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Long-Term Care: Demography, Dollars, and Dissatisfaction Drive Reform

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Report Type Reports and Testimonies
Report Date April 12, 1994
Report No. T-HEHS-94-140
Subject
Summary:

The long-term care system has evolved in a patchwork fashion and is today comprised of multiple programs that individuals find hard to access. Despite millions of dollars in outlays, the system often fails to meet the diverse needs of the disabled, and many believe that access to services could be improved with the same level of funding. This testimony focuses on three trends underlying the quest for reform. First, demographic changes make rising demand for long-term care inevitable across all ages, not just for the elderly. Second, spending will escalate sharply across all ages, not just for the elderly. Third, despite high costs, disabled persons are increasingly unhappy with available services and their ability to obtain them.

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