborhood Initiative and Tufts University," Social Sciences, MDPI, vol. 11(2), pages 1-17, February.
    6. O'Brien, Raymond & Patacchini, Eleonora, 2003. "Testing the exogeneity assumption in panel data models with "non classical" disturbances," Discussion Paper Series In Economics And Econometrics 0302, Economics Division, School of Social Sciences, University of Southampton.
    7. YongSeog Kim & W. Nick Street & Gary J. Russell & Filippo Menczer, 2005. "Customer Targeting: A Neural Network Approach Guided by Genetic Algorithms," Management Science, INFORMS, vol. 51(2), pages 264-276, February.
    8. Yanling Li & Zita Oravecz & Shuai Zhou & Yosef Bodovski & Ian J. Barnett & Guangqing Chi & Yuan Zhou & Naomi P. Friedman & Scott I. Vrieze & Sy-Miin Chow, 2022. "Bayesian Forecasting with a Regime-Switching Zero-Inflated Multilevel Poisson Regression Model: An Application to Adolescent Alcohol Use with Spatial Covariates," Psychometrika, Springer;The Psychometric Society, vol. 87(2), pages 376-402, June.
    9. Oscar J. Cacho & Robyn L. Hean & Russell M. Wise, 2003. "Carbon‐accounting methods and reforestation incentives," Australian Journal of Agricultural and Resource Economics, Australian Agricultural and Resource Economics Society, vol. 47(2), pages 153-179, June.
    10. Eggli, Yves & Halfon, Patricia & Chikhi, Mehdi & Bandi, Till, 2006. "Ambulatory healthcare information system: A conceptual framework," Health Policy, Elsevier, vol. 78(1), pages 26-38, August.
    11. M. A. Noor & E.A. Al-Said, 2002. "Finite-Difference Method for a System of Third-Order Boundary-Value Problems," Journal of Optimization Theory and Applications, Springer, vol. 112(3), pages 627-637, March.
    12. Yong He & Zhiyi Tan, 2002. "Ordinal On-Line Scheduling for Maximizing the Minimum Machine Completion Time," Journal of Combinatorial Optimization, Springer, vol. 6(2), pages 199-206, June.
    13. Henderson, James E. & Dunn, Michael A., 2007. "Investigating the Potential of Fee-Based Recreation on Private Lands in the Lower Mississippi River Delta," 2007 Annual Meeting, February 4-7, 2007, Mobile, Alabama 34822, Southern Agricultural Economics Association.
    14. Eike Quilling & Birgit Babitsch & Kevin Dadaczynski & Stefanie Kruse & Maja Kuchler & Heike Köckler & Janna Leimann & Ulla Walter & Christina Plantz, 2020. "Municipal Health Promotion as Part of Urban Health: A Policy Framework for Action," Sustainability, MDPI, vol. 12(16), pages 1-10, August.
    15. Haeringer, Guillaume & Klijn, Flip, 2009. "Constrained school choice," Journal of Economic Theory, Elsevier, vol. 144(5), pages 1921-1947, September.
    16. Alireza Nili & Mary Tate & David Johnstone, 2019. "The process of solving problems with self-service technologies: a study from the user’s perspective," Electronic Commerce Research, Springer, vol. 19(2), pages 373-407, June.
    17. Chein-Shan Liu & Zhuojia Fu & Chung-Lun Kuo, 2017. "Directional Method of Fundamental Solutions for Three-dimensional Laplace Equation," Journal of Mathematics Research, Canadian Center of Science and Education, vol. 9(6), pages 112-123, December.
    18. Ali Akgül & Esra Karatas Akgül & Dumitru Baleanu & Mustafa Inc, 2018. "New Numerical Method for Solving Tenth Order Boundary Value Problems," Mathematics, MDPI, vol. 6(11), pages 1-9, November.
    19. Li, Haitao & Womer, Norman K., 2015. "Solving stochastic resource-constrained project scheduling problems by closed-loop approximate dynamic programming," European Journal of Operational Research, Elsevier, vol. 246(1), pages 20-33.
    20. José Sánchez Maldonado & Salvador Gómez Sala, 2006. "The Reform of Indirect Taxation in Spain: VAT and Excise," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper0607, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:lev:wrkpap:wp_283. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Elizabeth Dunn (email available below). General contact details of provider: http://www.levyinstitute.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.