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Some answers and more questions from the Federal Commission on Long-term Care

Some answers and more questions from the Federal Commission on Long-term Care

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The Commission on Long Term Care
was established under Section 643 of
the American Taxpayer Relief Act of 2012,
signed into law January 2, 2013. The statute
called for the President, as well as the majority
and minority House and Senate leaders,
to appoint a total of 15 commissioners.
The Commission on Long Term Care
was established under Section 643 of
the American Taxpayer Relief Act of 2012,
signed into law January 2, 2013. The statute
called for the President, as well as the majority
and minority House and Senate leaders,
to appoint a total of 15 commissioners.

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Published by: American Enterprise Institute on Dec 17, 2013
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]
`a Kibbgssgio io Jion ]arb Khra whs asthfjgs`am uomar [aktgio 5=; ie t`a Hbargkho ]hxphyar Vajgae Hkt ie 6<86, sgnoam goti jhw Dhouhry 6, 6<8;. ]`a sthtuta khjjam eir t`a \rasgmaot, hs wajj hs t`a bhdir-gty hom bgoirgty @iusa hom [aohta jahmars, ti hppigot h tithj ie 81 kibbgssgioars. ]`a kibbgssgio whs ngvao sgx biot`s
erib t`a mhy ie t`a ohj kibbgssgioar‗s
hppigotbaot ti kiovaoa, ti mavajip h pjho
eir irnhogzgon hom ohokgon h kibpra`ao
-sgva, kiirmgohtam hom `gn` quhjgty systab ie jion tarb sarvgkas hom suppirts (J][[), hom ti vita io h rapirt fhsam io t`a pjho, gokjumgon rakibbaomhtgios eir jangsjhtgva ir hmbgogstrhtgva hktgio.
 ]`a ohj hppigotbaots ie babfars wara
bhma fy t`a \rasgmaot io Bhrk` 86, fut t`a kibbgssgio whs majhyam eir oahrjy t`raa biot`s paomgon Kionrassgiohj hktgio ti hppriprghta oakasshry euoms. ^gt` euoms hppriprghtam, io Duoa 8< t`a kibbgssgio ajaktam h k`hgr”Fruka K`aroie, prasgmaot ie t`a [kho Eiuomhtgio, h Mabikrhtgk hppigo-taa”hom Ugka K`hgr”bysaje, h Vapufjgkho
hppigotaa”hom prikaamam ti `gra sth hom kiovaoa gts rst baatgon io Duoa 6>.
 ]`a kibbgssgio `ajm eiur pufjgk `ahrgons wgt` tastgbioy erib ;= wgtoassas. Gt sijgk-gtam hom rakagvam axtaosgva kibbaots erib t`a naoarhj pufjgk. Gt wircam t`riun` ogoa axakutgva sassgios ti mavajip frihm hnraa-baot io t`a rapirt hom rakibbaomhtgios. Io [aptabfar 86, hs raqugram fy sthtuta,
[iba Hoswars Hom Bira Xuastgios Erib ]`a Eamarhj Kibbgssgio Io J]K
www.fricarwirjmbhn.kibVaprgotam erib FVICAV ^IVJM Makabfar 6<8; Qsam wgt` parbgssgio erib Gosurhoka \ufjgkhtgios [ufskrgptgios $5/yr. 8-0<<->56-;;0>
kibbgssgioars vitam 7 (va Vapufjgkho
hppigotaas hom eiur Mabikrhts) go ehvir ie
hom 5 (va Mabikrhts hom ioa Vapufjgkho) ippisam ti puttgon gts ohj rapirt eirwhrm
hs t`a frihm hnraabaot ie t`a kibbgssgio. 
]`riun`iut t`gs prikass, t`a kibbgs-sgio wircam ti gmaotgey hrahs ie frihm fgphrtgsho hnraabaot.
]`a kibbio vgsgio hom 60 rakibbaomhtgios prasaotam fy t`a
kibbgssgio raakt t`a goput hom hrahs ie
hnraabaot hbion kibbgssgioars. Gogtghj rakibbaomhtgios erib kibbgssgioars t`ht
wara frihmjy ippisam wara agt`ar bimgam
eir gokjusgio ir rabivam. Ho hppaomgx ie hjj ie t`asa gogtghj rakibbaomhtgios whs, `iwavar, gokjumam go t`a rapirt hs h rakirm ie t`a prikaamgons hom ti sarva hs h baou ie gmahs eir t`a eutura. ]`riun` t`gs prikass, t`a kibbgssgio primukam h strion fgphrtgsho vgsgio ie
h skhjjy susthgohfja hom aaktgva J][[
majgvary systab fugjt io kiokapts ie gomg-vgmuhj- hom ehbgjy-kaotaram khra, hs wajj hs h wajj-trhgoam hom hmaquhtajy suppirtam hrrhy ie ehbgjy khrangvars hom phgm wircars
wgt` h kibpra`aosgva ohokgon hpprihk`
t`ht wiujm fhjhoka pufjgk hom prgvhta
ohokgon ti gosura t`a bist khthstrip`gk
axpaosas, aokiurhna shvgons hom gosurhoka eir bira gbbamghta J][[ kists, hom pri-vgma h strion sheaty oat eir t`isa wgt`iut rasiurkas. Eijjiwgon gs h subbhry ie t`a 60 rak-ibbaomhtgios t`ht hjgno wgt` hom wiujm
BHVC D. ^HV[@H^[CW
\`M, gs vgsgtgon hmduokt sk`ijhr ht t`a Hbargkho Aotarprgsa Gostgtuta hom whs vgka k`hgrbho ie t`a rakaot eamarhj kibbgssgio io jion tarb khra. @gs prgir hrtg-kja io t`a sufdakt eir FVICAV ^IVJM bhnhzgoa hppahram go Dujy 6<8; hom whs tgtjam ‚Xuastgios eir t`a Oaw Eamarhj Kibbgssgio io J]K.‒
F V I C A V ^ I V J M B H N H T G O A
 
bhca prinrass tiwhrm t`a s`hram vgsgio mavajipam fy t`a kibbgssgio. • Go t`a hrah ie sarvgka majgvary, t`a kibbgssgio saacs ‚h bira raspiosgva, gotanrhtam, parsio-kaotaram hom egskhjjy susthgohfja J][[ majgvary systab t`ht aosuras t`ht paipja kho hkkass quhjgty sarvgkas go sattgons t`ay k`iisa.‒ ]i t`gs aom, t`a kibbgssgio rakibbaoms k`honas t`ht wiujm jahm ti h fhjhoka ie `iba- hom kibbuogty-fhsam khra hom gostgtutgiohj khra iptgios, gotanrhta J][[ hom bamgkhj khra, gbpjabaot h uogeirb hssassbaot tiij go suppirt ie t`a J][[ khra pjho, usa goeir-
bhtgio tak`oijiny bira aaktgvajy hkriss
sattgons, aosura kiosubar hom khrangvar hkkass ti goeirbhtgio, hom gbpriva J][[ quhjgty t`riun` iutkibas-eikusam khra bhohnabaot. • Go t`a hrah ie phgm hom uophgm khra-ngvgon, t`a kibbgssgio saacs ‚ho J][[ systab t`ht gs hfja ti suppirt ehbgjy khra-ngvars hom httrhkt hom rathgo h kibpataot, hmaquhtajy sgzam wirc eirka khphfja ie privgmgon `gn` quhjgty, gomgvgmuhj- hom ehbgjy-kaotaram sarvgkas hom suppirts ti gomgvgmuhjs hkriss J][[ sattgons.‒ ]i t`gs aom, t`a kibbgssgio rakibbaoms k`honas t`ht wiujm4 eikus J][[ io t`a gomgvgmuhj wgt` kinogtgva ir p`ysgkhj euok-tgiohj jgbgthtgios hom t`a ehbgjy khrangvar, govijva ehbgjy khrangvars hom t`agr oaams go khra pjhoogon hom hs phrt ie t`a khra tahb, gbpriva khrangvar trhgogon, hom aokiurhna ho hrrhy ie gotarvaotgios ti suppirt ehbgjy khrangvars. ]`a kibbgssgio hjsi rakibbaoms k`honas ti gbpriva t`a phgm wirc eirka, gokjumgon ravgsgon skipa ie prhktgka ti  frihmao ippirtuogtgas eir prieassgiohj hom mgrakt khra wircars, krahtgon ippirtuogtgas eir mgrakt khra wircars ti hmvhoka, gotanrht-gon wircars goti khra tahbs, aokiurhngon sthtas ti gbpriva sthomhrms eir `iba khra wircars, hom kijjaktgon mhth io t`a J][[ wirc eirka. • Go t`a hrah ie egohokgon J][[, t`a kibbgssgio saacs ‚h susthgohfja fhjhoka
ie pufjgk hom prgvhta ohokgon eir J][[
t`ht aohfjas gomgvgmuhjs wgt` euoktgiohj jgbgthtgios ti rabhgo go t`a wirc eirka ir go hppriprghta khra sattgons ie t`agr
k`igka.‒ Hkkibpjgs`am t`riun` h ohokgon
hpprihk` t`ht ‚(8) privgmas t`a tiijs hom pritaktgio ti aohfja Hbargkhos ti fattar
praphra eir t`a ohokghj rgsc ie oaamgon
J][[ hom (6) aosuras t`ht gomgvgmuhjs wgt`
jgbgtam ohokghj rasiurkas ir eir w`ib t`a kist ie t`agr khra axkaams t`agr ohokghj
rasiurkas `hva hkkass ti oaamam `gn`-quhj-gty sarvgkas hom suppirts.‒
 ]`a kibbgssgio rahrbs t`a gbpirthoka ie ho aaktgva”hom gbprivam”pufjgkjy
euomam sheaty oat. Gt hjsi strassas t`a gbpirthoka ie krahtgon vghfja bak`hogsbs eir gosurgon w`ht gs eir bhoy ho gosurhfja rgsc, gokjumgon t`a oaam ti privgma khth-strip`gk gosurhoka eir t`a bist mavhsthtgon kists go irmar ti aokiurhna shvgons hom prgvhta gosurhoka eir t`a bira gbbamghta J][[ kists. ]`a kibbgssgio ieears twi mgeearaot hpprihk`as eir bak`hogsbs ti biva tiwhrm t`gs aom”ioa rajygon jhrnajy io prg-vhta iptgios hom t`a it`ar jhrnajy io pufjgk sikghj gosurhoka. ]`a kibbgssgio hjsi rakibbaoms savarhj k`honas ti gbpriva hkkass ti Bamgkhra scgjjam oursgon ehkgjgty
hom `iba `ahjt` khra faoats, ti privgma
suppirt t`riun` Bamgkhgm eir wircgon hmujts wgt` J][[ oaams, hom ti hjjiw ehb-gjgas ti shva t`riun` thx-ehviram hkkiuots
eir ho gomgvgmuhj‗s J][[ axpaosas.
 ]`a frihm fgphrtgsho hnraabaot t`a kibbgssgio hk`gavam io h vgsgio sthtabaot
hom t`a spakgk rakibbaomhtgios whs put
eirwhrm hs h strion eiuomhtgio eir t`a hmmg-tgiohj wirc t`ht kiujm oit fa kibpjatam go t`a tgba hjjiwam. ]`a kibbgssgio rakib-
baomam eijjiw-up io airts ti thca t`gs
vgsgio hom t`asa rakibbaomhtgios eurt`ar. [pakgegkhjjy, t`a kibbgssgio rakib-baomam t`a krahtgio ie h ‚…sufsaquaot ohtgiohj hmvgsiry kibbgttaa ti kiotgoua
t`gs wirc hom kiosgmar t`a kibbgssgio‗s rakibbaomhtgios hom pitaotghj ohokgon
erhbawircs hs h sthrtgon pigot eir gts iwo hssassbaots hom rakibbaomhtgios.‒ ]`a kibbgssgio hjsi rakibbaomam kiovaogon t`a ^`gta @iusa Kioearaoka io Hngon go 6<81 ti gokjuma J][[ go phrtoars`gp wgt` t`a Ohtgiohj Kiuokgj io Mgshfgjgty. 
Hjt`iun` t`a kibbgssgio mgm rahk` h kiosaosus ht h `gn` javaj io t`a oaam eir parsiohj shvgons hom gosurhoka kivarhna,
sgnogkhot nivarobaot suppirt eir t`a
jiwar gokiba pipujhtgio, hom kiotgouam rijas eir prgvhta hom pufjgk siurkas ie euoms, gt mgm oit hnraa io strukturas ir pripirtgios. 
[iba ie t`ht mgshnraabaot raejakts
euomhbaothjjy mgaraot pijgtgkhj hom p`gj
-isip`gkhj vgaws io t`a hppriprghta rijas ie sikghj hom parsiohj raspiosgfgjgty, t`a
rajhtgva akgaokgas ie t`a pufjgk hom prg
-vhta saktirs, t`a hfgjgty hom khphkgty ie t`a wircgon pipujhtgio go t`a bgmmja-gokiba rhona hom `gn`ar ti pjho h`ahm, hom t`a
gbphkt ie `gn`ar thxas hom makgts.
 Ht jahst siba ie t`ht mgvarnaoka hrgsas erib h jhkc ie abpgrgkhj kjhrgty io savarhj hspakts ie t`a prifjab, w`gk` par`hps eurt`ar tgba, rasiurkas, stumy hom hohjysgs kiujm rasijva. Go phrtgkujhr, t`a kibbgssgio `hm mafhtas io w`at`ar Bamgkhgm gs oiw h prinrhb eir t`a bgmmja-gokiba hom avao `gn`ar-gokiba `iusa`ijms hom, ge si, `iw
hom w`y, w`at`ar t`ara gs sgnogkhot khphk
-gty ie wircgon hna hmujts wgt` euoktgiohj jgbgthtgios ti phrtgkgphta go t`a jhfir eirka, hom t`a rahjgstgk pissgfgjgty ti gbpriva t`a euoktgiogon ie t`a prgvhta gosurhoka bhrcat. Eikusgon io t`a ijmar pipujhtgio, siba `hva axprassam t`a vgaw t`ht Bamgkhgm gs h prinrhb dust eir t`a piir. Fut it`ars saa
t`ht t`ara gs sgnogkhot skipa ie Bamgkhgm
kivarhna eir t`isa w`i wara sijgmjy go t`a bgmmja-gokiba nriup hom hfiva go t`agr wircgon yahrs hom t`riun` ratgrabaot. Go
phrt, t`gs raakts h euzzgoass io t`a javajs
hom mgstrgfutgio ie t`a kibpjata gokibas hom hssats ie t`a ajmarjy (gokjumgon t`agr `iusgon hom ratgrabaot hssats) faeira euok-tgiohj jgbgthtgios `gt. 
@iw sgnogegkhot gs spaom-miwo9
^`ht hfiut t`a kurraot jhw axkjusgios ie sgnoge-gkhot `iusgon vhjuas, tarb jgea gosurhoka hom, go bist sthtas, ratgrabaot hssats erib Bamgkhgm ajgngfgjgty tasts9 ^`ht gs t`a trua axtaot ie nhbasbhos`gp go Bamgkhgm ajgng-
 fgjgty9 ^`ht wiujm hmmgtgiohj airts fy t`a
sthtas frgon go t`riun` asthta rakivary9 Hom `iw buk` mi t`a ajmarjy rahjjy khra hfiut jahvgon faquasts ir `hvgon axphomam khra iptgios fayiom w`ht Bamgkhgm privgmas9 ^a `ahrm siba tastgbiogas rajavhot
F V I C A V ^ I V J M B H N H T G O A
www.fricarwirjmbhn.kibVaprgotam erib FVICAV ^IVJM Makabfar 6<8; Qsam wgt` parbgssgio erib Gosurhoka \ufjgkhtgios [ufskrgptgios $5/yr. 8-0<<->56-;;0>

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