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able action adequate affordable allow Americans ance assessment assets assistance assurance become benefits build burden caregivers choice Commission believes Commission recognizes Commission recommends Commission's continue contribute costs cover delivery Dependents develop effective efficient efforts elderly eligibility employers ensure establish estimates expenses extend face families federal federal government Figure financing firms five groups growing half health care coverage health care system health insurance income increase individuals job-based limited live majority Medicaid Medicare million nation's necessary need long-term nursing home nursing home care payment Pepper percent persons policies poor population poverty prevent private insurance problems protection public program purchase rates reach receive reform responsibility risk savings secure serve severely disabled share shifting social SOURCE spending standards stays step strategy substantial term tion uninsured universal coverage workers
Page 12 - major federal programs—the Social Services Block Grant program under Title XX of the Social Security Act and the Older Americans Act—
Page 9 - wrong.' And the second one is 'stupid'. .. . [People] say South African apartheid [is]... wrong.... It's immoral.... The kind of suffering we have heard about here today is just wrong. ... On the stupid side, we have already heard about the death, the suffering, the expense, the loss of productivity.
Page 11 - fact that four out of five disabled and almost three out of five severely disabled live at home. Most home care is provided by relatives and friends. And when people do buy home care,
Page 1 - of reach for the entire firm; • Workers with good coverage, who see their benefits threatened each time they go to the bargaining table; • Families whose emotional and financial resources are exhausted from providing long-term care to frail parents or disabled children. Finally, our system breeds frustration—among the
Page 1 - seek prenatal care; • Workers who are ill, with preexisting conditions that may cost them their health insurance if they change jobs; • Workers in small businesses, for whom a sudden illness can put insurance premiums out of reach for the entire firm; • Workers
Page 13 - it was considered intolerable that only half of the elderly had some form of acute care insurance. Based on our work, private long-term care insurance will be lucky to reach that level of market penetration.
Page 7 - that employers and the government together should provide a minimum level of health care coverage for workers and nonworkers who, in turn, should be expected to accept that coverage.