Federal Protections, Laws, and the Geriatric Patient

Author(s):  
Christina T. Vidoli ◽  
Jacob C. Holzer

Seniors face complex legal concerns that are often different from what they faced when they were younger. A range of federal protections and laws exist offering guidance and regulatory structure to the aging population. Examples reviewed in this chapter include federally supported financial assistance for healthcare and benefits, such as Medicare, Supplemental Nutrition Assistance Program (SNAP), Senior Health Insurance Program (SHIP); elder abuse reporting and interventions; consumer protections; and decision-making for aging and incapacitated persons. Elder law attorneys focus their practice on the legal needs of seniors and work with a variety of legal tools and techniques to specifically meet the goals of the older client, in order to maximize their autonomy and quality of life.

2013 ◽  
Vol 17 (12) ◽  
pp. 2824-2833 ◽  
Author(s):  
Susan J Blumenthal ◽  
Elena E Hoffnagle ◽  
Cindy W Leung ◽  
Hayley Lofink ◽  
Helen H Jensen ◽  
...  

AbstractObjectiveTo examine the opinions of stakeholders on strategies to improve dietary quality of Supplemental Nutrition Assistance Program (SNAP) participants.DesignParticipants answered a thirty-eight-item web-based survey assessing opinions and perceptions of SNAP and programme policy changes.SettingUSA.SubjectsSurvey of 522 individuals with stakeholder interest in SNAP, conducted in October through December 2011.ResultsThe top three barriers to improving dietary quality identified were: (i) unhealthy foods marketed in low-income communities; (ii) the high cost of healthy foods; and (iii) lifestyle challenges faced by low-income individuals. Many respondents (70 %) also disagreed that current SNAP benefit levels were adequate to maintain a healthy diet. Stakeholders believed that vouchers, coupons or monetary incentives for purchasing healthful foods might have the greatest potential for improving the diets of SNAP participants. Many respondents (78 %) agreed that sodas should not be eligible for purchases with SNAP benefits. More than half (55 %) believed retailers could easily implement such restrictions. A majority of respondents (58 %) agreed that stores should stock a minimum quantity of healthful foods in order to be certified as a SNAP retailer, and most respondents (83 %) believed that the US Department of Agriculture should collect data on the foods purchased with SNAP benefits.ConclusionsResults suggest that there is broad stakeholder support for policies that align SNAP purchase eligibility with national public health goals of reducing food insecurity, improving nutrition and preventing obesity.


2021 ◽  
Vol 38 (1) ◽  
pp. 266-288
Author(s):  
Brian Hutler ◽  
Anne Barnhill

AbstractThis essay uses a specific example—proposals to exclude sugary drinks from the Supplemental Nutrition Assistance Program (SNAP)—to explore some features of the contemporary U.S. administrative state. Dating back to the Wilsonian origins of the U.S. administrative state there has been uncertainty about whether we can and should separate politics and administration. On the traditional view, the agencies are to be kept separate from politics—technocratic and value-neutral—although they are indirectly accountable to the president and Congress. The SNAP exclusions example shows, however, that agencies often must make complex and controversial decisions on their own, decisions that go beyond value-neutral technocratic administration. When authorizing legislation has multiple goals, as we’ll argue is the case in the SNAP example, an agency will have to choose between conflicting statutory mandates. Moreover, as the SNAP example shows, agencies often face complex normative questions of ethics and justice that go beyond the question of how to balance competing aims. The appropriate response to the SNAP exclusions example is not to keep politics out of administrative decision-making, but to develop procedures that allow ethical and political questions to be addressed in agency policy-making, consistent with overarching commitments to fairness and democracy.


2012 ◽  
Vol 96 (5) ◽  
pp. 977-988 ◽  
Author(s):  
Cindy W Leung ◽  
Eric L Ding ◽  
Paul J Catalano ◽  
Eduardo Villamor ◽  
Eric B Rimm ◽  
...  

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