The Reverberating Risk of Long-Term Care

8 Pages Posted: 22 Feb 2015 Last revised: 3 Mar 2015

See all articles by Allison K. Hoffman

Allison K. Hoffman

University of Pennsylvania Carey Law School

Date Written: December 2, 2014


The Fiftieth Anniversary of Medicare and Medicaid offers an opportunity to reflect on how American social policy has conceived of the problem of long-term care. In this essay, based on a longer forthcoming article, I argue that current policies adopt too narrow a conception of long-term care risk, by focusing on the effect of serious illness and disability on people who need care and not on the friends and family who often provide it. I propose a more complete view of long-term care risk that acknowledges how illness and disability reverberates through communities, posing insecurity for people beyond those in need of care.

Keywords: long-term care, health, health care, Medicare, Medicaid

Suggested Citation

Hoffman, Allison K., The Reverberating Risk of Long-Term Care (December 2, 2014). Yale Journal of Health Policy, Law, and Ethics, Vol. 15, No. 1, 2015, Available at SSRN:

Allison K. Hoffman (Contact Author)

University of Pennsylvania Carey Law School ( email )

3501 Sansom Street
Philadelphia, PA 19104
United States


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