Reforming Community Care For The Elderly And The Disabled
Abstract
Not for commercial use or unauthorized distribution Downloaded from content.healthaffairs.org by Health Affairs on December 24, 2010 at DEEPDYVE Health Affairs is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814-6133. Copyright © 1983 by Project HOPE - The People-to-People Health Foundation. As provided by United States copyright law (Title 17, U.S. Code), no part of Health Affairs may be reproduced, displayed, or transmitted in any form or by any means, electronic or mechanical, including photocopying or by information storage or retrieval systems, without prior written permission from the Publisher. All rights reserved. Not for commercial use or unauthorized distribution Downloaded from content.healthaffairs.org by Health Affairs on December 24, 2010 at DEEPDYVE REFORMING COMMUNITY CARE FOR THE ELDERLY AND DISABLED by James Firman Prologue: Federal and state government officials responsible for designing long-term care policies, almost uniformly, express an interest in developing more community services for the elderly, but the service system is not well conceptualized. lames Fir-man outlines in this article alternative strategies for improving community care opportunities that are consis tent with what he characterizes as âconservative principals, liberal aspirations, and economic realities.â The thinking of Firman, a promising young