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Review article

https://doi.org/10.3935/rsp.v7i1.268

Chartig the Future of Age-Based Public Policy in the United States: Past is Prologue

Joanne E. Coury ; Department of Political Sciences, State University of New York at Buffalo


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Abstract

In this paper the author provides, first, an overview of the evolution of aging policy in the United States, from its infancy to new policy initiatives. A strong emphasis is put on the ideological and legislative context in which aging policy has developed. The paper illustrates how institutional forms and policy legacies have affected aging policy choices. The author points out that ethics and value systems are also significant for aging policy making process in the United States. In addition, the paper deals with the community-based long-term care model that has received a great deal of attention by the American public. A range of programs and measures for the elderly is discussed taking into account human aspects, financial expenditures and special interest groups. Finally, the author analyzes and evaluates recent proposals by the Clinton administration and debates about the future of aging policy in the United States. She points out that a majority of American citizens support the long-term care model and are willing to pay additional taxes for it. She concludes that a mayor feature of the development of long-term care for the elderly will be emphasis on home and community-based services (promoting independence in everyday life). The author thinks that the pendulum of aging policy in the future will continue to swing back and forth between expansionist and reductionist policy solutions.

Keywords

aging policy; long-term care model; expenditures on eldercare; aging network; aging enterprise

Hrčak ID:

29999

URI

https://hrcak.srce.hr/29999

Publication date:

1.1.2000.

Article data in other languages: croatian

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