Eldercare in the United States: Inadequate, Inequitable, but Not a Lost Cause
指出美国老年照护存在可及性不平等和低质量问题,公共资金补贴养老院效果不佳,利润驱动的竞争损害照护质量,并从欧洲经验、马萨诸塞州监管和志愿者努力中寻找改进希望。
Eldercare, like other forms of care work, is often taken for granted and undervalued. The burdens as well as the failures of providing care for the elderly are often borne disproportionately by women. This paper documents inequality of access and low quality of care for the elderly in the United States. It argues that public funds used to subsidize nursing homes are poorly spent and that profit-maximizing competition in the nursing home industry adversely affects the quality of care provided. In seeking to address these problems, policy-makers can learn important lessons from several different sources. The experiences of several European countries, current regulatory efforts in the state of Massachusetts, and more decentralized volunteer efforts to promote humane visions of eldercare all offer some hope for the future.