Health and long-term care benefits and the proposed revised coordination regulation: A brave new world or much ado about nothing?

2020 ◽  
Vol 22 (2) ◽  
pp. 180-195
Author(s):  
Stamatia Devetzi ◽  
Jean McHale
Keyword(s):  
Human Rights ◽  
Member State ◽  
Long Term Care ◽  
State Level ◽  
Radical Change ◽  
Individual Member ◽  
Term Care ◽  
Much Ado About Nothing ◽  
Individual Member State

This article examines the implications of the proposed Revised Coordination Regulation for long-term care benefits. First, it explores what is meant by ‘long-term care’. This sets the debate around access to long-term care in the context of developments regarding the safeguarding of fundamental human rights for those with disabilities and increasing international concern regarding the human rights of older persons. Secondly, it charts the response at the EU level to calls for safeguards in long-term care. It contrasts this with the disparate approaches taken at the Member State level. Thirdly, it examines the development of CJEU jurisprudence in this area. Fourthly, it considers the proposals for amending Regulation 883/2004 and its inclusion of long-term care. It concludes by questioning the extent to which these proposed developments will provide a radical change of approach, one which may indeed impact on expectations of long-term care at the individual Member State level and asks whether the drafting of an approach taken in relation to the proposals suggests that, ultimately, this may be little more than ‘much ado about nothing’.

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2018 ◽  
pp. 46-70
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

Medicaid Expansion

2018 ◽  
Vol 2 (2) ◽  
pp. 42-53
Author(s):  
Mary Schmeida ◽  
Ramona McNeal
Keyword(s):  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
Patient Protection ◽  
Level Data

U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.

scholarly journals “孝治天下”與“法治天下”——新時代的“孝文化”建設初探

2015 ◽  
Vol 13 (1) ◽  
pp. 27-41
Author(s):  
Lian YU
Keyword(s):  
Human Rights ◽  
Rule Of Law ◽  
Filial Piety ◽  
Long Term Care ◽  
Chinese Society ◽  
Term Care ◽  
Policy Makers ◽  
The Rule Of Law ◽  
Care Policies

LANGUAGE NOTE | Document text in Chinese; abstract also in English.“孝治天下”是中國傳統社會的治理模式，從而形成了具有中國特色的“孝文化”，但是這個文化卻在現代化的過程中遇到了質疑和批判。然而，在老齡化和養老問題突出的今天，“孝文化”重新成為社會討論的話題，由此帶來一系列的問題：我們如何回應五四新文化以來學者對所謂儒家“封建壓迫”的批判？我們如何重新構建當今時代的“孝文化”？本文探討和“孝治天下” 與“法治天下”之間的衝突與融合，提出二者互動的辯證關係。筆者認為，傳統的孝道必須與社會結構的轉型聯繫起來，從而形成一個符合現代社會的、新型的“孝文化”。“Ruling the world with filial piety” was an effective management model in traditional Chinese society, particularly during the Confucian era. However, this commitment to filial piety was powerfully challenged by China’s New Culture Movement at the beginning of the twentieth century, and disintegrated almost entirely during the Cultural Revolution approximately 50 years later. However, filial piety has recently re-emerged as a topic of debate due to the problems created by China’s aging society. In this paper, the possibility of reconstructing a culture of filial piety is investigated in relation to the rule of law, as discussed by public-policy makers. On the one hand, long-term care policies must be tailored to modern Chinese society, which has been transformed in the last few decades by changes to family structure and the relationship between family and society. On the other hand, policy makers responsible for long-term care policies must acknowledge the traditional value system that has shaped the Chinese way of thinking and moral logic.In the West, the concept of the rule of law is intrinsically connected with that of human rights. Moving away from the traditional perception of filial piety as a moral duty, it is proposed in this paper that the Confucian ideal of filial piety can be interpreted in terms of human rights. The author combines the Western principle of the rule of law with the Confucian concept of filial piety—that is, legality with morality—to show that filial piety should not be regarded merely as a virtue or a moral sentiment, but as a legallyprotected and promoted entity. The author argues that adherence to the principle of filial piety, although decreasing in modern China, remains the most important means of regulating the treatment of elderly people by their adult children, and cultivating awareness of the moral responsibility to provide elderly care.DOWNLOAD HISTORY | This article has been downloaded 1148 times in Digital Commons before migrating into this platform.

scholarly journals Long-Term Care Workers in South Korea and Their Protection of Human Rights of Persons Living With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 541-542
Author(s):  
Hyun Ji Lee ◽  
Kyong Hee Chee
Keyword(s):  
Human Rights ◽  
South Korea ◽  
Long Term Care ◽  
Dementia Care ◽  
Occupational Identity ◽  
Term Care ◽  
Human Rights Protection ◽  
Protection Of Human Rights ◽  
Item Scale

Abstract South Korea has included dementia care as part of their Long-Term Care (LTC) Insurance Program since 2014. Thus, LTC workers are increasingly engaged in dementia care. The purpose of this paper is to elucidate the role of the LTC workers’ occupational identity in their consciousness of human rights as well as their practice of human rights protection. Data were collected in 2018 from 303 LTC workers employed by 12 LTC facilities who completed questionnaires. Their mean age was 53.6 years. We measured occupational identity with a 15-item scale (a=.772), consciousness of human rights for persons living with dementia (PLWD) with a 27-item scale (a=.916), and practice of human rights for PLWD with a 26-item scale (a=.956). Results show that occupational identity was positively associated with consciousness of human rights (r=.296, p<.01) and practice of human rights (r=.295, p<.01). The findings have implications for protecting the human rights of PLWD. Part of a symposium sponsored by the Aging Among Asians Interest Group.

Devolution and Aging Policy: Racing to the Bottom in Long-Term Care

1997 ◽  
Vol 27 (3) ◽  
pp. 427-442 ◽  
Author(s):  
Carroll L. Estes ◽  
Karen W. Linkins
Keyword(s):  
Long Term Care ◽  
Nonprofit Sector ◽  
State Level ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
New Federalism ◽  
Trade Offs ◽  
The Future

For two decades, New Federalism, devolution, and other challenges to the federal role in domestic health and human services policy have fundamentally shaped the structure and delivery of long-term care in the United States. Devolution evokes crucial questions concerning the future of universal entitlement programs such as Social Security and Medicare and, with them, the future of aging and long-term care policy. This article examines the implications of the “devolution revolution” for long-term care in the context of the sociodemographics of aging and the managed care movement. Central issues are the extent to which state-level discretionary policy options (1) alter priorities, services, and benefits for the elderly and disabled; (2) foster a race to the bottom in long-term care; (3) promote generational, gender, racial and ethnic, and social class trade-offs; and (4) fundamentally alter the role and capacity of nonprofit sector services that comprise a significant part of the long-term care continuum.

Humanism as a Positive Outcome of Secularism

2017 ◽  
Author(s):  
Joachim Duyndam
Keyword(s):  
Human Rights ◽  
Group Identity ◽  
Long Term Care ◽  
Positive Outcome ◽  
Term Care ◽  
Art Of Living ◽  
Moral Conduct ◽  
The Right

Humanism is not the only answer to the conditions of secularism, nor would secularism inevitably equal nihilism without humanism.. This chapter articulates and defends positive humanism, a tradition not defined just by rejecting dogmatic religion but by seeking ethical ideals and human rights. Realizing those values requires hermeneutic interpretations of humanist exemplars from many cultures, past and present, in order to creatively apply those values within individual contexts. Humanism stands for liberty (autonomy and resilience), responsibility (the duty to care, for which one is answerable), justice (upholding institutions and arrangements that protect people from exploitation and humiliation), solidarity (spiritual and material care for one another), diversity (the right to individual and group identity), art of living (refined moral conduct toward oneself and others), and sustainability (long-term care for the inhabitability of the planet). Taken together, these values seek to promote humaneness.

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2019 ◽  
pp. 821-845
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

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