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Devolution and aging policy: racing to the bottom in long-term care

International Journal of Health Services

Author: Estes, C. L., Linkins, K. W.
Year: 1997
Type: Journal Article

Abstract:

Draws on current research & literature to examine the diminishing role of the federal government in U.S. health entitlement programs since the early 1970s. The failed reform attempts of President Bill Clinton's administration, & legislative trends to decentralize health management are analyzed in terms of their impact on long-term care & in the context of the sociodemographics of aging. Issues of state accountability are discussed & the repercussions of state-level discretionary policy options are categorized under four crucial effects (1) the disruption of priorities, services, & benefits for the elderly & disabled; (2) the degeneration of long-term care programs; (3) the promotion of age, gender, racial, ethic, & class preferences; & (4) the radical undermining of nonprofit sector services.

Further Details

Pages 427-442
Volume 27
Issue 3
Accession Number 1.4.03
Keywords North America, older, mobility, health improvement

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