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Comparing Long-Term Care in Germany and the United States: What Can We Learn from Each Other?
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gibson, Mary Jo Redfoot, Donald L. |
| Copyright Year | 2007 |
| Abstract | AARP's Public Policy Institute informs and stimulates public debate on the issues we face as we age. Through research, analysis and dialogue with the nation's leading experts, PPI promotes development of sound, creative policies to address our common need for economic security, health care, and quality of life. The views expressed herein are for information, debate, and discussion, and do not necessarily represent official policies of AARP. Acknowledgments The authors gratefully acknowledge the assistance and patient reviews of this report by Ms. and Dr. Barbara Manard of the American Association of Homes and Services for the Aging also provided important reviews and insights that have greatly improved the report. We thank Ari Houser of the AARP Public Policy Institute for his help with analysis of data for the report. We are indebted to other colleagues at AARP, for their thoughtful comments. Finally, we wish to thank staff in AARP International, particularly Jessica Frank and Bradley Schurman, for their expertise and important roles in making this cross-national project possible. Throughout this report, monetary values are reported in the most appropriate denomination (euros for Germany, dollars for the United States). With some key comparisons, we report the value in both currencies. In this report, the exchange rate used for conversion is 1.4295 Background With its much " older " population, Germany's experience in sustaining its long-term care (LTC) 1 system over the last 12 years reveals important lessons for the current policy debate in the United States. In the early 1990s, Germany and the United States faced similar issues related to their LTC systems: • growing demand for supportive services related to the aging of the population and projected increases for the coming decades; • increasing costs that individuals largely paid out-of-pocket; • a welfare-based public safety net that paid for LTC services only after individuals had exhausted their own resources; • a federal system that placed much of the responsibility for funding and regulating LTC with state governments; and • reports of quality problems. Since the mid-1990s, public policies related to LTC financing in the United States and Germany have diverged. In 1995, Germany began implementing a federal social insurance program that provides long-term care coverage for nearly all of its population. During the same period, much of the policy focus in the United States centered on promoting the purchase of private long-term care insurance. Both countries have encouraged more consumer … |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://assets.aarp.org/rgcenter/il/2007_19_usgerman_ltc.pdf |
| Alternate Webpage(s) | http://assets.aarp.org/rgcenter/il/2007_19_usgerman_ltc.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |