- The Oxford Handbook of U.S. Social Policy
- List of Contributors
- The Fragmented American Welfare State: Putting the Pieces Together
- Social Provision before the Twentieth Century
- The Progressive Era
- The Great Depression and World War II
- From the Fair Deal to the Great Society
- The U.S. Welfare State Since 1970
- A Cross-National Perspective on the American Welfare State
- Cultural Influences on Social Policy Development
- Political Institutions and U.S. Social Policy
- Political Parties and Social Policy
- Interest Groups
- Constituencies and Public Opinion
- Race and Ethnicity in U.S. Social Policy
- Social Security
- Private Pensions
- Long-Term Care for the Elderly
- Temporary Assistance for Needy Families
- The Politics of Supporting Low-Wage Workers and Families
- Food Assistance Programs and Food Security
- Public Housing and Vouchers
- Social Security Disability Insurance and Supplemental Security Income
- Workers’ Compensation
- Unemployment Insurance
- Care and Work-Family Policies
- Homeownership Policy
- Private Health Insurance: Tax Breaks, Regulation, and Politics
- Pension and Health Benefits for Public-Sector Workers
- Social Programs for Soldiers and Veterans
Abstract and Keywords
Despite the growing need for long-term care, the United States does not have a coherent set of long-term care policies. The existing patchwork of programs and services can be difficult for patients and their families to understand and fails to adequately support many of those in need of care. This chapter traces the historical background of long-term care policy and assesses the three formal channels through which individuals currently navigate long-term care. It addresses the strengths and weaknesses of long-term care coverage briefly through Medicare and private long-term care insurance, and much more fully through Medicaid. The chapter concludes by focusing on families, particularly women, who continue to provide extensive care through informal care work. It is the most vulnerable older and disabled Americans, particularly those who are women, black and Hispanic, and single, and their families who face the greatest difficulties under the current system and who will be most affected by future policy changes.
Madonna Harrington Meyer is Professor of Sociology and Senior Research Associate, Center for Policy Research, Syracuse University.
Jessica Hausauer is a graduate student in the Department of Psychology, Syracuse University.
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